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GuidingCare Utilization Management

GuidingCare Utilization Management

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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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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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Emerging Solutions Spotlight

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KLAS Emerging Solution Spotlight on Source

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HealthRules® Payer named “Best in KLAS®”

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The Path to Point-of-Service Payment Success: Cloud-based Data Delivery

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Source 3rd Party Integrations Partnerships

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Source Professional Services

HealthEdge understands that containing costs is the biggest challenge payers face today. Implementing new technologies, processes, and other cost containment strategies takes time and resources

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Automatically Manage Retroactive Policy and Pricing Changes

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HealthRules Payer Home & Host Processing Data Sheet

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GuidingCare Population Health Management

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