Connect to
a truly member-centric experience. more automated operations. the next generation of service. a comprehensive digital transformation.

HealthEdge® 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 Revealed: Key Trends in Healthcare Member Expectations and Satisfaction

Explore how health plans can address modern consumers' growing demands through HealthEdge's comprehensive survey report of 3,500 consumers.


HealthRules® Payer named “Best in KLAS®”

HealthRules Payer has been named "Best in KLAS" by KLAS Research for Claims & Administration Platforms for the second year in a row.


Health Insurance Today: The Current State of Member Satisfaction

HealthEdge surveyed +2800 healthcare consumers nationwide to help payers better understand what members care most about today.

See Survey Results

The Digital Payer Journey to Achieve a Coherent Individual Healthcare Experience

The individual healthcare experience has three dimensions. Each dimension requires deep application focus and an integrated approach to applications and data.


HealthEdge by the


Million Covered Lives Served by 4 Solutions
See Our Solutions
Homepage stat one


See Our Solutions
Gettyimages 578161141 1


Integrations With Third-Party Solutions
See Our Solutions
Gettyimages 589090389 1


States Supported With 23 Medicare Advantage Clients
See Our Solutions
Gettyimages 906007056 1

What can HealthEdge
do for you?

Our healthcare SaaS software provides payers with a digital foundation that enables them to deliver a transparent and consumer-centric experience at lower cost while offering higher quality and higher service levels to their members, providers and partners.

see our solutions

A Truly Connected

Whether connecting to our best-of-breed applications or other third-party systems, HealthEdge enables health plans to access data within and between systems for new digital member experiences. HealthEdge is on a digital journey with our customers to make it easy to exchange real-time data and streamline workflows across once-siloed functional areas and data.

See Our Solutions

Enabling the digital

What does it mean to be a digital payer in today's highly complex and dynamic health insurance market? It means every aspect of your business is constantly improving. While working with hundreds of payers, we consistently see the following five attributes in our digital-first customers:

Become a Digital Payer
Ever-evolving focus on the member and end-user experience

Modern technology and seamless exchange of real-time data facilitate a better experience

Ever-declining transaction costs

Automating business processes based on accurate data drives down costs and drives up productivity

Ever-improving quality

Accessing accurate insights from real-time data across lines of business and care provider networks results in better health outcomes

Ever-increasing service levels

Empowering team members with modern technology and up-to-the-minute data results in better service

Ever-improving business transparency

Greater visibility and robust analytical tools lead to more informed business decisions