Resources

Annual Market Survey Report 2022

HealthRules Payer Data Sheet

HealthRules Payer helps health plans quickly address market opportunities, provide customer and provider satisfaction, and lower administrative costs through automation.

The Digital Payer Journey to Achieve a Coherent Individual Healthcare Experience

Prospective Payment Integrity Brochure

Empowering Health Plans to Advance Care Management with GuidingCare

When care teams are empowered with next-gen solutions, they can improve coordination and communication, increase member engagement, and ultimately help patients better manage their chronic conditions.

Friday Health Plans Case Study

As the next-generation core administrative system that runs Friday Health Plans’ operation, HealthRules Payer is built for growth, reliability, and customer excellence.

Don't just simplify payment integrity. Choose the right partner to revolutionize it.

Top 9 Reasons More Payers Choose GuidingCare Than Any Other Care Management System

This infographic sheds a light on the key benefits GuidingCare has to offer- and what makes us different; from clinical expertise and operational efficiency to ease

What Sets Us Apart: Operational Efficiency

Medicaid & Duals Case Study

HealthRules Payer + Source Integration

AmeriHealth Administrators Case Study

HealthRules Payer Implementation

Care Payer Integration

A Digital Transformation Journey

HealthRules Payer Home & Host Processing Data Sheet

Priority Health Case Study

Source Professional Services

HealthEdge understands that containing costs is the biggest challenge payers face today. Implementing new technologies, processes, and other cost containment strategies takes time and resources

Source Claims Modeling