SHMS Rapid Rules Engine

Flexible, scalable rules processing engine

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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
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HIGH PERFORMANCE

Can process millions of claims per batch using thousands of rules

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EASILY MANAGED

Engine designer provides graphical representation of rules and outcomes for ease of management and validation 

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TEST DRIVEN CHANGES

Confidence level overlay provides at-a-glance inspection of how a change may affect the universe of claims 

More Information

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.