With HealthEdge Solutions, you can effortlessly expand into new markets and rapidly establish new lines of business. Our cutting-edge solutions are designed to help you navigate the complexities of entering new markets with ease and speed.
The healthcare industry is evolving at a rapid pace. Regulatory demands, shifting consumer expectations, and the need for data-driven decision-making are placing unprecedented pressure on health...
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A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans don’t have to.
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HealthEdge Source™ is a cloud-based solution designed to enhance payment accuracy and integrity for health plans with home & host capabilities.
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In today's changing healthcare environment, it's important for healthcare providers to embrace digital health plans.
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Since 2009, SummaCare has enjoyed a long-standing partnership with HealthEdge Source™. In this video, Vice President of Operations Melissa Rusk explains how no other vendor matches the convenience...
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SummaCare has embarked on a significant digital transformation to improve operations and enhance customer engagement.
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SummaCare Health Plan, based in Akron, Ohio, is a provider-owned health plan with around 62,000 members.
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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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Traditional multi-vendor payment integrity systems, while well-intentioned, often complicate IT environments with disjointed data sources and inconsistent workflows.
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As the next-generation core administrative system that runs Friday Health Plans’ operation, HealthRules Payer is built for growth, reliability, and customer excellence.
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