Case Study: US Based Healthcare Management Company scales claims processing with InRule

US-based Healthcare Management Company Scales and Modernizes Legacy Solution

A US Based Healthcare Management Company turned to InRule to modernize a legacy claims-processing environment, improve client onboarding, and give business analysts more direct control over healthcare decision logic. The company also needed to run rules at scale on Hadoop, increase simulation frequency, and add traceability and reporting for better business intelligence.

InRule delivered a proof of concept, then helped the customer implement its decision platform with inAuthor, simulation management, iPaaS integration, and Hadoop-based runtime processing, while leaving reporting tools unchanged. With InRule, the company now processes over 1 billion claims per day on Hadoop—up from under 100 million previously—and recovers $6 million per quarter in problematic and fraudulent claims.