System and method for rules driven data record reduction
Abstract:
According to some embodiments, data is received indicative of a plurality of insurance claims submitted in connection with insurance policies. A rules driven claim processing engine may then apply a first exclusion filter to the received plurality of claims, wherein the first exclusion filter operates to remove claims from the received plurality of claims to create a first subset of claims. A second exclusion filter may then be applied to the first subset of claims, wherein the second exclusion filter operates to remove claims from the first subset of claims to create a second subset of claims. It may then be automatically arranged for the second subset of claims to be processed via an expedited claim processing workflow.
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