Rules-based Adjudication

Rules-Based Adjudication is a formal decision-making framework within insurance claims processing that systematically evaluates claims by applying a predefined set of deterministic business rules to determine eligibility, coverage, and payment amounts.

11

Publications

354

Citations

16

Authors

16

Institutions

Publications per year

2017–2026

3

Variants

Rules-based Claims Adjudication

Authors

16

  1. WT
    William Thomson

    University of Rochester, United States

    2 publications · 63 citations

    2

    h-index

  2. TU
    Thomas Uher

    UNSW Sydney, Australia

    1 publications · 19 citations

    1

    h-index

  3. HM
    Harriet Moynihan

    Chatham House, United Kingdom

    1 publications · 20 citations

    1

    h-index

  4. MD
    Milfred D. Dale

    Daeduk University, South Korea

    1 publications · 29 citations

    1

    h-index

  5. SK
    Sangeeta Khorana

    Bournemouth University, United Kingdom

    1 publications · 17 citations

    1

    h-index

1–5 of 16

Venues

  1. SSRN Electronic Journal

    Repository · 3 publications · 83 citations

    3

    h-index

  2. Journal of International Trade Law and Policy

    1 publications · 17 citations

    1

    h-index

  3. Games and Economic Behavior

    1 publications · 27 citations

    1

    h-index

  4. International Journal of Project Management

    1 publications · 19 citations

    1

    h-index

  5. 1

    h-index

1–5