There is a better way. Organizations around the world are using the Progress Corticon Business Rules Management System (BRMS) to streamline their approach to business rules management and improve the eligibility determination process.
Progress Corticon enables companies to make better decisions, faster by separating business rules from application code. It delivers improved agility and faster time to value, freeing IT resources from traditional coding while empowering developers and business analysts to implement and modify rules outside the application, often slashing development and change cycles by as much as 90%.
As a result, organizations are able to react far more quickly to changes in policies or regulations that could affect the eligibility process. “We add new rules to our system every day based on new studies, protocols, and regulations,” explains Carlos Bassi, CEO and Founder of Vitalbox “[Corticon] has significantly reduced our time to market because we can now develop and deploy a new rule within 10 minutes versus six hours.”
The agility to quickly react to change can prevent credit risk, fraud or loss of revenue due to an operational error. “With our old system we ran the risk of sending out incorrect benefit amounts…money in all likelihood we never got back,” explains James Weaver, Deputy Chief Information Officer – Human Services, Insurance and Aging, Commonwealth of Pennsylvania. “By automating this process with Progress Corticon we have improved program integrity and achieved cost avoidance.”
Most recurring decisions within these highly regulated industries are guided by complex rules with a number of interdependencies. The ability to manage that complexity at a high transaction volume is imperative to the eligibility process. “We have a quarterly Income Eligibility Verification (IEV) batch that must reconcile information across a number of sources…Corticon processed 2.6 million records in 43 minutes for a sustained throughput of over 1,000 decision sets per second,” says Monroe.
Business rules automation can greatly improve productivity, enabling organizations to better serve their customers, whether it is providing eligible citizens with the benefits they deserve, approving a customer for a loan, issuing an insurance policy, determining appropriate treatment or healthcare coverage for a patient, or approving an online purchase.