Data Sheets

The Future of Care Management Platform Training — GuidingCare® University

HealthEdge® Machine Readable Files Suite for HealthRules® Payer

The HealthRules Machine Readable Files Suite 3.x is a cloud-deployed SaaS application that improves health plans’ processes for publishing Machine-Readable Files (MRF).

HealthEdge® Help Center

The new HealthEdge Help Center is an online platform that provides a centralized, user-friendly experience that maximizes your organization’s adoption of HealthEdge products to get results.

Data Sheet: Wellframe Standardized Assessments

Meet members’ expectations while driving self-enrollment and helping care managers practice at the top of their license.

Data Sheet: Digital Care Management

Empower high-risk members with Wellframe’s innovative Digital Care Management. Close gaps in care, improve member outcomes, and foster personalized member connections.

Data Sheet: Care Program Content Updates Policy

Since Wellframe is committed to offering the highest quality care programs to users, Wellframe care program content is dynamic and subject to ongoing updates and improvements.

Data Sheet: Wellframe Care Programs Overview

Our unparalleled portfolio of adaptable, mobile-optimized care programs are designed to support the whole person, uncover member insights, and trigger real-time alerts for the care team.

Data Sheet: Expanded Educational Content For All Members, Regardless Of Risk Level

On-Demand Articles position health plans to provide members with the health information they need, when they need it. Members can now discover clinically validated articles that tackle a single topic

Data Sheet: Closing Gaps In Care Through Better Member Relationships

Building stronger member relationships can help your health plan access vital care gap information while improving the quality of member outreach and communications.

Data Sheet: HealthRules® Payer Named “Best in KLAS®” Three Years in a Row

Data Sheet: GuidingCare Pediatric Population

HealthEdge Source: Data Reference Module

Data Reference, which can be accessed through your instance of Source, provides insight into any current or historical fee schedules, rates, payment policies, and provider-level data.

Data Sheet: Integrated Secondary Editing Solution Now Available to HealthRules® Payer Clients

Advanced secondary editing from HealthEdge Source™ helps reduce inappropriate claims before they are paid.

Data Sheet: Navigating the No Surprises Act - The Right Tools for Health Plan Success

The No Surprises Act (NSA) marks a significant regulatory milestone aimed at protecting consumers from surprise medical bills and enhancing transparency in healthcare.

Data Sheet: HealthEdge Source - Medicare Reimbursement

Data Sheet: Achieving Transparency Compliance Through HealthRules Payer

Achieving regulatory compliance in the healthcare industry is a complex and evolving challenge, particularly with mandates such as the Transparency in Coverage (TIC) Final Rule and the No Surprises Ac

Data Sheet: GuidingCare SDOH Integrations

Data Sheet: GuidingCare Mobile Clinician

Data Sheet: Latest Innovations for Your HealthEdge Solutions - What’s New in 2023?