Data Sheets

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).

Data Sheet: Transforming Utilization Management with an AI-Powered Decision Intelligence Ecosystem

Data Sheet: Business & Technical Advisory Services for HealthRules® Payer

Expert Guidance to Solve Operational Challenges, Optimize Performance, and Move Your Business Forward

Data Sheet: Business and Technical Advisory Services for GuidingCare

Expertise to Strengthen Your Care Management Operations

Data Sheet: Custom Code Services for HealthRules® Payer

Explore how the Global Professional Services team partners with health plans to build custom code solutions across four key service areas.

Data Sheet: Custom Code Services for HealthEdge GuidingCare®

Explore how the Global Professional Services team partners with health plans to build custom code solutions across four key service areas.

Data Sheet: AI Claims Summarizer for HealthEdge HealthRules® Payer Optimize Claims Processing with AI-Powered Insights

HealthEdge® announces the AI Claims Summarizer, a new, intelligent feature integrated into the HealthRules® Payer platform.

Future-Proof Your Health Plan with HealthEdge GuidingCare® : FHIR-Driven Solutions Enable Compliance

HealthEdge’s GuidingCare® platform is at the forefront of enabling healthcare interoperability. By combining deep technical expertise with a visionary approach, GuidingCare equips health...

Data Sheet: HealthEdge HealthRules® Payer AI

HealthRules® Payer is leveraging AI to define the next-generation core administrative processing system with unprecedented automation, agility, and insight.

Data Sheet: Five Steps to Achieving Regulatory Agility in Population Health Management

Data Sheet: Automate Manual Workflows and Accelerate Care Decisions with AI-Enabled HealthEdge® GuidingCare OCR

Data Sheet:The HealthRules Payer Advantage: What Sets Us Apart

HealthRules Payer is a next-generation core administrative processing system (CAPS) that delivers differentiation in seven critical areas essential for overcoming complex healthcare challenges.

Data Sheet: GuidingCare® Business Rules Designer

Enhancing Healthcare Payer Efficiency with HealthEdge Source™ Advanced Custom Edits and Analytics Integration

Data Sheet: Optimization Assessment for HealthRules® Payer Customers

Data Sheet: Optimization Assessment for GuidingCare® Customers

HealthEdge Wellframe IT Datasheet

HealthEdge GuidingCare® for CalAIM: Your Partner on the Population Health Journey

Data Sheet: HealthEdge® Care-Wellframe - An Integrated Care Management Experience