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Description
Minimize the likelihood of piecemeal and reactive operational decision-making by implementing analytically based business rules to enhance and streamline decisions throughout your organization. The SAS Business Rules Manager offers a centralized repository for rules, serving as a unified platform for overseeing the development and implementation of rules, along with automating workflows. Administrators benefit from a singular control point that manages user authorization, access, and security settings for each individual. An integrated workflow allows for the customization of processes while ensuring that all publishing activities are traceable and properly versioned. Furthermore, the system grants detailed control over rule functionalities, which upholds role-based security to confirm that users possess the necessary authorizations. By leveraging analytical modeling, businesses can extract rules directly from their operational data, enabling the automatic production of rule definitions and associated vocabularies. This approach not only enhances decision-making but also fosters a more consistent and reliable operational environment.
Description
Silna Health's Care Readiness Platform efficiently manages prior authorizations, benefit verifications, and insurance monitoring right from the start, ensuring that patients are ready to receive care while allowing providers to concentrate on delivering treatment. Powered by AI, the platform oversees the entire workflow of prior authorizations, which includes tracking future authorizations, sending weekly reminders, handling submissions, and conducting follow-ups, all while applying established industry rules and highlighting exceptions for human intervention when necessary. Benefit checks specific to various specialties confirm coverage, accumulation, authorization prerequisites, and visit limitations in real time, providing precise quotes at the point of intake. The system also performs continuous insurance monitoring to identify lost coverage, detect new insurance plans, and prevent eligibility gaps. Designed to operate without increasing staff numbers, Silna directly integrates data from EMRs and practice management systems, offers customizable rule sets and strategic frameworks, and features intuitive dashboards that present insights into incremental revenue. Overall, this comprehensive approach not only streamlines processes but also enhances the financial performance of healthcare providers.
API Access
Has API
API Access
Has API
Integrations
DECADIS Control Center
SAS Data Loader for Hadoop
SAS MDM
StreamABA
Integrations
DECADIS Control Center
SAS Data Loader for Hadoop
SAS MDM
StreamABA
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
SAS Institute
Founded
1976
Country
United States
Website
www.sas.com/en_us/software/business-rules-manager.html
Vendor Details
Company Name
Silna Health
Founded
2023
Country
United States
Website
www.silnahealth.com
Product Features
Business Rules Management Systems (BRMS)
Access Control / Permissions
Code Development Environment
Deploy Across Platforms
Flexible Hosting Options
Lifecycle Management
No Code Development
Simulation
Validation Tools
Product Features
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing