Solutions

Data Sheet: HealthRules Payer + Source Integration

Data Sheet: Advantages of an Integrated Ecosystem

Stand-alone third-party solutions integrate individually to claims systems and communicate results differently, leading to payment inaccuracies and lack of transparency.

Data Sheet: Care Payer Integration

Care-Payer leverages the openness and flexibility of GuidingCare® and HealthRules® Payer to give care and utilization managers, providers, customer service representatives instant access to insights.

White Paper: The Digital Payer Journey to Achieve a Coherent Individual Healthcare Experience

White Paper: Payment Integrity Medicaid

The intricacies and variability of state-by-state Medicaid regulations are presenting significant challenges for health plan executives, who must continually adapt to the latest Medicaid payment...

Brochure: Prospective Payment Integrity

Annual Market Survey Report 2022

Brochure: HealthEdge Company Overview

eBooks: Challenging Reimbursement in Healthcare Claims Payments With Source

When it comes to handling reimbursement, dealing with incorrect payments caused by inaccessible pricing data and disjointed payment solutions can be a significant issue.

Case Study: Easing Healthcare Preauthorizations - Priority Health

New Authorization Portal speeds approvals and boosts provider satisfaction

Data Sheet: GuidingCare GuidingSigns Analytics

Data Sheet: GuidingCare Utilization Management

Data Sheet: GuidingCare Business Intelligence

Data Sheet: GuidingCare - Care Management Software Benefits

GuidingCare® offers health plans and providers easy-to-use, next-generation data integration and workflow management tools.