Elderplan uses HealthRules® Payer to Lower Administrative Costs, Maximize Operational Eciency, and Be Resilient to Change Challenges Today’s health plans have less money to reinvest in critical areas such as innovation, member satisfaction, care coordination, and new lines of business. A task as seemingly simple as processing a claim, when done manually, can have a huge cost impact for health plans. Plans and providers could save billions of dollars in direct costs from transitioning from manual to electronic processes. Previously, Elderplan relied on staff to manually adjudicate every claim that needed a retro adjustment. This process led to tens of thousands of claims needing manual adjustments on a monthly basis. Given these challenges, Elderplan knew it needed to maximize o

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