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Artificial Intelligence
Artificial Intelligence

Transforming Healthcare Through Advanced AI Solutions

Artificial Intelligence (AI) is reshaping the healthcare industry. Health plans are strategically leveraging AI-powered solutions to optimize operations, enhance efficiency, and empower smarter decision-making.

Driven by a vision to accelerate AI-powered innovations in healthcare, HealthEdge is leading this transformation, leveraging AI across claims, payment integrity, care management, and member engagement. HealthEdge is ushering in a future that improves cost and care outcomes, empowering health plans to thrive.

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HealthEdge’s AI Strategy:
Areas of Focus

Intelligent Claims Operations

Automate every aspect of claims adjudication with AI, including contract management, adjudication, fraud detection, and improved financial accuracy

Proactive & Integrated Care

Improve care and cost outcomes while driving care team quality and efficiency through predictive insights, automation and tailored care support

Elevated Member & Provider Experience

Enable personalized experiences at scale to meet member and provider needs across intelligent content, workflows and data

HealthEdge Workforce Transformation Lab

At HealthEdge, we treat AI transformation like a major migration effort. By leading with process discipline and repeatable models, the company is making it easier for health plans to adapt and scale responsibly.

Join us as we tackle technical challenges, showcase real-world implementations, and work toward a future where AI empowers better health outcomes for all.

See our AI Blog

Our Commitment:

Responsible, Trusted AI Development

HealthEdge is committed to responsible AI development, prioritizing transparency, security, fairness, and compliance while actively mitigating risks. To achieve this, HealthEdge follows established industry frameworks, maintains an AI risk governance, and collaborates closely with customers and users to ensure AI is deployed ethically, securely, and in alignment with industry best practices.