Medscheme Overhauls Claims System for Better Strategies
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

Case Study
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.
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