The HealthRules® Solutions Suite includes the industry’s leading digital claims administration processing system – plus a host of additional value-added capabilities.
GuidingCare®, our Care Management Workflow solutions, starts with the nation’s most widely adopted care management platform – and provides much more to improve quality of care.
HealthEdge Provider Data Management offers a powerful, cloud-based solution to streamline healthcare provider data, ensuring data integrity, accuracy, and quality across health plan operations.
Source is the preeminent digital prospective payment integrity solution, combining claim payment automation with proactive business intelligence.
Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to more fully engage and support members.
Optimizing healthcare technology solutions is no longer just a nice-to-have—it’s a strategic move that can drive significant improvements in efficiency and cost saving. From reducing operational costs to improving member and provider experiences, well-executed technology optimization can deliver measurable benefits across your organization.
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