eBook: Rural Health Clinic Reimbursement - The Hidden Cost in Claims Operations
Why manual RHC processing drives cost, complexity, and compliance risk - and how automation helps health plans regain control
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7 Payment Integrity Trends Health Plans Can’t Afford to Ignore in 2026
Payment integrity has always played a critical role in payer operations, but in 2026, it has become a strategic imperative. According to the HealthEdge® 2026 Annual Payer Survey, health plan...
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Setting the Standard for Payment Integrity: HealthEdge Source™ Named Best in KLAS
HealthEdge Source™ earned the 2026 Best in KLAS Awards: Software and Services as the leader in “Pre-Payment Accuracy & Integrity Solutions (Payer)”—with an overall score 8% higher than its...
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Data Sheet: HealthEdge Source™ Wins “Best in KLAS®” for Pre-Payment Accuracy & Integrity Solutions (Payer)
Source has been named “Best in KLAS” for Pre-Payment Accuracy & Integrity Solutions (Payer), achieving an overall score of 88.2, a full 6 points above the segment average (81.2).
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High-Speed Payment Accuracy: Take a Proactive Approach with HealthEdge Source
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From Guessing Game to Proactive Process: Simplify Edits with HealthEdge Source™
Managing payments for a health plan is not as simple as it was a few decades ago. Updated billing models, new compliance mandates, and complex provider networks can make it challenging for payers...
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Case Study: Large Regional Health Plan Achieves Scalable Success with HealthEdge Source™ Services
The HealthEdge Source Professional Services team supported a large regional health plan with their claims process and scaled their operations to meet growing demands.
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Webinar: Edit Smarter Not Harder with HealthEdge Source™
The "Edit Smarter, Not Harder" webinar, led by Carl Anderson, showcased how HealthEdge Source makes managing edits easier and more efficient for health plans. The session highlighted tools like Advanc
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Data Sheet: Enhancing Healthcare Payer Efficiency with HealthEdge Source™ Advanced Custom Edits and Analytics Integration
This use case demonstrates the significant benefits of integrating the Advanced Custom Edits module with Analytics for healthcare payers.
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eBook: Path to Payment Integrity — A Story of Innovation and Impact
A story of how a fictional health plan moved beyond recovery to adopt a proactive, data-driven approach to payment integrity.
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Webinar: Driving Payment Integrity with AI-Powered Precision
Dive into some of the toughest challenges in payment integrity and explore actionable strategies to overcome them using advanced solutions.
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Video: Reimagined Payment Integrity with AI
Transform your health plan with AI-powered solutions delivering payment accuracy and operational efficiency. Our platform accelerates clinical reviews, helps reduce costs, and streamlines workflows wi
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White Paper: Position Your Health Plan for Long-Term Success with Payment Integrity
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Webinar: Path to Payment Integrity - Enhance Payment Accuracy with HealthEdge Source™ Editing
In our "Path to Payment Integrity" webinar, we discussed the biggest challenges in claims payment accuracy, including complex regulations, reliance on recovery vendors, high administrative costs, and
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Data Sheet: Expanding Payment Integrity Through Seamless Integrations
HealthEdge Source’s comprehensive ecosystem unites the industry’s best third-party solutions.
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Data Sheet: HealthEdge Source™ Medicaid - Missouri
A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans don’t have to.
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Data Sheet: HealthEdge Source™ Medicaid - Arizona
A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans don’t have to.
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Data Sheet: HealthEdge Source™ Medicaid - New York
A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans can focus on optimizing member outcomes instead of claims editing and re-work.
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Data Sheet: HealthEdge Source™ Medicaid - Florida
A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans don’t have to.
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Case Study: SummaCare's Secret to Payment Integrity Success
Learn about SummaCare's journey to streamlined operations, improved payment accuracy, and enhanced provider transparency.
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