METHOD, APPARATUS AND COMPUTER PROGRAM PRODUCT FOR PROVIDING A CONTRACT COMPLIANCE SOLUTION

摘要

An apparatus for providing contract compliance may include processing circuitry. The processing circuitry may be configured to receive a contract provision corresponding to a contract defining a responsibility of a payor with respect to payment of a first class of claim, and transform the contract provision, based on rule compliance information defining processing actions to be performed in response to corresponding criteria, into a claim processing rule in a format of a claim adjudication rule associated with a second class of claim. A corresponding method and computer program product are also provided.