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Tuesday May 7, 10:21 am Eastern Time
ESI's Software Will Check and Verify the Eligibility of 3.6 Million Members of Clalit Health Services
HERZLIYA, Israel, May 7 /PRNewswire-FirstCall/ -- ESI - Expert Solutions International (http://www.esi-knowledge.com ) today announced that Clalit Health Services, Israel's largest health organization and one of the most advanced public health associations in the world, has selected ESI's artificial intelligence-based Logist software for checking and verifying patients' eligibility and benefits. Clalit Health Services provides a full range of health services to 3.6 million people and operates 14 hospitals and 1,250 primary care and specialized clinics, with 5,500 physicians and 8,500 nurses.
Logist will be used by more than 10,000 Clalit's service points of contact, to instantly confirm patient's eligibility to receive care and clarify the services covered by the patient's insurance.
"Healthcare eligibility rules are very complicated and change frequently," said Gadi Gilon, Chief Information Officer of Clalit Health Services. "Therefore we selected Logist, with its most flexible user-oriented rules language, to prevent eligibility mistakes and billing inaccuracies resulting in undercharges, overpayments and refunds."
"Thousands of policies and procedures can be quickly and easily loaded into Logist, including 'historical' procedures and policies that are hidden inside corporate or departmental software applications," said Hemy Fintsy, Vice President, Marketing and Sales, ESI.
Logist is a business-rules software that collects the organization's logic from various sources, such as human knowledge, organization's procedures and documented policies. Logist displays the logic as rules written in natural human language, which are used for automated decision-making.
About ESI
ESI - Expert Solutions International (http://www.esi-knowledge.com ) is a provider of knowledge-based business optimization and workforce management products.
Headquartered in Herzliya, Israel, ESI is an affiliated company of Formula Vision Technologies (TASE: FVT), a spin-off from Formula Systems (Nasdaq: FORTY - news) Headquartered in Herzliya, Israel, ESI is an affiliated company of Formula Vision Technologies (TASE: FVT), a spin-off from Formula Systems.
About Clalit Health Services
Clalit Health Services (http://www.clalit.co.il/clalite/default.asp ) is the major health organization in Israel. Through its 14 hospitals and 1250 primary and specialized clinics, Clalit provides comprehensive health insurance and highly advanced medical care to the majority of Israel's population. It is also the only health fund with a country-wide network of state-of-the-art pharmacies, dental clinics, laboratories, diagnostic imaging and specialist centers
Contact:
David Kanaan
Kanaan Public Relations
Phone: +972-3-6120606
e-mail: david@kanaan.co.il
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