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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.
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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

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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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New from HealthEdge

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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HealthEdge® Solutions Continue to Deliver New Innovation & Product Enhancements Q1 2024

April 26, 2024

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New from HealthEdge

3 Functional Areas That are Ripe for immediate Operational Efficiency Games

HealthEdge® Solutions Continue to Deliver New Innovation & Product Enhancements Q1 2024

Improvements in Customer Experience for Q3 2024

One HealthEdge Executive Release Notes Q3 2024

HRP Executive Release Notes - Q2 2024

One HealthEdge Executive Release Notes Q2 2024

HealthRules Payer Release Notes - Executive Summary

HealthEdge Solutions Continue to Expand Capabilities and End User Productivity

HealthEdge Solutions Continue to Expand Capabilities and Usability

Latest Innovations for Your HealthEdge Solutions: What’s New in 2023?