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Client: Medscheme, South African healthcare administrator and health risk management company
Challenge: Update its existing claims management capabilities and improve the agility, efficiency and effectiveness of the system to respond quickly and easily to market, competitor, policy, strategy or regulatory change
Solution: FICO® Blaze Advisor® decision rules management system
Results: By empowering the business with more agile business rules, Medscheme has market-leading claims management capabilities that make it easier and quicker to adapt to the requirements of client schemes to manage the costs of healthcare.