Legacy Systems

HealthRules Payer Case Study with Presbyterian

HealthEdge had the opportunity to sit down with Presbyterian Health Plan leadership to learn more about why their organization decided to make the switch to HealthRules Payer as it's CAPS partner.

about 1 month ago

Data Sheet: Achieving Transparency Compliance Through HealthRules Payer

Achieving regulatory compliance in the healthcare industry is a complex and evolving challenge, particularly with mandates such as the Transparency in Coverage (TIC) Final Rule and the No Surprises Ac

about 1 year ago

Source Platform Access Delivers a Transformative Approach to Payment Integrity

In the fast-paced world of healthcare, the management of payment integrity initiatives has emerged as a critical challenge for payers. The increasing complexities of healthcare claims have led to...

about 1 month ago

Infographic: Traditional Claims Editing Software vs. HealthEdge Source

over 1 year ago

Data Sheet: HealthEdge Source: Software for Health Plans With Home & Host Capabilities

about 1 month ago

Data Sheet: Platform Access Delivers a Transformative Approach to Payment Integrity

over 1 year ago

Data Sheet: HealthRules® Payer named “Best in KLAS” in 2023 Research Report (PDF)

HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.

about 1 month ago

Data Sheet: Point-of-Service Payment System Success - Integrated Ecosystems (PDF)

Traditional claims systems are often fragmented and inefficient, leading to significant errors and unnecessary operational costs.

about 1 month ago

Cloud-Based Data Delivery in Healthcare: Point-of-Service Payment Success Path

In today's healthcare landscape, the complexity and inefficiencies of payment systems are a common source of frustration for patients, providers, and payers alike.

about 1 month ago

Data Sheet: Point-of-Service (POS) Payment Success in Healthcare - Process Automation & Intelligent Workflows

What if we could develop a smart and efficient workflow that ensures payment accuracy from the start?

about 1 month ago

Data Sheet: Source 3rd Party Integrations Partnerships

almost 2 years ago

White Paper: Prospective Payment Integrity Solution Partner

3 days ago

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

This infographic sheds a light on the key benefits GuidingCare has to offer- and what makes us different; from clinical expertise and operational efficiency to ease.

about 1 month ago

eBooks: Challenging Reimbursement in Healthcare Claims Payments With Source

When it comes to handling reimbursement, dealing with incorrect payments caused by inaccessible pricing data and disjointed payment solutions can be a significant issue.