Exela’s answer to automated claims adjudication, EON, has been designed to solve existing challenges in the claims adjudication process.
EON uses a business rules engine in order to separate business rules from the program code. This allows changes or updates to be made in business rules for a company’s adjudication process without dependence on the IT department.
Features & Benefits
Proactive Superset Rules Engine
Pattern analysis on single type of edits with high volume in manual adjudication queues
Data fetched from multiple sources and access through Exela’s proprietary framework, EON Navi