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 competitors. HealthEdge Source was also the only solution to earn a higher overall score in 2026 than the previous year. This achievement not only highlights the HealthEdge® commitment to excellence, but our customers’ recognition of the ongoing innovation and partnership we deliver. 

“The Best in KLAS awards recognize the vendors who consistently deliver excellence through partnership with healthcare organizations. Winning this award means customers trust you to help them succeed in our rapidly changing healthcare landscape.”
-Adam Gale, CEO, KLAS Research 

Across the healthcare industry, health plans are moving from traditional “pay-and- chase” models to making prospective payments. Solutions like HealthEdge Source help ensure payers are accurately processing claims the first time to improve cost avoidance and reduce downstream waste. 

What Does it Mean to Earn “Best in KLAS”?

KLAS is a trusted third-party research firm dedicated to improving healthcare by gathering, analyzing, and sharing insights based on direct feedback from thousands of healthcare professionals.  

Unlike other industry recognitions, the annual Best in KLAS reports are not based on marketing claims or theoretical performance. Instead, rankings are determined based on testimonials from anonymous, direct feedback from actual health plan customers. For payers, these rankings highlight vendor software solutions that excel in helping healthcare organizations ensure accurate payment and reimbursement.  

In the 2026 report, HealthEdge Source outperformed competitors across several critical categories: 

These scores reflect a platform that is not only robust in its technical capabilities but also passionate about empowering health plan operations by being a true partner. 

Why the Best in KLAS Designation Matters

For health plan leaders, selecting a payment integrity solution is a strategic decision with long-term financial and operational implications. The Best in KLAS designation offers validation that HealthEdge Source delivers on its promises to streamline payment integrity workflows, reduce rework, and process claims correctly the first time. 

One statistic from the report stands out above the rest: when asked if they would adopt HealthEdge Source again and include it in their long-term plans, 100% of customers said “yes”. 

This perfect loyalty score affirms the long-term commitment HealthEdge has made to helping payers optimize pre-payment integrity. It demonstrates that the platform is designed and supported by a team with the common goal to improve healthcare for everyone. 

Real Results Through a Unified Platform

Why do health plans choose to partner with HealthEdge Source? The answer lies in the shift from reactive, disjointed tools to a proactive, integrated ecosystem. While many traditional black-box payment integrity solutions offer limited visibility for health plans to address root-cause issues, HealthEdge Source provides an open book approach that empowers health plans to make edits in-house, proactively address errors, and reduce operational waste. 

The unique platform architecture provides health plans with control, transparency, and future-ready functionality, addressing the core challenges of modern claims processing. 

Configurable Edits and Rules

The platform does not force a “one-size-fits-all” approach. Instead, it offers advanced, configurable editing tools that can be tailored to each health plan’s specific reimbursement models and clinical policies. This helps ensure precision and compliance with internal and external standards. 

Integrated Payment Integrity

Efficiency demands connectivity. HealthEdge Source seamlessly connects with core administrative systems, pricing engines, and external data sources for a unified and transparent workflow. This approach redefines payment integrity by providing platform-level access rather than isolated point solutions. 

Actionable Intelligence

Data is only valuable when it drives informed decision-making. The platform provides intuitive dashboards and comprehensive audit trails, offering advanced analytics and radical transparency that support compliance and strategic decision-making. 

Keep Your Health Plan Up to Date

To help payers meet market needs, digital platforms need to operate with the latest intelligence and guidelines. HealthEdge Source delivers platform-wide updates on a 2-week cycle to help maintain accuracy and flexibility. Plus, the Retroactive Change Manager tool improves transparency throughout the claims management process by automatically flagging reconcilable claims, scheduling reviews, and reducing the need for manual intervention. 

Partner with the Market Leader in Payment Integrity

“Health plans need payment integrity that delivers accuracy, insight, and control at scale. Being named Best in KLAS validates HealthEdge Source as the modern standard for payment integrity—and we expect to continue raising the bar for the industry.” 
-Ryan Mooney, Chief Product Officer at HealthEdge 

When they choose HealthEdge Source, health plans gain a partner that is dedicated to delivering a transparent, accurate, and open-book approach to payment integrity. From being the first solution in the market to include pricing and editing in a single module to integrating AI-powered features, the solution helps payers operate more efficiently and support their members more effectively. 

To see a breakdown of the data and learn more about how HealthEdge Source can transform payment integrity, download the data sheet.