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CORE

The CORE engine is the backbone of the Medata bill review application. The engine processes bills according to the specific jurisdiction applicable fee schedule or UCR value, PPO Network contract rate, prevailing billing guidelines and client defined business rules without any human intervention, making it a truly automated process. Our business rules engine featured within CORE allows users to create client specific rule sets that are stored and applied to all bills further enhancing the automation review process. What sets this rules engine apart from others in the industry is its ease of use. This was designed with the user in mind. Each of the elements necessary to perform bill review is available as a building block for the user to choose from when creating a specific business rule.