Data without silos.
For healthcare
that embraces automation.
that gets payment right.
that emphasizes better care.
with deeper insights.
without limits.
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® Artificial Intelligence
Our AI-enabled solutions are designed to optimize operations, improve member experiences, enhance care quality, and drive efficiency for health plans.
SEE MOREHealthEdge®: Empowering Health Plans to Converge Without Limits
We have the integrated platform that will enable health plans to combine all their clincial and administrative data so they can break down the boundaries that are holding them back
READ MOREStephen Krupa, CEO of HealthEdge joins Bloomberg Intelligence Podcast
Listen as Stephen joins analyst Johnathan Palmer to unpack how HealthEdge's core platform powers claims processing for more than 110 million people
Listen NowHealthEdge® Annual Payer Market Planning Report 2025
HealthEdge surveyed over 450 health plan leaders to explore their challenges, key priorities, and investment strategies for the upcoming year
GET THE INSIGHTSCompliance with Prior Authorization Mandates Is a Strategic Opportunity for Payers
Embrace modern, integrated technology to ensure compliance and create a foundation for long-term operational success.
READ MOREHealthEdge by the
Numbers
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 solutionsEvolving 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
HealthEdge
HealthRules Payer
CoreAdministration
Source
ProspectivePayment Integrity
Wellframe
MemberExperience
GuidingCare
CareManagement