Product Demonstration: HealthEdge Source™- Medicare Reimbursement

HealthEdge Source™ is an automated solution for Medicare pricing and reimbursement that supports all provider types, including inpatient, outpatient, professional, and post-acute care. It makes claim payments easier for your health plan by delivering accurate, up-to-date CMS pricing data. It brings together policy edits, pricing rules, and rate schedules in one place, so your team can handle claims quickly and accurately. It helps keep health plans compliant with CMS updates like fee schedules, change requests, and payment policies, with bi-weekly updates handled by the HealthEdge team—no maintenance required. 

The platform allows flexible configurations to adjust reimbursement rates and policies, includes built-in payment policy edits like NCCI and modifier adjustments, and provides a clear audit trail for easy claim reviews and provider inquiries. It also helps with retroactive changes, claim repricing, and compliance with transparency rules, all in one system to simplify workflows and reduce reliance on multiple vendors. To learn more visit our solutions page.