Advanced Automation

Infographic: GuidingCare Clinical Expertise

GuidingCare® delivers more than just software. The GuidingCare team brings unmatched clinical expertise to ensure your care management platform and programs truly advance clinical..

Data Sheet: HealthRules® Payer named “Best in KLAS” in 2023 Research Report (PDF)

HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.

Cloud-Based Data Delivery in Healthcare: Point-of-Service Payment Success Path

In today's healthcare landscape, the complexity and inefficiencies of payment systems are a common source of frustration for patients, providers, and payers alike.

Data Sheet: Point-of-Service (POS) Payment Success in Healthcare - Process Automation & Intelligent Workflows

What if we could develop a smart and efficient workflow that ensures payment accuracy from the start?

Data Sheet: Source 3rd Party Integrations Partnerships

Infographic: 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.

Data Sheet: Automatically Manage Retroactive Policy and Pricing Changes

Healthcare policy changes demand that health plans actively manage retroactive components, often requiring internal teams and third-party vendors for claims recovery.

Case Study: Easing Healthcare Preauthorizations - Priority Health

New Authorization Portal speeds approvals and boosts provider satisfaction

Case Study: AmeriHealth Administrators

With market dynamics impacting health plans dramatically, the one-size-fits-all-approach no longer works.

Case Study: Large Southeast Payer

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.

Data Sheet: What Sets Us Apart - Operational Efficiency

Case Study: McLaren Health Plan

For McLaren Health Plan, outdated 30-year-old technology was resulting in a zero percent claims auto-adjudication rate, after switching to HealthRules Payer they are now exceeding 90 percent.

Data Sheet: HealthRules Payer Platform Overview

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

Data Sheet: Cloud-Based Pricing and Editing Content for Effortless Upgrades

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.