HealthRules Payer

HealthEdge & Blue Cross Blue Shield of AZ - Solutions built to solve healthcare challenges

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Blue Cross Blue Shield of AZ Case Study - Digital Solutions for a Modern Health Plan

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HealthRules® Payer named “Best in KLAS®”

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HealthRules Payer + Source Integration

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HealthRules Payer Best in KLAS Report

HealthRules Payer Data Sheet

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

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Gartner Reports Next-Gen CAPS Technology Will Be Standard By 2024

Unlike legacy systems, Next-Gen CAPS like those offered by HealthEdge integrate seamlessly with third-party applications, offering more interoperable data and workflows across payer or third-party...

‘500 Shoppable Services’ Could Be the Next Healthcare Buzzwords

The healthcare ecosystem is rolling slowly toward greater transparency, but there are many challenges. Among them is predicting consumer behavior in the fog of new health information that is...

6 Distinct Advantages of Real-Time for Health Plans

Background Many health plan customers have historical workflows that rely on batch processes – file a claim on Day 1 and the results are available on Day 2 (or 3 or 4). Because of limitations with...

Some Payers Scramble to Meet COVID Test Rules; Others Pivot Quickly

New federal rules set early in the year mandate that private payers cover eight free FDA-approved COVID tests per member per month as of Jan. 15. The intent is to remove barriers for consumers who...

HealthEdge’s HealthRules® Payer Ranked #1 in CAPS and named ‘Best in KLAS’

HealthEdge Software, provider of the industry’s leading next-gen integrated solution suite for health insurers, said today its HealthRules® Payer solution has been named “Best in KLAS” by KLAS...

Friday Health Plans Case Study

As the next-generation core administrative system that runs Friday Health Plans’ operation, HealthRules Payer is built for growth, reliability, and customer excellence.