Video: Leading with Clinical Expertise
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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.
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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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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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Unlike legacy systems, Next-Gen CAPS like those offered by HealthEdge integrate seamlessly with third-party applications, offering more interoperable data and workflows across payer or third-party...
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