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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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Infographic: 2024 HealthEdge Annual Payer Market Survey

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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: Legacy vs. Next-Generation Core Administrative Processing Systems (CAPS)

Infographic: HealthEdge Source™ Product Overview

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2024 Healthcare Consumer Survey: Key Trends and Expectations

Infographic: Improving Member Satisfaction

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

Infographic: EDGEcelerate

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

Infographic: Digital Payer