Data without silos.
For healthcare
that embraces automation.

HealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – break down the boundaries that prevent health plans from harnessing the power of their data.

HealthEdge® Converge Without Limits: Our Story

What if health plans could unlock powerful insights, streamline workflows, and deliver better experiences for providers and members alike - all while cutting costs and increasing savings?

Read More

HealthEdge by the
Numbers

110+

Million Covered Lives Served by 5 Solutions
See Our Solutions
Homepage stat one

116+

Customers
See Our Solutions
Gettyimages 578161141 1

100+

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

48+

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

What can HealthEdge
do for you?

Our integrated platform of solutions connects to hundreds of third-party systems, giving health plans greater access to the data they need. By eliminating data silos, plans can embrace automation to spur greater collaboration, improve payment accuracy, make more informed decisions and enhance member service and care.

See our solutions

Evolving from payers to
true partners in care

Expectations for health plans have changed. Members, providers and the government are looking at health plans to evolve from paying for healthcare to collaborating on a more efficient, transparent and accessible future for healthcare. HealthEdge seeks to enable plans to achieve these goals through four transformational pillars.

The four transformational pillars:

Touchless transaction processing
Prospective payment accuracy
Care integrity
AI-driven business intelligence

See what consumers are saying

HealthEdge

Converge Without Limits
HealthRules Payer
Core Administration
HealthEdge Source
Prospective Payment Integrity & Accuracy
Wellframe
Member Engagement
HealthEdge Provider Data Management
Provider Network Management
GuidingCare
Care Management