Case Study: Public Employees Health Program - Provider Data Management Enhances Value of Data and Employees Alike
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Managing provider data is a major challenge for health plans, with outdated systems causing inaccuracies, delayed payments and compliance issues. Members also feel the impact, facing reduced care access and clarity due to errors in provider directories. Provider Data Management ensures data accuracy and integrity, enhancing efficiencies, and positioning organizations for sustainable success.
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HealthRules® Payer is a next-generation core administrative processing system (CAPS) designed to revolutionize the operations of health plans of all sizes and types.
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In today’s competitive healthcare landscape, operational efficiency isn’t just a goal—it’s a necessity. Health plans are constantly seeking ways to streamline their processes, reduce overhead, and...
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Amid a rapidly evolving healthcare industry, the integrity and efficiency of Provider Data Management (PDM) systems are key to achieving operational excellence. HealthEdge® is at the forefront of...
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Optimize business operations by ensuring integrity of provider data used for upstream and downstream systems.
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