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The HealthRules® Solutions Suite includes the industry’s leading digital claims administration processing system – plus a host of additional value-added capabilities.
Healthrules Solution Suite

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GuidingCare®, our Care Management Workflow solutions, starts with the nation’s most widely adopted care management platform – and provides much more to improve quality of care.
Guidingcare Solution Suite

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Source is the preeminent digital prospective payment integrity solution, combining claim payment automation with proactive business intelligence.
Source Solution Suite

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Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to more fully engage and support members.
Wellframe Solution Suite

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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

“Operating margin improvement is a top three critical outcome for digital investments in 2024 for 67% of U.S. healthcare payers.”

– Gartner®, Three Operational Excellence Best Practices to Optimize Costs for U.S. Healthcare Payers, 1 November 2023, Mandi Bishop 1

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

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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

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

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The Future of Care Management Platform Training — GuidingCare® University

HealthEdge® Machine Readable Files Suite for HealthRules® Payer

HealthEdge® Help Center

Data Sheet: Wellframe Standardized Assessments

Data Sheet: Digital Care Management

Data Sheet: Care Program Content Updates Policy

Data Sheet: Wellframe Care Programs Overview

Data Sheet: Expanded Educational Content For All Members, Regardless Of Risk Level

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