Data Sheet:The HealthRules Payer Advantage: What Sets Us Apart
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HealthRules Payer
Discover more about the HealthRules Solution Suite
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7 Ways a Modern Core Administrative Processing System Can Improve Margins & Efficiency
Health plans are grappling with the challenge of reducing operating costs without sacrificing clinical outcomes. At the heart of this challenge lies the core administrative processing system...
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Brochure: HealthEdge HealthRules® Payer - Next Generation Claims Administration
HealthEdge HealthRules® Payer delivers next-generation claims administration that transforms how modern health plans operate.
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Infographic: Optimize Your Workflow and Maximize Savings with Integrated Secondary Editing for HealthRules® Payer
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Enhancing Healthcare Payer Efficiency with HealthEdge Source™ Advanced Custom Edits and Analytics Integration
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HealthRules® Payer Behind the Scenes: How HealthEdge® Customer Operations Empowers Payers
Discover how the HealthEdge® Customer Operations team makes it easier for HealthRules® Payer customers to meet their business goals. Health plans across the U.S. depend on the HealthEdge...
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How an Integrated Digital Ecosystem Enables Success for Health Plans
Health plan executives face increasing demand to deliver frictionless experiences, from streamlined operations to a modern member experience, to stay competitive in a rapidly evolving market. At...
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Video: Next Generation Core Administration Processing
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New Sales Leadership Joins HealthEdge to Accelerate Growth and Support the Expansion of Digital Health Platform
(Burlington, Mass., June 1, 2022) – HealthEdge announced two strategic additions to its sales leadership: Matt Francis, Senior Vice President, HealthRules Payor Sales, and Jeff Jacobs, Senior Vice...
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HealthEdge Surpasses Decade Mark as a Sample Vendor for Next-Generation Core Administrative Systems in the Gartner® Hype Cycle™ for U.S. Hea
Burlington, Mass., Aug. 16, 2021 – HealthEdge Software said today it has been named a Sample Vendor for the Next-Generation Core Administrative Systems category in the Gartner “Hype Cycle for U.S....
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How HealthEdge HealthRules® Payer Helped Medica Transform Claims Operations through Strategic Automation
Faced with growing administrative and medical cost pressures, Medica needed a solution to streamline its claims processing and improve efficiency across its operations.
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Case Study: How One Regional Health Plan Created a Member-Centric Digital Ecosystem
Health plan executives are pursuing integrated platform solutions that provide better access to data, leading to better member outcomes.
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Case Study: Medica Partners With HealthEdge To Improve Member Lives In The Moments That Matter
To streamline its administrative systems, Medica partners with HealthEdge through the use of HRP and GuidingCare
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How Improving Auto-Adjudication Rates Can Enhance Health Plan Performance
For modern health plans, enhancing auto-adjudication rates is more than a technical upgrade. It is a strategy for payers aiming to stay competitive by increasing automation, improving efficiency,...
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Build an Integrated Technology Ecosystem with a Next-Generation Core Administrative Processing System (CAPS)
Healthcare payers experience consistent pressure to update and modernize their technology systems to meet evolving industry demands. From regulatory compliance to meeting member expectations and...
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Expand to New Markets Using a Next-Generation Core Administrative Processing System (CAPS)
The healthcare industry is evolving at a rapid pace. Regulatory demands, shifting consumer expectations, and the need for data-driven decision-making are placing unprecedented pressure on health...
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3 Healthcare Market Trends Driving the Need for Advanced Regulatory Support
The complex landscape of state and federal healthcare regulations continues to evolve, requiring payers to invest in technologies that support their compliance efforts. Next-generation Core...
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Data Sheet: HealthRules® Payer Web User Interface
Leveraging our modern, web-based platform, the new web UI enhances usability, and aligns with industry standards for cloud-based healthcare systems.
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Leverage Next-Generation CAPS to Drive Competitive Advantage and Adaptability
Health plans today are under increasing pressure to modernize their technology and processes to adapt to the complexities of modern healthcare and take advantage of market growth opportunities....
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The Hidden Costs of Legacy Core Administrative Processing Systems (CAPS)
Many health plans continue to rely on legacy Core Administrative Processing Systems (CAPS) as the backbone for managing critical operations such as claims processing, benefit configuration, and...
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