SHMS Rapid Rules Engine
Flexible, scalable rules processing engine
What is SHMS Rapid Rules Engine
A flexible rules processing engine specifically developed for claims adjudication and repricing, the SHMS Rapid Rules Engine is not only fast-performing, but easily designed and managed.
- Automated logic based on rules and outcomes to drive hands off processing of claims.
- Simplifies the management of very complex claims processing decision trees
- Changes made to the engine can be compared to previous test runs to ensure 100% regression testing and completely understand the impact. Color-coded confidence level view shows where changes have the most impact.
- Graphical engine designer and confidence level overlay give excellent visibility to logic flow
Can process millions of claims per batch using thousands of rules
Engine designer provides graphical representation of rules and outcomes for ease of management and validation
TEST DRIVEN CHANGES
Confidence level overlay provides at-a-glance inspection of how a change may affect the universe of claims
From a technical perspective, the SHMS Payer Platform is a full-stack Microsoft .NET application and backend. Leveraging Microsoft SQL Server for data storage, analysis, and disaster recovery provides industry-best performance, reliability, and enterprise support.