Dental

HealthEdge delivers an AI-powered platform for the dental marketplace, enabling plans to manage large member populations with speed, accuracy, and efficiency. Our technology streamlines operations, controls costs, and minimizes errors while delivering powerful analytics to track benefit usage and surface insights into member health. With HealthEdge, dental plans gain better decision-making, improved outcomes, and stronger performance.

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How HealthEdge
Can Help

HealthRules® Edge

HealthRules® Edge, formerly HealthRules® Payer, is our core claims engine: a cloud-native solution that powers accurate, efficient claims administration, delivers industry-leading auto-adjudication rates, and enables stronger financial and operational performance.

Payment Accuracy Edge

Payment Accuracy Edge, formerly HealthEdge Source™, is our prospective payment integrity solution that powers accurate payments for continuous cost containment through end-to-end systems.

Clinical Edge

Clinical Edge, formerly HealthEdge GuidingCare®, is an integrated care management platform that helps improve care quality outcomes and cost management by streamlining care team workflows.

Revenue Align Edge

Revenue Align Edge, formerly HealthEdge Risk Adjustment, enables proactive management and stronger compliance across the payer enterprise by giving health plans a clear, data driven picture of risk.

Provider Atlas Edge

Provider Atlas Edge, formerly HealthEdge Provider Data Management, helps reduce operational friction, compliance risk, and administrative risk through a single, reliable source of truth across the payer data ecosystem.

Payment Accuracy Edge

Payment Accuracy Edge, formerly HealthEdge Source™, is our prospective payment integrity solution that powers accurate payments for continuous cost containment through end-to-end systems.

Clinical Edge

Clinical Edge, formerly HealthEdge GuidingCare®, is an integrated care management platform that helps improve care quality outcomes and cost management by streamlining care team workflows.

Revenue Align Edge

Revenue Align Edge, formerly HealthEdge Risk Adjustment, enables proactive management and stronger compliance across the payer enterprise by giving health plans a clear, data driven picture of risk.

Provider Atlas Edge

Provider Atlas Edge, formerly HealthEdge Provider Data Management, helps reduce operational friction, compliance risk, and administrative risk through a single, reliable source of truth across the payer data ecosystem.

HealthRules® Edge

HealthRules® Edge, formerly HealthRules® Payer, is our core claims engine: a cloud-native solution that powers accurate, efficient claims administration, delivers industry-leading auto-adjudication rates, and enables stronger financial and operational performance.