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Data Sheets
GuidingCare Appeals & Grievances

GuidingCare Appeals & Grievances

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GuidingCare: Care Management Software Benefits Data Sheet

GuidingCare® offers health plans and providers easy-to-use, next-generation data integration and workflow management tools.
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What Sets Us Apart: Integration Comes Easy

Additional Content

Integrated Secondary Editing Solution Now Available to HealthRules® Payer Clients

Advanced secondary editing from HealthEdge Source™ helps reduce inappropriate claims before they are paid.

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Navigating the No Surprises Act: The Right Tools for Health Plan Success Data Sheet

HealthRules Payer® is a modern and flexible core administrative processing system that can help health plans navigate the No Surprises Act and transparency requirements with ease and efficiency.

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HealthEdge Source: Medicare Reimbursement

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Achieving Transparency Compliance Through HealthRules Payer

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GuidingCare SDOH Integrations

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GuidingCare Mobile Clinician

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Latest Innovations for Your HealthEdge Solutions: What’s New in 2023?

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Configuration as a Service Expedites Time-to-Value for Health Plans

HealthEdge's Configuration as a Service optimizes HealthRules® Payer system configurations, accelerating time-to-value for health plans.

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HealthEdge Source: Software for Health Plans With Home & Host Capabilities

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Member Travel Card & HealthRules Payer

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HealthRules Payer for Plans with Home & Host Capabilities

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Chronic Illness & Disability Payment System (CDPS)

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GuidingCare Utilization Management & Appeals and Grievances

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Source Medicaid Michigan

Source deliveries in-depth MI Medicaid content that includes state-specific fee schedules and payment policies across a wide range of facility and professional provider types.

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Platform Access Delivers a Transformative Approach to Payment Integrity

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Optimize Payment Accuracy with History-Based Editing

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GuidingCare® Business Rules Designer

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Simplify Genetic Test Claim Complexities with Concert Genetics and Source

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Efficiently Verify Medical Necessity with MediQuant and Source

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Emerging Solutions Spotlight

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