HCF
InRule
InRule transformed HCF’s claims process and drastically reduced organisational costs
"InRule has proven to be a great decision. Aside from providing a better rules development experience (compared to our previous rules engine) the runtime has been stellar. We also have a reliable partner in Solentive, something that was lacking earlier."
Adrian Falcao
Enterprise Design Architect
Challenge
HCF sought to modernise their current systems and reduce reliance on third-party products and vendors
They wanted to implement a mature .NET based Business Rules Engine (BRE) to reduce the complications on their claims landscape and allow faster changes to better serve their members
Their existing Java-based BRE was cumbersome, including:
Time & effort to set up the environment for authoring
Authoring learning curve was high, taking a long time for users to become proficient
Authoring required a dedicated technical author, as authoring language was very code heavy
Difficult to extract rule logic to modify rules
Approach
HCF chose InRule as their choice of BRE to replace their existing solution, as their current solution was difficult to modify and implement new rules
InRule was recognised as the solution that best fits HCF’s existing .NET technical stack
HCF initially transitioned the Ancillary Claims component to InRule, which then extended to their Hospital Claims
Their internal IT & BA teams were trained to author the rules alongside Solentive’s InRule consultants, enabling HCF to take ownership of the system
Solentive continues to partner with HCF as part of their contingency plan, and all work is thoroughly documented ensuring corporate memory is not lost
Outcomes
Faster cycle for changes and speed to market
Eliminated the reliance on third parties to manage their BRE
Technology is future-proofed and can handle a large influx of claims
Corporate Memory Redundancy plan is in place
Lower ongoing IT costs to manage their rules
Reduced time and effort to implement changes
Fast transition to InRule from their existing BRE