The HealthRules Solution Suite
HealthRules®
Answers
Real-Time Business Intelligence Solution
HealthRules Answers provides the insights you need to better understand your business and drive operational efficiency – helping you reduce costs, identify market opportunities, validate new product offerings and support next-generation business models.
Easy to deploy and infinitely scalable, HealthRules Answers enables you to analyze key drivers of business performance, understand the impact of important market changes, and answer “what-if” questions to drive greater innovation, efficiency and agility.
And your organization isn’t the only beneficiary. HealthRules Answers also provides actionable business information to your members, providers and partners – giving everyone the real-time insights it takes to be successful and grow.
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Features
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Discover how your organization can analyze key drivers of business performance, understand the impact of important market changes, and answer “what-if” questions.
REQUEST A DEMOWhy We’re Different
Data Warehouse
A comprehensive data warehouse that provides flexibility and agility not possible with other solutions
Real-Time Updates
Critical updates on key business performance measures via operational reports and dashboards
Capabilities to spot trends, correlations and root causes within key data
“What-If” Modeling
Answers to “what-if” questions that can be used to make key business decisions
The ability to identify new market opportunities and validate new products
The HealthRules Solution Suite
HealthRules Payer
HealthRules Payer provides transformational capabilities to health plans of all types and sizes with features that align with your business processes and functional areas.
EXPLORE PRODUCTHealthRules Answers
Our HealthRules Answers business intelligence solution transforms the way you see and use data in real time, helping to reduce costs, identify market opportunities, validate new product offerings, and support next-generation business models.
Learn MoreHealthRules Connector
HealthRules Connector is a robust integration layer that links HealthRules seamlessly with other systems, partner networks, and exchanges so you can share critical healthcare information quickly, easily and securely.
EXPLORE PRODUCTAdditional Offerings
Machine Readable Files
The HealthRules Machine Readable Files Suite 3.x is a cloud-deployed SaaS application that improves health plans’ processes for publishing Machine-Readable Files (MRF) of their negotiated rates and allowed amounts, making meeting regulatory requirements easier, faster, and more accurate than ever.
Watch the videoProvider Data Management
HealthEdge Provider Data Management creates a single source of truth for provider data. Natively integrated with Core Administrative Processing System, Provider Data Management streamlines ingestion and enrichment using a Generitive AI-powered framework and distributes cleansed data through a configurable, event-based, realtime API architecture. This enables real-time accurate data to flow across the HealthEdge solution suite and the broader heath plan ecosystem.
Explore Provider Data Management:HealthRules Promote
Our Configuration and Promotion application enables your organization to benefit from increased automation, greater accuracy, a simplified process and lower costs.
EXPLORE PRODUCTHealthRules Home and Host Processing
HealthRules Payer offers built-in capabilities to support all aspects of the home and host program, reducing complexity and eliminating unnecessary duplication of provider data.
EXPLORE PRODUCT