CORE ADMINISTRATION

Staying ahead of market dynamics is critical

Health plans must transform to stay competitive in today’s rapidly changing healthcare marketplace.

For maximum success, health insurers must:

  • Leverage new business opportunities
  • Reduce administrative costs
  • Embrace the shift to new healthcare business models
  • Stay compliant with regulatory requirements
  • Proactively engage with members

Is outdated technology keeping your business from making the necessary transformation?

HealthEdge has a proven history of working with leading health plans for competitive advantage. With the award-winning HealthRules platform, health insurers can effectively:

  • Capture market opportunities with new lines of business and product offerings
  • Significantly reduce administrative costs
  • Maintain compliance with new regulations
  • Improve transparency across the entire care continuum
  • Provide the best customer experience

Markets We Serve

HealthEdge works with health plans serving many markets including Commercial, Individual, Medicare, Medicaid, Third Party Administrator and Dental.

Our Products

The Health Rules product suite helps health plans achieve their goals, and Includes HealthRules Payor, HealthRules CareManager, HealthRules Answers, HealthRules Portal and HealthRules Connector.