with a better browsing experience; allow us to assess, monitor, and improve the website’s
performance; and enable our partners to advertise to you. You may disable the cookies by changing
the settings in your browser, and you may tell us not to share your cookie data with third parties.
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.