Data without silos.
For healthcare
that embraces automation.
that gets payment right.
that emphasizes better care.
with deeper insights.
without limits.
HealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – break down the boundaries that prevent health plans from harnessing the power of their data.
HealthEdge® Rated #1!
We’re proud to be named Best in KLAS for Pre-Payment Accuracy & Integrity Solutions (Payer).
Read the Full StoryHealthEdge® Annual Payer Survey Report 2026
HealthEdge surveyed 550 health plan leaders to explore their challenges, key priorities, and investment strategies for the upcoming year.
GET THE INSIGHTSHealthEdge Named a Major Player in IDC MarketScape for U.S. Value-Based Healthcare Analytics
HealthEdge has been positioned in the Major Players category in the 2025 IDC MarketScape for U.S. value-based healthcare analytics.
Learn More About the ReportHealthEdge + UST HealthProof: A New Era in Payer Innovation
What if your health plan could harness next-generation, Ai-enabled technology and services that lower total costs, create efficient operations and industry leading member experiences?
Discover the new HealthEdgeHealthEdge® 2025 Healthcare Consumer Survey Report
The 5th annual study reveals powerful insights into what 4,500+ healthcare consumers want from their health plans and how you can win loyalty and earn trust in a competitive market.
Get The ReportHealthEdge® Artificial Intelligence
Our AI-enabled solutions are designed to optimize operations, improve member experiences, enhance care quality, and drive efficiency for health plans.
SEE MOREHealthEdge by the
Numbers
What can HealthEdge
do for you?
Our integrated platform of solutions connects to hundreds of third-party systems, giving health plans greater access to the data they need. By eliminating data silos, plans can embrace automation to spur greater collaboration, improve payment accuracy, make more informed decisions and enhance member service and care.
See our solutionsEvolving from payers to
true partners in care
Expectations for health plans have changed. Members, providers and the government are looking at health plans to evolve from paying for healthcare to collaborating on a more efficient, transparent and accessible future for healthcare. HealthEdge seeks to enable plans to achieve these goals through four transformational pillars.
The four transformational pillars:
Touchless transaction processing
Prospective payment accuracy
Care integrity
AI-driven business intelligence