1. A method in a computing environment for adjudicating and reimbursing a care provider for services provided for a clinical event, comprising: receiving a transaction including a number of clinical event details documented by a care provider; accessing a first knowledge base comprising a number of evidence-based options for providing medically appropriate care; automatically selecting one or more options based on the clinical event details; performing analysis of the clinical event details against the selected at least one option to determine the appropriateness of care; and determining a level of reimbursement based on the appropriateness of care.