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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

Prospective Payment Integrity

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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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

Infographic: 2024 HealthEdge Annual Payer Market Survey

Infographic: Top 5 Payment Integrity Trends

Infographic: HealthEdge Annual Planning Report 2025

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2024 Healthcare Consumer Survey: Key Trends and Expectations

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Infographic: The History of HealthEdge Source™ The Payment Accountability® Platform

Infographic: A Member Journey After the No Surprises Act

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Infographic: Health Plan Member Satisfaction - The Current State

Infographic: Secrets of a Successful Care Management Implementation

Infographic: Traditional Claims Editing Software vs. HealthEdge Source

Infographic: The Changing State of Payment Integrity for Health Plans

Infographic: A Fresh Approach to Improving Payment Integrity

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Infographic: GuidingCare Clinical Expertise

Infographic: Top 9 Reasons More Payers Choose GuidingCare Than Any Other Care Management System

Annual Market Survey Report 2022

Infographic: HealthRules Payer Implementation