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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

Contact Us

HealthEdge can transform your operations, empower smarter decision-making, and drive better outcomes through innovative, trusted AI-enabled solutions. Contact us to learn more.

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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.