Data without silos.
For healthcare
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 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