Apex Healthcare,a Malaysian health insurance service provider for Demitri Care and Facilities,checks and verifies the insurance coverage of the patients who visit the healthcare.The patient data is provided to Apex Healthcare via invoices such as contract type,service submitted,insured party,and billing amount.The company has planned to replace manual processes with automatic reconciliation.Automation of its manual processes will allow Apex Healthcare to maintain its level of service with no increase in staff even though the number of its customers has tripled over a course of three years.Identify the system that will help the company achieve its goal.

Question

Quizplus · Accepted Answer

A Business Rule Management System (BRMS) allows for the automation of decision-making processes, such as those involved in verifying insurance coverage and processing invoices. This system can automate the checks and verifications that Apex Healthcare needs to perform on the patient data it receives, making it the most suitable choice for achieving their goal of maintaining service levels without increasing staff, despite a significant increase in customers.

Apex Healthcare,a Malaysian Health Insurance Service Provider for Demitri Care