Self Administration of Plan Rules
The XeoHealth solution, grounded by its flagship product suite XeoRules™, empowers Payers to respond to requirements whilst still allowing them the ability to create new and innovative benefit designs. XeoRules™ is a proven flexible healthcare solution that utilizes an innovative agnostic non-pattern-based approach to benefit rule design and definition, while empowering payer staff to have complete control of the administration of the rules. No loss of institutional knowledge, rules in business language for non programmers, and in documentation for easy transitions in staff knowledge
How can XeoHealth Help?
- Respond to market-drivers, federally mandated changes, health reform driven requirements and create innovative benefit models effectively and rapidly using our patented rule-stacking technology
- Complex rule definition flexibility allows for better identification and control over fraud, misfiled claims and resulting overpayments
- Implement complex benefit designs such as diagnosis-based, patient-specific or pay-for-performance designs
- Test and assess proposed adjudication changes through sophisticated in-parallel rule modeling
- Easy maintenance of rules. New rules can be applied to the system throughout the business day if required for the purposes of meeting provider’s needs