HealthRules Answers Business Intelligence
HealthRules Answers is the real-time business intelligence solution for HealthRules Edge — turning claims, financial, and member data into insight health plans can act on.
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HealthRules Answers Real-Time Data Warehouse
HealthRules Answers Real-Time Data Warehouse
A real-time repository of claims, financial, and member data gives health plans one trusted source for reporting and analytics.
- Unified data repository
- Real-time refresh
- One source of truth
HealthRules Answers Self-Service Reporting
A straightforward reporting tool lets reporting teams build the reports they need without IT involvement.
- Self-service reports
- No IT dependency
- Flexible filters
HealthRules Answers Interactive Dashboards
Connected, interactive dashboards let health plans visualize performance and drill into the metrics that matter.
- Interactive charts
- Drill-down analysis
- Shareable views
HealthRules Answers
HealthRules Answers is the real-time business intelligence solution for HealthRules Edge — turning claims, financial, and member data into insight health plans can act on.
HealthRules Edge enables Real Time Data Insights
Fully integrated, robust analytics enable actionable insights to improve patient outcomes, lower costs, and increase transparency inside and outside the health plan.
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Next-generation business intelligence
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Comprehensive data warehouse
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Capabilities to spot trends, correlations, and root causes
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Ability to identify new market opportunities and validate new products
Cloud-Native Integration
Open, enterprise-class APIs connect HealthRules Edge to your ecosystem with always-current releases.
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API-first architecture
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Ecosystem connectivity
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Continuous updates
HealthRules Edge Suite
HealthRules Edge
HealthRules Edge powers accurate, automated core administration across the health plan enterprise — for operations, finance, and technology teams alike.
HealthRules Answers
HealthRules Answers is the real-time business intelligence solution for HealthRules Edge — turning claims, financial, and member data into insight health plans can act on.
HealthRules Connector
A robust integration layer linking HealthRules Edge seamlessly to your ecosystem, allowing plans to analyze current business situations, identify trends and opportunities and enjoy unparalleled transparency.
HealthRules Promote
HealthRules Promote is a configuration and promotion application to more accurately launch products and benefits faster, with less risk and less IT dependency.
HealthRules Edge for Home & Host Plans
HealthRules Edge offers built-in capabilities for home-and-host plan claim processing, enabling strengthened resilience, accelerated growth, and superior operational excellence.
90–97% First-Pass Auto-Adjudication
HealthRules Edge customers regularly achieve 90–97% first-pass auto-adjudication and 99%+ payment accuracy — with 6 of 9 national health plans running on HealthEdge.