Challenge: Most health plan claim adjudication software platforms use decision logic that is hard-coded into software. This makes it difficult for companies such as SEB to offer flexibility in plans and necessitates IT involvement to make any changes.
Solution: By incorporating FICO® Decision Management Suite into its proprietary adjudication platform, SEB allows business users, who are the industry and customer experts, to change rules in the platform directly, without requiring a new IT development cycle.
Results: SEB has created a flexible solution that can respond to the needs of the marketplace and individual customers, and it has opened up new possibilities for future service offerings.
Download your free Case Study
Take the next step
Connect with FICO for answers to all your product and solution questions. Interested in becoming a business partner? Contact us to learn more. We look forward to hearing from you.