Oracle Health Insurance Solutions

Flexible Solutions for Healthcare Payers

Oracle's modern, high-performance rules engines enable payers to simplify healthcare IT, streamline operations, 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.


Benefits

Benefits

  • Reduce ICT, administration, and healthcare costs using a single platform
  • Support enrollment, premium calculation, claims processing, and benefits adjudication
  • Manage payment to providers using alternative, no-fee-for-service reimbursement methods
  • Improve operational efficiency and bring new products to market faster through collaborative product development
  • Increase product development flexibility using configurable business rules to create complex features and processes
  • Improve compliance with a detailed audit trail of every transaction

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