Video: Leading with Clinical Expertise
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Advanced Automation
Discover the cutting-edge realm of advanced automation technology in healthcare through HealthEdge's comprehensive solution suite. Delve into the capabilities of HealthRules Payer, GuidingCare, Source, and Wellframe.
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Infographic: GuidingCare Clinical Expertise
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Data Sheet: HealthRules® Payer named “Best in KLAS” in 2023 Research Report (PDF)
HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.
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Cloud-Based Data Delivery in Healthcare: Point-of-Service Payment Success Path
In today's healthcare landscape, the complexity and inefficiencies of payment systems are a common source of frustration for patients, providers, and payers alike.
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Data Sheet: Point-of-Service (POS) Payment Success in Healthcare - Process Automation & Intelligent Workflows
What if we could develop a smart and efficient workflow that ensures payment accuracy from the start?
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Video: Source Medicare Reimbursement
Navigating the complexities of Medicare claims is increasingly challenging due to constantly evolving reimbursement policies and fee schedules.
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Data Sheet: Source 3rd Party Integrations Partnerships
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Infographic: Top 9 Reasons More Payers Choose GuidingCare Than Any Other Care Management System
This infographic sheds a light on the key benefits GuidingCare has to offer- and what makes us different; from clinical expertise and operational efficiency to ease
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Case Study: SummaCare - Value of editing & pricing in Source
The case study highlights the value of pricing & editing using Source, a comprehensive platform that has streamlined vendor solutions for Medicare Advantage employer groups and commercial claims.
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Data Sheet: Automatically Manage Retroactive Policy and Pricing Changes
Healthcare policy changes demand that health plans actively manage retroactive components, often requiring internal teams and third-party vendors for claims recovery.
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Case Study: Easing Healthcare Preauthorizations - Priority Health
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Case Study: AmeriHealth Administrators
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Webinar: Navigating Value-Based Care Through Technology and Automation
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Case Study: Large Southeast Payer
In partnership with Source, a HealthEdge company, a Large Southeast Health Plan has revolutionized its claims management process through the implementation of Source’s Payment Accountability platform.
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Data Sheet: What Sets Us Apart - Operational Efficiency
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Case Study: McLaren Health Plan
For McLaren Health Plan, outdated 30-year-old technology was resulting in a zero percent claims auto-adjudication rate, after switching to HealthRules Payer they are now exceeding 90 percent.
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Data Sheet: HealthRules Payer Platform Overview
HealthRules Payer helps health plans quickly address market opportunities, provide customer and provider satisfaction, and lower administrative costs through automation.
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Data Sheet: Cloud-Based Pricing and Editing Content for Effortless Upgrades
Source offers a comprehensive full-service model designed to streamline and automate the process of software updates, ensuring clients stay ahead in compliance and operational efficiency.
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Stop Recurring Post-Payment Issues with an Open Book Approach to Payment Integrity
At HealthEdge, disrupting the status quo is part of who we are. When it comes to redefining payment integrity, we often think about it in terms of shifting from a black box to an open book...
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Gartner Reports Next-Gen CAPS Technology Will Be Standard By 2024
Unlike legacy systems, Next-Gen CAPS like those offered by HealthEdge integrate seamlessly with third-party applications, offering more interoperable data and workflows across payer or third-party...
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