Healthcare
Check eligibility against healthcare policies and coverage requirements.
When AI has to be right.
Regulatory decision engine
Software that turns regulations into executable rules, applies them to each case, and shows which rules led to the decision.
We're looking for design partners with a regulatory workflow to test.
Check eligibility against healthcare policies and coverage requirements.
Assess cases against regulatory requirements and internal controls.
Determine which thresholds, exemptions and obligations apply to a case.
Check whether a case meets requirements set out in legislation or policy.
Turn regulatory requirements into rules your team can review, test and apply consistently.
You provide
The regulations and policies your workflow follows.
You get
Each requirement written as a rule your team can review.
You provide
Test cases and review from your experts.
You get
Rules the engine applies the same way to every case.
You provide
The details of a case.
You get
A decision, or a flag for expert review where the case needs judgement or information is missing.
You provide
Nothing further.
You get
A record of the rules applied to each decision and why.
Decisions
Design partners
Help shape the engine around a regulatory workflow your team handles.
Leave your work email for updates on availability and opportunities to test the engine.