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HomeCase StudySidecarHealth

SidecarHealth

$328M

USA

Company Name

Total Funding

$328M

Company Location

USA

"80% Faster Development for our rules-based system"

Book a Demo

SidecarHealth

Total Funding

$328M

Company Location

USA

"80% Faster Development for our rules-based system"

Book a Demo

Key impact delivered

< 1 Day

Policy Update Time

90%

Operational Workload Reduced

Zero

Tech bandwidth Requirement

Book a Demo

Problem Statement

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SideCarHealth, a health insurance provider, faced significant challenges in managing and updating their health pricing policies. Each quarter, they needed to update their health insurance contracts, which were maintained in complex Excel sheets. This process presented several issues:

  • Lengthy Policy Updates: Manually updating policy underwriting and premium calculations took 3-4 weeks, delaying the rollout of new health plans.
  • Dependence on Technical Staff: Reliance on their in-house tech team for routine policy adjustments diverted valuable resources from strategic initiatives.
  • Data Integration Challenges: Integrating Excel-based data with other healthcare systems and third-party services was cumbersome and prone to errors, impacting data accuracy and operational efficiency.
  • Regulatory Compliance Risks: Slow implementation of regulatory updates increased the risk of non-compliance with healthcare laws, potentially exposing the company to legal liabilities.

These challenges hindered SideCarHealth's ability to respond swiftly to market demands, optimize their policy offerings, and maintain compliance in the dynamic healthcare industry.

‍

Solution

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By partnering with Nected’s low-code/no-code rule engine and workflow automation platform, SideCarHealth modernized its health insurance policy management, accelerated decision-making, and improved overall compliance. Leveraging Nected’s flexible integrations, formula editor, and secure architecture, they achieved the following:

✅ Implementation in Less Than 1 Day:

  • Rapid Integration: Connected existing Excel-based policy data to Nected’s platform via no-code API connectors.
  • Immediate Rule Reconstruction: Rebuilt complex underwriting logic and premium calculations, cutting the previous 3–4 week timeline down to hours.

✅ Empowered Business Teams:

  • No-Code Configurations: Enabled non-technical staff to define and modify underwriting criteria, rating factors, and benefit tiers without coding.
  • On-the-Fly Adjustments: Allowed real-time updates to reflect changing medical cost trends, regulatory shifts, or network contracts.

✅ Seamless Data Integration:

  • Migration from Excel: Transitioned to a low-code/no-code database, ensuring consistent data accuracy.
  • Holistic Data View: Integrated policy attributes with enrollment data, claims records, and regulatory updates for comprehensive insights.

✅ Operational Workload Reduced by 90%:

  • Automated Calculations: Used Nected’s formula editor to apply complex actuarial formulas, coverage algorithms, and geographic multipliers effortlessly.
  • Streamlined Workflows: Employed decision tables and automated pathways to handle eligibility checks, renewal triggers, and premium recalculations, freeing teams to focus on strategic initiatives.

✅ Enhanced Compliance and Security:

  • Self-Hosted Deployment: Ensured sensitive health information remained secure and in compliance with healthcare regulations (e.g., HIPAA).
  • Robust Governance: Implemented role-based permissions, encryption, and audit trails to uphold data integrity and meet rigorous regulatory standards.

By leveraging both the rule and workflow features of Nected, SideCarHealth not only streamlined their policy management but also positioned themselves to scale efficiently while maintaining compliance with industry standards.

"80% Faster Development for our rules-based system"

Nected support is really amazing. We tell them about features we are looking for and depending on our needs they expedite it on their roadmap. We asked about adding caching to improve performance on some of the integrations and they released it in a timely manner. We used it as soon as the feature was released, thank you Nected team. We started off using Nected to help us with some of our pricing rules and that is working well for us. Now we will begin using it for some of our routing rules. The platform allows us to move much faster than if we had to do this in house. One thing that really helps is that on the cloud solution, the urls are automatically set up for us in staging and prod and there is no devops work on our side. This allows us to improve development time and involves less maintenance.

Greg R.

Tech Lead Sidecar Health

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FAQs

How Nected is better than other rule Engines & Workflow Automation platforms?

Nected stands out in the rule engine and workflow automation market primarily due to its superior API and workflow orchestration capabilities. It allows easy integration with various systems and services, making it highly efficient for processes involving multiple APIs. The platform also excels in handling complex workflows, offering a user-friendly interface that simplifies designing, automating, and optimising business processes. This makes it particularly attractive to teams seeking to streamline operations with minimal technical intervention.Another key advantage of Nected is its low-code/no-code approach, which makes it accessible to both technical and non-technical users. This aspect not only speeds up deployment but also reduces reliance on IT teams. Additionally, Nected ensures scalability and robust performance, adapting to growing business needs while maintaining efficiency and reliability. Its emphasis on security and compliance further cements its position as a reliable and versatile choice for businesses looking to enhance their automation strategies.

How quickly can I start using Nected (Learning Curve)

Nected's low-code/no-code (LCNC) environment is designed for both technical and non-technical users, ensuring a quick and easy learning curve. With an emphasis on rapid onboarding and intuitive design, users can start efficiently utilising its features, regardless of their technical background.

Is Nected scalable and performing for mission-critical flows?

Nected is designed for scalability and performance, supporting mission-critical workflows with robust architecture. It can handle increasing loads and complex processes efficiently. The platform typically offers high uptime and reliable response times, though specific metrics should be checked in its service level agreement (SLA).

Is Nected Secure? What kind of data does it store?

Nected prioritises security and typically adheres to industry-standard practices for data protection. The nature of data stored depends on your workflows but can include user data, transactional data, and operational data. Nected likely employs encryption, access controls, and regular security audits to protect this data. We are also in process of obtaining SOC2, ISO ?& GDPR compliance.

What do you mean by invocations? And how is it better than other products?

Invocations refer to the number of times your workflows/rule is triggered via API, cron or other trigger. It will count the parent rule/workflow and can have as many rules, nodes within it. This metric is often used for billing purposes. Compared to other products, invocations as a billing metric can be more cost-effective and transparent, aligning closely with your actual usage and needs. It ensures you pay for the value you receive, rather than flat rates or less relevant metrics.

What if I exceed my plan quota?

If you exceed, you'll be charged based on additional usage and will be added in your monthly charge. In case of payment failure after grace period, your plan will be reverted to free trial limiting your monthly execution and # of rules/flows as per free plan, however all your existing rules/workflow data would be kept intact.

What if I decide to cancel? Can I cancel anytime?

Firstly, we do not have a vendor lock-in, so you can cancel anytime you want. However, if you decide to cancel once your subscription for a given period has started then you would be able to cancel at the time of the next billing cycle only.

Can I upgrade my plan in between?

Yes, you can typically upgrade your Nected plan at any point during your billing cycle. The upgrade process is usually straightforward, often involving just a few clicks in your account settings. Upgrading mid-cycle may involve prorated charges for the higher-tier service.

Which plan should I go for?

The best plan depends on your specific needs, such as the expected number of invocations, the complexity of your workflows, and the level of support you require. It’s a good idea to start with a basic plan and upgrade as your needs evolve, especially if you're new to Nected. Moreover, you can also write to us at assist@nected.ai and we will help you figure out the best plan for your brand.

Would I be getting assistance in setting up Nected or building my POC?

Yes, Nected usually offers assistance in setting up and creating a Proof of Concept (POC), especially under certain plans. This assistance can include access to customer support, documentation, and possibly dedicated account management.

What level of support does the Startup and Growth plan have?

The Startup and Growth plans typically provide basic to enhanced support, including access to customer service through email or chat, a knowledge base, and possibly community forums. Response times and the extent of personalized assistance may vary between these plans.

What level of support does on-premise plan have?

The on-premise plan generally offers the most comprehensive support, including dedicated account managers, 24/7 support, and tailored assistance for deployment, maintenance, and troubleshooting. This plan is best suited for businesses with extensive, mission-critical use of Nected.