About

HealthRules® Payer is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. Named Best in KLAS in 2023 for the second year in a row, HealthRules Payer enables plans to quickly address market opportunities and stay in front of their competition.

Unlike any other core administrative solution, HealthRules Payer uses the patented HealthRules Language™, an English-like vernacular that delivers a revolutionary new approach to configuration claims processing and information transparency.

Gartner named HealthRules Payer a sample vendor for next-generation core administration in its 2022 Hype Cycle for U.S. Healthcare Payers Report for the 12th consecutive year.


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