The Transparency in Coverage (TiC) final rules of 2020 promised a revolution in healthcare price transparency. The vision was bold: empower consumers with data to drive competition and lower...
Read More
See how over 450 health plan leaders are preparing for 2025!
Learn MoreRead More
At HealthEdge®, we understand that efficient provider data management is fundamental to delivering quality healthcare. Yet, the reality for many health plans is that maintaining accurate provider...
Read More
Expert Guidance to Solve Operational Challenges, Optimize Performance, and Move Your Business Forward
Read More
Provider data management systems of record are being evolved by healthcare payers that want to automate workflow, solidify data, & enable flexibility in their back office to reduce operational costs.
Read More
Locating and validating information from siloed sources is like solving a giant crossword puzzle without clues. Separate systems and manual updates lead to pieces not fitting together...
Read More
HealthRules® Payer is leveraging AI to define the next-generation core administrative processing system with unprecedented automation, agility, and insight.
Read More
HealthEdge® continues to deliver leading technology solutions that empower care teams, reduce administrative burden, and support whole-person care. Solving Healthcare’s Hidden Data Disconnect It...
Read More
Discover how payment integrity analysts use HealthEdge Source to solve complex issues in hours, not months. Real-time data, instant deployment.
Read More
Read More
HealthRules Payer is a next-generation core administrative processing system (CAPS) that delivers differentiation in seven critical areas essential for overcoming complex healthcare challenges.
Read More
For many payers, maintaining accurate provider information is complicated. Managing disparate data sources, analyzing information, and reviewing existing records can feel like trying to solve a...
Read More
The healthcare industry is at an intersection of technology, artificial intelligence (AI), and operational efficiency. For payers, ensuring provider data integrity is fundamental to scaling...
Read More
HealthEdge®, a leading provider of next-generation core administrative processing systems, payment integrity, and care management solutions, has been recognized as a Sample Vendor in two categories of
Read More
Accurate and reliable data is the backbone of efficient healthcare operations, facilitating key operations—from claims processing to enhanced member engagement. Yet, for many health plans,...
Read More
Discover how leading health plans are advancing health equity through strategic partnerships, data analytics, and community engagement. This exclusive roundtable session with HealthEdge and AAP member
Watch Video
Discover how leading health plans are advancing health equity through strategic partnerships, data analytics, and community engagement. This exclusive roundtable session with HealthEdge and AAP member
Watch Video
Read More
The healthcare industry is entering a critical phase of reinvention. Legacy technologies and decades-old operational models are no longer sufficient in today’s complex, data-rich, and high-demand...
Read More
Improving health equity starts with recognizing that many people face avoidable barriers to care, such as limited community resources, communication challenges, financial instability...
Read More
Loading More...
HealthEdge Software, Inc. | HealthEdge®, HealthRules®, The HealthRules Language™, GuidingCare®, and the Wellframe logo are registered trademarks of HealthEdge Software, Inc. All Rights Reserved.
