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HealthRules Payer
What Sets Us Apart: Operational Efficiency

What Sets Us Apart: Operational Efficiency

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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.
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5 Steps to a Successful CAPS Implementation

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Care-Payer

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Achieving Transparency Compliance Through HealthRules Payer

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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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How Plans with Home and Host Capabilities Lead in Value-Based Care

In our work with HealthRules® Payer clients, we have gained first-hand experience, supporting these plans with the technology they need to lead value-based care and healthcare transformation.

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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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HealthRules® Promote Empowers Medica Health Plan to Streamline Processes

Large non-profit health insurance provider helps create a more efficient way to manage complex configurations and multiple instances of HealthRules Payer

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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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SmartComm for HealthRules Payer

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HealthRules Payer Elderplan Case Study

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HealthRules Payer + Source Integration

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HealthRules Promote

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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.

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HealthRules Answers

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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...

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500 Shoppable Services' - The Next Trend in Healthcare Price Transparency

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

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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...

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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...

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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...

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