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Health plans often face challenges during contract negotiations due to disparate data sources, complex configurations, and manual processes. The reliance on estimates rather than precise data can lead
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HealthEdge Source™ (Source) recently hosted a training webinar focusing on the latest enhancements to the Custom Edit tool.
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HealthEdge Source Advanced Custom Editing lets you build and manage custom claim edits, apply edit history, and control user access. Easily configure complex edit rules and apply them to your claims.
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Payers continue to invest time and energy into keeping up to date and remaining flexible amidst the constantly evolving regulatory landscape.
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Motivating Medicare members to take action to improve their health is a high priority for health plans. Empowering behavior change improves health outcomes among members, builds trust and loyalty, and
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We’re obsessed with getting claims paid correctly the first time, which is why we’ve taken our Retroactive Change Manager and made it even better.
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In this session, we'll explore critical data gathered from 3,500 health plan members to understand evolving member expectations and how health plans can better engage and support their members.
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