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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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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For McLaren Health Plan, outdated 30-year-old technology was resulting in a zero percent claims auto-adjudication rate, after switching to HealthRules Payer they are now exceeding 90 percent.
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