Lines of Business
Transformational Business and IT Solutions
for Every Line of Business
HealthEdge® offers an entire healthcare ecosystem – from core administration and payment integrity to care management and member engagement – to help customers of all types manage their complex needs and prepare for the future. Explore our health insurance software for health plan lines of business.
Commercial
The HealthEdge integrated solution suite gives health plans with commercial business the agility to master change, offer new products, lower administrative costs and deliver value and a satisfying experience to keep enrollment numbers up.
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Government
Health plans seeking to pursue Medicare, Medicaid or dual eligibles lines of business need to excel at delivering care, controlling costs, ensuring regulatory compliance and supporting the shift to value-based models. HealthEdge healthcare government plans software gives you the tools and resources you need to succeed at all of the goals.
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Plans With Home and Host Capabilities
Health plans with home and host capabilities have special needs. HealthEdge solutions enable you to transform your business while supporting inter-plan operations and streamlining claims processing and reimbursement.
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Dental
HealthEdge solutions provide dental plans with the high throughput, accuracy and efficiency essential to keeping costs down – and ensuring success.
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Consultants
HealthEdge can be a powerful ally in consultants’ efforts to deliver value to their clients and support their digital transformation.
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