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Data Sheets
HealthRules Payer HiTrust

HealthRules Payer HiTrust

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HealthRules Payer Best in KLAS Report
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HealthRules Payer Data Sheet

HealthRules Payer helps health plans quickly address market opportunities, provide customer and provider satisfaction, and lower administrative costs through automation.

Additional Content

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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Source: Our Work With Plans Offering 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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KLAS Emerging Solution Spotlight on Source

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HealthRules® Payer named “Best in KLAS®”

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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