Discover the cutting-edge realm of advanced automation technology in healthcare through HealthEdge's comprehensive solution suite. Delve into the capabilities of HealthRules Payer, GuidingCare, Source, and Wellframe.
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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At HealthEdge, our mission is to empower health plans with cutting-edge care management solutions.
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GuidingCare® delivers more than just software. The GuidingCare team brings unmatched clinical expertise to ensure your care management platform and programs truly advance clinical..
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HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.
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In today's healthcare landscape, the complexity and inefficiencies of payment systems are a common source of frustration for patients, providers, and payers alike.
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What if we could develop a smart and efficient workflow that ensures payment accuracy from the start?
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Navigating the complexities of Medicare claims is increasingly challenging due to constantly evolving reimbursement policies and fee schedules.
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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.
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The case study highlights the value of pricing & editing using Source, a comprehensive platform that has streamlined vendor solutions for Medicare Advantage employer groups and commercial claims.
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Healthcare policy changes demand that health plans actively manage retroactive components, often requiring internal teams and third-party vendors for claims recovery.
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New Authorization Portal speeds approvals and boosts provider satisfaction
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With market dynamics impacting health plans dramatically, the one-size-fits-all-approach no longer works.
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This session dives into the critical elements shaping the future of healthcare, particularly the transition to value-based care and how technology can facilitate this shift.
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In partnership with Source, a HealthEdge company, a Large Southeast Health Plan has revolutionized its claims management process through the implementation of Source’s Payment Accountability platform.
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For McLaren Health Plan, outdated 30-year-old technology was resulting in a zero percent claims auto-adjudication rate, after switching to HealthRules Payer they are now exceeding 90 percent.
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HealthRules Payer helps health plans quickly address market opportunities, provide customer and provider satisfaction, and lower administrative costs through automation.
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Source offers a comprehensive full-service model designed to streamline and automate the process of software updates, ensuring clients stay ahead in compliance and operational efficiency.
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At HealthEdge, disrupting the status quo is part of who we are. When it comes to redefining payment integrity, we often think about it in terms of shifting from a black box to an open book...
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