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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 Platform Data Sheet Overview

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

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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