Business domain

Decisions services to compute reimbursement bills based on regulatory health rules. Additional services for consistency, fraud detection.

• Pharmacy : decision services for pharmacy bills
• GP : decision services for General Practitioners medical consultation
• Specialist : decision services for Specialists medical consultation

Metrics

• Status : 5 service in Production in 2023 : 100k request / day, significant extension of the service planned in 2023/2024 to 8M request/day
• Build : 4 years , 1 FTA (Full Time Equivalent)
• Run : 1/2 FTA per year

Integration