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The HealthRules® Solutions Suite includes the industry’s leading digital claims administration processing system – plus a host of additional value-added capabilities.
Healthrules Solution Suite

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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.
Guidingcare Solution Suite

Prospective Payment Integrity

Source is the preeminent digital prospective payment integrity solution, combining claim payment automation with proactive business intelligence.
Source Solution Suite

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Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to more fully engage and support members.
Wellframe Solution Suite

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3 Functional Areas That are Ripe for immediate Operational Efficiency Games

“Operating margin improvement is a top three critical outcome for digital investments in 2024 for 67% of U.S. healthcare payers.”

– Gartner®, Three Operational Excellence Best Practices to Optimize Costs for U.S. Healthcare Payers, 1 November 2023, Mandi Bishop 1

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Leadership Forum 2023 CEO Address

October 12, 2023

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3 Functional Areas That are Ripe for immediate Operational Efficiency Games

Leadership Forum 2023 CEO Address

Wellframe Care Program Overview 2024

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Foundational Data Export 2024

Leadership Forum 2024 - Health IT Trends for Healthcare Payers

Leadership Forum 2024 - Harnessing Data to Drive Progress Insights for Transformative Change

Leadership Forum 2024 - Intro

Leadership Forum 2024 - Building Tomorrow’s Integrated Digital Platform Today

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Medicare Member Impact Report Wellframe

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2024 Healthcare Consumer Survey Results

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Benefits and Opportunities of an Integrated Care Management Experience

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2023 Case Studies: Secondary Editing

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