Healthcare

Healthcare providers trust North52 to automate critical decisions

If you are running Microsoft Dynamics 365 or the Power Platform, you can simplify the complexity of your business rules too.

The processes we help with

Healthcare providers rely on thousands of complex rules to run their organizations. Analysts manage and update those rules in an interface built for them, and adapt to changing regulatory conditions without writing code.

  • Benefits eligibility and enrollment
  • Case management
  • Claims processing
  • Clinical decision support
  • Compliance
  • Data validation
  • EHR rules
  • HL7 and FHIR integration
  • Risk assessment and recommendation

What that looks like

A coronary heart disease risk score

Patient vitals held in Dynamics 365 are scored against a multi-sheet decision table, so the assessment is visible as rows a clinician can review rather than logic buried in code.

The published risk factor thresholds the decision table models. Source: American Council on Exercise.

A published cardiovascular risk factor table: age, family history, smoking, hypertension, dyslipidemia, prediabetes, obesity and sedentary lifestyle each scoring +1, and high serum HDL scoring -1.

The published risk factor thresholds the decision table models. Source: American Council on Exercise.

Eligibility that changes when the policy does

Benefits and enrollment criteria live as tables an analyst maintains. When guidance changes, the rule changes the same week, and every decision made under the old version stays in the execution log.

See it on your own rules.

With our team

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30 minutes on your rules, not our slides.

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