eBook: Rural Health Clinic Reimbursement - The Hidden Cost in Claims Operations
Why manual RHC processing drives cost, complexity, and compliance risk - and how automation helps health plans regain control
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7 Payment Integrity Trends Health Plans Can’t Afford to Ignore in 2026
Payment integrity has always played a critical role in payer operations, but in 2026, it has become a strategic imperative. According to the HealthEdge® 2026 Annual Payer Survey, health plan...
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HealthEdge Source™ Ranked Best in KLAS for Pre-Payment Accuracy and Integrity Solutions (Payer)
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Setting the Standard for Payment Integrity: HealthEdge Source™ Named Best in KLAS
HealthEdge Source™ earned the 2026 Best in KLAS Awards: Software and Services as the leader in “Pre-Payment Accuracy & Integrity Solutions (Payer)”—with an overall score 8% higher than its...
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HealthEdge Awarded ‘Best in KLAS’ Designation for Pre-Payment Integrity
HealthEdge® announced its cloud-based payment integrity solution, HealthEdge Source™, has earned Best in KLAS recognition. Ranked as the market leader in the 2026 Best in KLAS Awards...
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Data Sheet: HealthEdge Source™ Wins “Best in KLAS®” for Pre-Payment Accuracy & Integrity Solutions (Payer)
Source has been named “Best in KLAS” for Pre-Payment Accuracy & Integrity Solutions (Payer), achieving an overall score of 88.2, a full 6 points above the segment average (81.2).
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Take a Proactive Approach to High-Speed Payment Accuracy with HealthEdge Source™
Across the healthcare industry, organizations are making do with a payment integrity process that relies on a complex web of disparate systems, multiple vendors, and manual ticketing processes....
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High-Speed Payment Accuracy: Take a Proactive Approach with HealthEdge Source
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From Guessing Game to Proactive Process: Simplify Edits with HealthEdge Source™
Managing payments for a health plan is not as simple as it was a few decades ago. Updated billing models, new compliance mandates, and complex provider networks can make it challenging for payers...
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From Administrative Headache to Payment Paradise: A Day in the Life of a Payment Integrity Analyst
Discover how payment integrity analysts use HealthEdge Source to solve complex issues in hours, not months. Real-time data, instant deployment.
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Enhance Health Plan Payment Integrity with Integrated AI Tools
Operating within the U.S. healthcare industry can be challenging. Decades of layered regulations, siloed processes, and a sprawling network of stakeholders have created an environment where...
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Case Study: Large Regional Health Plan Achieves Scalable Success with HealthEdge Source™ Services
The HealthEdge Source Professional Services team supported a large regional health plan with their claims process and scaled their operations to meet growing demands.
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How Advanced Payment Integrity Strengthens Transparency and Collaboration Across the Healthcare Ecosystem
Increasing rates of claims denials cause operational bottlenecks and financial consequences across the healthcare system. In 2024, the initial claims denial rate rose to nearly 12%. Denied claims...
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White Paper: Elevating Payment Integrity - The Role of AI in Enhancing Payment Accuracy
Regulations are getting tougher, value-based care is expanding, and members now expect fast, seamless experiences. In this demanding landscape, achieving payment accuracy is more than just...
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Webinar: Edit Smarter Not Harder with HealthEdge Source™
The "Edit Smarter, Not Harder" webinar, led by Carl Anderson, showcased how HealthEdge Source makes managing edits easier and more efficient for health plans. The session highlighted tools like Advanc
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Improve Claims Operations & Efficiency with HealthEdge Source™ Professional Services
Maintaining efficient claims processing workflows can become an overwhelming task for many health plans. Claims teams have to process every claim accurately and on time, keep up with changing...
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Data Sheet: Enhancing Healthcare Payer Efficiency with HealthEdge Source™ Advanced Custom Edits and Analytics Integration
This use case demonstrates the significant benefits of integrating the Advanced Custom Edits module with Analytics for healthcare payers.
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Video: Medicaid Maternal Health With HealthEdge Wellframe™
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eBook: Path to Payment Integrity — A Story of Innovation and Impact
A story of how a fictional health plan moved beyond recovery to adopt a proactive, data-driven approach to payment integrity.
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Webinar: AI-Powered Payment Integrity: Insights from HealthEdge Source
This webinar examines how Artificial Intelligence (AI) can help make healthcare payments more accurate and efficient. Drawing on insights from a survey of 100 health plan leaders, the discussion addre
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Reimagined Payment Integrity with AI
Transform your health plan with AI-powered solutions delivering payment accuracy and operational efficiency. Our platform accelerates clinical reviews, helps reduce costs, and streamlines workflows wi
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