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

Source Home & Host Capabilities

Overview

HealthEdge Source™ is a cloud-based solution designed to enhance payment accuracy and integrity for health plans with home & host capabilities.

Areas of Focus

• Medicare Pricing
• Commercial Pricing
• Medicaid Pricing
• Primary and Secondary Editing
• Claims Modeling

Why Home & Host Health Plans Choose HealthEdge Source:

• Consolidates policy edits, pricing, and rate schedules from various sources into one comprehensive solution.
• Automates real-time triage and reconciliation of claims, speeding up the claims processing cycle and enhancing operational efficiency.
• Reduces internal costs by eliminating multiple manual workflow connections and managing updates.