Infographic: The History of HealthEdge Source™ The Payment Accountability® Platform
Experts in managing complex CMS data for over 25 years. Partnering with top payers for 10+ years.
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Experts in managing complex CMS data for over 25 years. Partnering with top payers for 10+ years.
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Data Reference, which can be accessed through your instance of Source, provides insight into any current or historical fee schedules, rates, payment policies, and provider-level data.
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HealthRules Payer® is a modern and flexible core administrative processing system that can help health plans navigate the No Surprises Act and transparency requirements with ease and efficiency.
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HealthEdge's Configuration as a Service optimizes HealthRules® Payer system configurations, accelerating time-to-value for health plans.
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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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Source deliveries in-depth MI Medicaid content that includes state-specific fee schedules and payment policies across a wide range of facility and professional provider types.
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New York represents one of the country’s largest populations of Medicaid beneficiaries, according to Medicaid.gov. Keeping up with the payment and policy updates that the New York State Department...
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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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This Spotlight examines payer payment integrity platforms and how payers can aggressively apply analytics and coordinate workflows to move "left" from reactive postpay to proactive, predictive prepay.
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Have you ever tried to find an in-network doctor on your health plan member portal, found one, and called them – only to find out that they’re not actually in network? Or worse, gone to a doctor...
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The growth in our country’s Medicaid population has reached an all-time high in this post-pandemic society. Years of Medicaid expansion under the Affordable Care Act and increasing job losses due...
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The old saying goes, “If you’ve seen one state Medicaid program, you’ve seen one state Medicaid program.” The increasingly complex and dynamic state-by-state regulatory and payment environment...
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States are about to get help for mental healthcare and substance use treatment because of the Bipartisan Safer Communities Act signed by the President in June. Some of this will flow through...
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