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Oracle Health Insurance Solutions

Modernizing Healthcare Payers

Oracle Health Insurance enables payers to simplify healthcare IT, achieve greater levels of operational efficiency, reduce costs, and adapt quickly to ongoing market and regulatory demands.

  • Oracle Health Insurance delivers healthcare technology that enables payers to deliver straight-through processing of claims, policies, and authorizations.

  • Plan parameters for member liability amounts and percentages.

  • Transforms configured plans into executable plans suitable for a benefit adjudication engine.

  • Offers a flexible setup of procedures.



  • Reduce total cost of ownership with HIPAA-compliant solutions for enrollment, premium calculation, claims processing, capitation, benefits adjudication and billing that can be deployed on premise and in the cloud
  • Lower administrative costs significantly by automating processes and increasing auto adjudication rates by using business rules-driven workflow
  • Enable faster response to market and regulatory changes by eliminating the need for source code changes
  • Improve operational efficiency and bring new products to market faster through collaborative product development
  • Support compliance with evolving regulatory demands through a highly flexible, extensible and open architecture
  • Reduce complexity, risk and cost with Oracle's proven health insurance solutions

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