Plans with Home and Host

eBooks: CMS Transparency in Coverage Rule

Data Sheet: Achieving Transparency Compliance Through HealthRules Payer

Data Sheet: Configuration as a Service Expedites Time-to-Value for Health Plans

HealthEdge's Configuration as a Service optimizes HealthRules® Payer system configurations, accelerating time-to-value for health plans.

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

Brochure: Value-Based Care - Health Plans With Home & Host Capabilities Are Market Leaders

In our work with HealthRules® Payer clients, we have gained first-hand experience, supporting these plans with the technology they need to lead value-based care and healthcare transformation.

Data Sheet: Platform Access Delivers a Transformative Approach to Payment Integrity

Data Sheet: Optimize Payment Accuracy with History-Based Editing

Data Sheet: HealthRules® Payer named “Best in KLAS” in 2023 Research Report (PDF)

HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.

Data Sheet: Point-of-Service Payment System Success - Integrated Ecosystems (PDF)

Cloud-Based Data Delivery in Healthcare: Point-of-Service Payment Success Path

Data Sheet: Point-of-Service (POS) Payment Success in Healthcare - Process Automation & Intelligent Workflows

Data Sheet: Automatically Manage Retroactive Policy and Pricing Changes

Data Sheet: Cloud-Based Pricing and Editing Content for Effortless Upgrades

Data Sheet: Member Travel Card & HealthRules Payer

Data Sheet: HealthRules Payer for Plans with Home & Host Capabilities

White Paper: Prospective Payment Integrity Moving from Pay and Chase to Predictive

This Spotlight examines payer payment integrity platforms and how payers can aggressively apply analytics and coordinate workflows to move "left" from reactive postpay to proactive, predictive prepay.

Brochure: HealthEdge Company Overview Brochure