Video: Value of a Seamless HealthEdge Source Third-Party Ecosystem

HealthEdge Source™ ecosystem and its third-party integrations offer significant value by incorporating third-party solutions into a cohesive workflow. The solution ensures seamless interoperability and comprehensive payment guidance. This integrated approach eliminates the need for health plans to manage multiple disjointed systems, reducing administrative overhead and IT maintenance.

• HealthEdge Source simplifies vendor integrations by managing relationships, pricing, and updates directly within the application.
• Third-party solutions can be added to your current use case, providing additional savings and reducing the number of vendors involved in your health plan.

Integrated Vendors:

• RJ Health for high-cost drug pricing and editing.
• MediQuant for Medicare NCDs and LCDs.
• Concert Genetics for genetic test billing edits.
• 3M for APR DRG and EAPD pricing and edits.
• American Society of Anesthesiologists for anesthesia billing edits.

Additional solutions are under review to be included in HealthEdge Source soon.

HealthEdge Source's third-party integrations provide a modern and forward-thinking solution for health plans, addressing the challenges of payment integrity with a comprehensive and integrated approach. By leveraging these integrations, health plans can achieve greater accuracy, efficiency, and transparency in their payment operations.