Claims Rule Engine

A Claims Rule Engine is a computational decision system within medical claims processing that evaluates claim-related data against predefined regulatory, contractual, and clinical rules to automate adjudication decisions.

2

Publications

132

Citations

2

Authors

0

Institutions

Publications per year

2017–2026

0

Authors

2

  1. IS
    Iain Scobbie

    University of London, United Kingdom

    1 publications · 61 citations

    1

    h-index

  2. FP
    Fred Popowich

    Simon Fraser University, Canada

    1 publications · 71 citations

    1

    h-index

1–2 of 2

Venues

  1. European Journal of International Law

    EJIL · 1 publications · 61 citations

    1

    h-index

  2. ACM SIGKDD Explorations Newsletter

    1 publications · 71 citations

    1

    h-index

1–2