Tuo Risk Profiler
Tuo Risk Profiler enables real time risk assessment to drive Care Management, Wellness programs, Underwriting decision automation. Rules-based risk and lifestyle assessment drive real time decision support, workflow and product recommendation. Rules can be created without development for questionnaire and survey responses, claims, prescription profiles, DMV, credit score and membership and application history. Once configured, rules, debits and decision rules are easily tuned and changed.
As automation rules generally require fine-tuning to reach the desired risk stratification, configurability and ease of use are critical. Tuo Risk Profiler enables your rules to evolve with the ever-increasing changes to regulations, prescription costs and procedure costs.
Tuo Risk Profiler capabilities include:
  • Automated assessment and risk identification
    • Health Questionnaire
    • Health Risk & Lifestyle Survey
    • Prior applications & contracts
    • Claims history
    • Rx profile
    • MIB
    • Underwriting manual & guidelines (internal & 3rd party)
  • Flexible risk stratification
  • Best & worst risk automation: auto approval & decline
  • Decision support and recommended action
    • Products & Cross-selling
    • Underwriting
    • Wellness Program
  • Care management integration
  • Fraud & misrepresentation identification
  • Compliance rules
For more information or to see a demonstration please contact us today at sales@colibriumpartners.com or call us today at 206-708-7701.