HealthEdge and Gynisus Bring AI-Powered Clinical Precision to Payment Integrity
Proven Agentic AI Model Powered by Gynisus Adds Speed and Accuracy to Adjudicating Claims for Coding Errors, Clinical Integrity and Medical Necessity
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HealthEdge Press Releases
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HealthEdge Launches AI-Driven Provider Data Management Solution to the Market
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HealthEdge and ECHO Health Partner to Simplify the Healthcare Payment Process
BURLINGTON, MA AND WESTLAKE, OH, FEBRUARY 12, 2025 HealthEdge® and ECHO Health (ECHO®) have partnered to simplify and streamline the end-to-end payment process through the integration of...
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Converging Healthcare: HealthEdge and Unite Us Partner to Deliver More Streamlined Whole-Person Care at Scale
Burlington, MA – [Feb. 4, 2025] – HealthEdge®, a leading provider of next-generation core administrative processing systems (CAPS) and care management solutions, and Unite Us, the nation’s leading...
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HealthEdge® Achieves NCQA HEDIS® Allowable Adjustment Certification, Setting New Standard for Quality in Health Plan Care Management
Burlington, MA – [Jan. 22, 2025] – HealthEdge®, a leader in next-generation health management solutions, achieved its 5th consecutive NCQA HEDIS® Allowable Adjustment (AA) certification for a...
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Transforming Payment Integrity with Generative Artificial Intelligence (GenAI): HealthEdge® and Codoxo Announce Strategic Partnership
Burlington, MA and Duluth, GA – [Nov. 14, 2024] – HealthEdge® and Codoxo announce a strategic partnership to provide healthcare payers with the industry’s most cutting-edge solutions and services....
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HealthEdge Expands Employer Presence in India with New Bangalore Office, Promoting High Tech Innovation and Jobs in Healthcare
BANGALORE, India –(BUSINESS WIRE)–HealthEdge®, a visionary leader in the healthcare technology industry, proudly announces the opening of its new office in Bangalore. This strategic expansion...
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HealthEdge® Survey Reveals Top Health Plan Priorities for 2025
Nearly 500 health plan leaders consider security, modern technology, and product expansions as the most important. BURLINGTON, Mass.–(BUSINESS WIRE)–HealthEdge®, a leader in healthcare technology...
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Edifecs and HealthEdge®, Two Best in KLAS Technology Vendors, Announce Strategic Partnership to Deliver Seamless Healthcare Data Exchange
BELLEVUE, Wash. and BURLINGTON, Mass. – September 25, 2024 – Edifecs® and HealthEdge® today announced a new partnership that natively integrates Edifecs’ EDI Gateway offerings and HealthEdge’s...
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HealthEdge® Appoints Robert Duffy as Chief Technology Officer to Lead Disruptive Technology Transformation in Healthcare
HealthEdge®, welcomes Robert Duffy as its new Chief Technology Officer (CTO), marking a transformative moment for the company.
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HealthEdge Survey: Health Plan Members Report High Satisfaction with Their Insurers
Survey respondents shared priority areas for improving satisfaction as greater transparency regarding benefits and coverage, personalized support, and preventative care BURLINGTON, Mass.–(BUSINESS...
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HealthEdge® Named in the Gartner® Hype Cycle™ for US Healthcare Payers, 2023
HealthEdge recognized as Sample Vendor in 3 categories of July 2023 report BURLINGTON, Mass., September 7, 2023 — Next-generation healthcare SaaS company HealthEdge® is recognized in three...
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Innovative New Tool Empowers Unprecedented Health Plan Efficiency
HealthRules® Promote makes plan configuration faster and easier than ever BURLINGTON, Mass., August 22, 2023 — Next-generation healthcare SaaS company HealthEdge® today announced the release of a...
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55% of Healthcare Consumers are not Fully Satisfied with their Health Insurance
Survey of 2,800 health plan beneficiaries reveals members want more personalized care BURLINGTON, Mass., August 15, 2023 — New research released today by next-generation healthcare SaaS company...
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MedTech Breakthrough Names HealthEdge a Top Company in Health Technology
HealthRules Payer recognized as best core administrative processing solution of 2023 BURLINGTON, Mass., May 11, 2023 — Next-generation healthcare SaaS company HealthEdge® today announced that its...
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HealthRules Payer Awarded ‘Best in KLAS’ for Second Consecutive Year
HealthEdge‘s Core Administrative Processing Platform Earns #1 Ranking BURLINGTON, Mass., Feb. 21, 2023 — Next-generation healthcare SaaS company HealthEdge® announced its flagship solution,...
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HealthEdge announces the expansion of Sandhya Gardner, MD’s role from Chief Medical Officer, Wellframe to Chief Medical Officer, HE Clinical
(Burlington, Mass., October 17, 2022) HealthEdge announces the expansion of Sandhya Gardner, MD’s role from Chief Medical Officer, Wellframe to Chief Medical Officer, HE Clinical Solutions. ...
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HealthEdge Named a Sample Vendor for Next-Gen Core Administrative Processing and Prospective Payment Integrity Solutions in the Gartner® Hyp
(Burlington, Mass., Aug. 18, 2022) – HealthEdge today said it has again been mentioned as a Sample Vendor for both its Core Administrative Processing (CAPS) and Prospective Payment Integrity (PPI)...
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HealthEdge Survey Highlights Growth Opportunities and Challenges for Health Plan Leaders
Over 300 health payer executives share insights on challenges, growth opportunities and future goals (Burlington, Mass., Aug. 9, 2022) — HealthEdge, a next-generation healthcare SaaS company...
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Industry Veteran Alan Stein Joins HealthEdge as Chief Commercial Officer
(Burlington, Mass., August 4, 2022) – HealthEdge announced today that veteran Alan Stein has joined the company as Chief Commercial Officer, responsible for go-to-market strategy, customer growth,...
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