HealthEdge
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HealthEdge and UST HealthProof Unite

Two Industry Leaders.
One Powerful Vision.

HealthEdge and
UST HealthProof Unite to Transform Healthcare Technology 

Our merger creates an integrated ecosystem designed to streamline administrative complexity and empower health plans with next-generation, AI-enabled solutions. 

Read The Press Release
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Combined Technological Excellence 

HealthEdge 

Leading payer technology with modern architecture, engineered for the AI revolution.

UST HealthProof 

Proprietary interoperability software paired with experienced, tech-enabled operations and customer-aligned economics.

Together 

Streamlined implementation of best-in-class technology and tech-enabled solutions, enabling cost transformation through experienced operations and comprehensive end-to-end offerings for payers. 

UST HealthProof 

Proprietary interoperability software paired with experienced, tech-enabled operations and customer-aligned economics.

Together 

Streamlined implementation of best-in-class technology and tech-enabled solutions, enabling cost transformation through experienced operations and comprehensive end-to-end offerings for payers. 

HealthEdge 

Leading payer technology with modern architecture, engineered for the AI revolution.

Strategic Value for Health Plans 

Measurable Operational Impact 

  • Enhanced Auto-Adjudication Rates: Advanced processing capabilities reduce manual intervention
  • Transformed Operating Margins: Data-driven cost optimization strategies deliver quantifiable ROI
  • Streamlined Operations: Integrated technology stack eliminates redundancies and improves efficiency
  • Superior Member Experiences: AI-enabled solutions create personalized, responsive member interactions

De-Risked Implementation Framework 

Our proven methodology guides comprehensive, outcomes-focused implementations, significantly reducing the operational risk historically associated with system changeovers. Proprietary interoperability software and data hub ensure seamless integration with existing infrastructure. 

Configurable, Scalable Architecture 

Future-ready solutions designed to adapt to each payer's unique operational requirements while scaling efficiently across expanding member populations. Modern architecture supports evolving regulatory demands and technological advancement. 

Accelerated Innovation Velocity 

Unified product roadmap and integrated operating model accelerates development cycles, integrates advanced AI capabilities, and expands solution offerings across the complete payer value chain. 

Market-Leading Capabilities

AI-Enabled Technology Stack

  • Advanced predictive analytics for population health management
  • Automated risk adjustment and quality improvement workflows
  • Intelligent claims processing with enhanced accuracy
  • Real-time data insights for strategic decision-making

Comprehensive Payer Solutions

  • Leading payer technology, including Claims Administration, Quality Improvement, Prospective Payment Accuracy, Provider Network Management, Care Management, Member Engagement and Risk Adjustment solutions
  • Proprietary interoperability software and data hub, demonstrated to de-risk implementations
  • Experienced operations and cost transformation

For Our Customers

Business Continuity Guaranteed: No immediate changes to current contacts, processes, or service levels. Your operational priorities remain our strategic focus.

Enhanced Support Structure: Dedicated account teams continue providing personalized service while integrating enhanced capabilities and expanded solution offerings.

Transparent Communication: Regular updates on integration progress and new opportunities as our unified platform capabilities expand. 

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