Products & Services

HealthRules Portal

HealthRules Portal allows health plans, for the first time, to truly link everyone involved in healthcare delivery.

HealthRules Portal provides a rich set of tools that can be used either together, or separately, to deliver a solution that will meet each health plan’s specific needs:

  • Streamline interactions with members, employers, providers and brokers.
  • Offer superior levels of partner and customer service and increase agility and efficiency while reducing costs.
  • Dramatically increase business efficiency by enabling new levels of customer and partner self-service.
  • Provide your members with the cost and quality information they need to become better-informed consumers.
  • Significantly enhance both partner and customer satisfaction by providing them with real-time access to the data and features they need.
Real-World Examples: Neighborhood Health Plan of Rhode Island

Shantha Diaz, former Chief Operating Officer of Neighborhood Health Plan of Rhode Island, describes how NHPRI serves the most vulnerable members in Rhode Island. NHPRI works closely with community resources to improve patient outcomes and has received numerous awards for their work.

HealthRules Portal was designed to be deployed as either a complete, end-to-end solution that can be tailored to meet the needs of each individual health plan, or as a set of components that can be embedded into existing portals to provide significant new levels of capacity and functionality.

Health plans that wish to leverage their existing portal investment, or who would like to transition to a new portal platform over time, have the ability to use only the HealthRules Portal features they require today, and then expand their use of the functionality based upon their ongoing business needs.

HealthEdge provides the only modern, enterprise class software platform for health plans. HealthRules is a Software as a Service (SaaS) solution, which means lower costs, faster implementations and upgrades for HealthEdge customers.  Regular software updates deliver valuable new capabilities, allowing health plans to stay current and competitive with the latest market developments, while drastically reducing both IT and operational costs. Our technology infrastructure and industry expertise enable HealthEdge to provide our customers with an ongoing competitive advantage, staying in front of market changes, whether they are of a regulatory or business nature.