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The HealthRules® Solutions Suite includes the industry’s leading digital claims administration processing system – plus a host of additional value-added capabilities.
Healthrules Solution Suite

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GuidingCare®, our Care Management Workflow solutions, starts with the nation’s most widely adopted care management platform – and provides much more to improve quality of care.
Guidingcare Solution Suite

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Source is the preeminent digital prospective payment integrity solution, combining claim payment automation with proactive business intelligence.
Source Solution Suite

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Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to more fully engage and support members.
Wellframe Solution Suite

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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

“Operating margin improvement is a top three critical outcome for digital investments in 2024 for 67% of U.S. healthcare payers.”

– Gartner®, Three Operational Excellence Best Practices to Optimize Costs for U.S. Healthcare Payers, 1 November 2023, Mandi Bishop 1

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Report: Digital Care Management can help lower blood pressure by more than 9%

May 15, 2024

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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

Report: Digital Care Management can help lower blood pressure by more than 9%

How health plans can increase member satisfaction and engagement using digital care management

Demystifying Digital Care Management Integrations with HealthEdge®

eBook: Integrated Digital Care Management

Webinar: Using Digital Care Management to Meet Members & Care Managers Where They Are

Case Study: Digital Health Improves Care Transitions For Members With Multimorbidities

Activate Today's Medicare Member: Effective Engagement Strategies

Demonstrating the value of digital health with a new methodology

What “digital health” means for health plans

Report: Digital Care Management can help lower blood sugar by more than 25%

Case Study: Improving Maternal Health Outcomes Through Digital Engagement

Infographic: Improving Member Satisfaction

Data Sheet: Wellframe Standardized Assessments

Data Sheet: Digital Care Management

Data Sheet: Care Program Content Updates Policy

Data Sheet: Wellframe Care Programs Overview

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

Data Sheet: Closing Gaps In Care Through Better Member Relationships