XeoRules® Designer


Configure, view and maintain all aspects of the XeoHealth solution

Referred to as the core of the XeoRules® product suite, the approachable web-based interface, XeoRules® Designer, provides its users with a simple means to configure business rules, create benefit designs, maintain meta data (e.g. code lists), capture claims and administer general features (e.g. configuring security permissions).

Through XeoRules® innovative and advanced rule configuration abilities, complex business scenarios are enabled, eliminating the concept of pended claims.

Costly manual processes are also eliminated by the claims staff who use the power of XeoRules® Designer to address ever changing business needs. XeoRules® Designer's functionality allows the payer's claim staff the ability to enter paper claims and reverse claims.

Benefits
Features
    • Innovative centralized web interface solution that provides an unequaled combination of capabilities unparalleled in any other solution;
    • Intuitive easy-to-use interface designed in partnership with a Global Leader in Strategy, Design and Development of Incredible Digital Experiences;
    • Complex rule application in a scalable, flexible and customizable manner on healthcare claim types;
    • Patented rule stacking technology, constructed in real-time, allows for the creation of a unique rule for a patient for a product or service, within a plan.