Capstone® Business Decision Engine

Our Capstone Business Decision Engine makes it easy to implement your own rules and make adjustments that will automate decisions consistently to give you flexibility, control, and accuracy.

With its seamless integration with SmartAdvisor, the Capstone Decision Manager lets you create your own custom business rules, completely automating the review and repricing of a substantial percentage of all medical bills so that only the more complex bills (and ultimately fewer bills) are routed to your specialists or partners for professional review.

Capstone can also be used to automate many of the decisions that your review specialists make every day. The intelligent decision-making power of Capstone provides the flexibility to automatically control where bills should be routed for professional review by auditors, surgical and hospital reviewers, as well as bill negotiation experts.

By automating the knowledge base of your best staff, you can deliver consistent, quality results regardless of the reviewer handling the bill, and you get the right bills to the right resources every time—automatically.