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Healthcare SaaS To Accelerate Digital Transformation

WEBHealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – help payers accelerate their digital transformation and position them for continuous success. Report …

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About HealthEdge HealthEdge

WEBHealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also enable health plans to innovate and …

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HealthEdge Leadership HealthEdge

WEBWe are committed to innovating a world where healthcare can focus on people. Our leadership team combines years of healthcare industry experience with the most modern digital expertise to help your business …

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Payer Solutions HealthEdge

WEBCare-Payer Integration. HealthRules® Payer is even more powerful when combined with GuidingCare®. Our unique Care-Payer Data Exchange solution provides the API-based …

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Current State of Healthcare Payment Integrity Systems

WEBCurrent State of Healthcare Payment Integrity Systems. August 21, 2023. HealthEdge. Improving payment integrity has been a challenge for health plans since …

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HealthRules Payor

WEBHealthRules Connector®is a robust, enterprise-class integration layer that provides real-time and batch access to all HealthRules data and functionality, enabling our customers’ …

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HealthEdge Survey Highlights Growth Opportunities and …

WEBOver 300 health payer executives share insights on challenges, growth opportunities and future goals (Burlington, Mass., Aug. 9, 2022) — HealthEdge, a next …

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HealthEdge Completes Acquisition of Altruista Health

WEBBurlington, MA, and Reston, VA, December 29, 2020 – HealthEdge Software, Inc.® (“HealthEdge”), provider of the industry’s leading integrated financial, …

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Healthcare Medicaid Software Solutions for Managing Members

WEBMeet with a transformational expert today to talk about how we can help you solve today’s challenges while setting you up for future success. SCHEDULE A CONSULTATION. …

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End-to-End Integration in Health Insurance: The Path to Efficiency

WEBToday, health insurers are revisiting the concept of integration, but in a different way. Integrated end-to-end solutions are gaining traction, offering the best of …

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Modern Digital Healthcare Payer Solutions

WEBA new era for health plans. By using our digital healthcare software to automate business workflows and seamlessly exchange data in real-time across the ecosystem, …

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HealthEdge Careers HealthEdge

WEBHealthEdge® is on a mission to drive a digital revolution in healthcare. We’re connecting health plans, providers and patients with end-to-end digital technology solutions to …

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GuidingCare®: Leading Care Management Technologies

WEBGuidingCare is a comprehensive care management software solution suite. The GuidingCare® solution suite provides easy-to-use, next-generation data integration and …

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Health Plan Software Platform by Line of Business

WEBHealth plans seeking to pursue Medicare, Medicaid or dual eligibles lines of business need to excel at delivering care, controlling costs, ensuring regulatory compliance and …

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HealthRules Payer

WEBBrochure: Value-Based Care - Health Plans With Home & Host Capabilities Are Market Leaders In our work with HealthRules® Payer clients, we have gained first-hand …

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Auto-Adjudication Feature HealthRules Payer

WEBCore Administrative Processing System (CAPS) The fact is, a Core Administrative Processing System (CAPS) today needs to do much, much more than just core …

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Contact Us HealthEdge

WEBFor existing customer support, materials and other things, log in to the customer portal. To report a Severity 1 Production Incident or System Outage, contact HealthEdge Support: …

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