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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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Medicare Advantage Leadership Innovations, Phoenix, AZ

January 27, 2020

HealthEdge

Visit us at Booth #1

Stop by Booth #1 or attend our presentation on Tuesday, January 28, “Challenges, Opportunities and Strategies for Payers Looking to Grow Medicare Advantage Lines of Business”
For more information, read our full media release at https://www.healthedge.com/about-us/news-events/press-releases/healthedge-showcase-payer-technology-medicare-advantage

New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

Medicare Advantage Leadership Innovations, Phoenix, AZ

Webinar: Delivering on Consumer Expectations with Effective Change Management

Becker's Fall Payer Issues Roundtable

NHCAA Annual Training Conference