HealthEdge Press Releases

HealthEdge Recognized as a Sample Vendor in 2025 Gartner® Hype Cycle™ for Provider Data Management and AI-Enabled Fraud Detection

HealthEdge®, a leading provider of next-generation core administrative processing systems, payment integrity, and care management solutions, has been recognized as a Sample Vendor in two categories of

Consumers Split on Health Insurance as ‘Partner’ or ‘Payer’ According to HealthEdge Research

HealthEdge Surveys of 4,500+ Consumers Measures Public Perception of Health Insurance and Reveals Gaps and Opportunities for AI to Transform Member Experience

HealthEdge Sets Course to Become an AI-Native Enterprise with Enterprise-Wide Migration to AWS

HealthEdge and Gynisus Bring AI-Powered Clinical Precision to Payment Integrity

Proven Agentic AI Model Powered by Gynisus Adds Speed and Accuracy to Adjudicating Claims for Coding Errors, Clinical Integrity and Medical Necessity

HealthEdge Launches AI-Driven Provider Data Management Solution to the Market

HealthEdge and ECHO Health Partner to Simplify the Healthcare Payment Process

BURLINGTON, MA AND WESTLAKE, OH, FEBRUARY 12, 2025 HealthEdge® and ECHO Health (ECHO®) have partnered to simplify and streamline the end-to-end payment process through the integration of...

Converging Healthcare: HealthEdge and Unite Us Partner to Deliver More Streamlined Whole-Person Care at Scale

Burlington, MA – [Feb. 4, 2025] – HealthEdge®, a leading provider of next-generation core administrative processing systems (CAPS) and care management solutions, and Unite Us, the nation’s leading...

HealthEdge® Achieves NCQA HEDIS® Allowable Adjustment Certification, Setting New Standard for Quality in Health Plan Care Management

Burlington, MA – [Jan. 22, 2025] – HealthEdge®, a leader in next-generation health management solutions, achieved its 5th consecutive NCQA HEDIS® Allowable Adjustment (AA) certification for a...

Transforming Payment Integrity with Generative Artificial Intelligence (GenAI): HealthEdge® and Codoxo Announce Strategic Partnership

Burlington, MA and Duluth, GA – [Nov. 14, 2024] – HealthEdge® and Codoxo announce a strategic partnership to provide healthcare payers with the industry’s most cutting-edge solutions and services....

HealthEdge Expands Employer Presence in India with New Bangalore Office, Promoting High Tech Innovation and Jobs in Healthcare

BANGALORE, India –(BUSINESS WIRE)–HealthEdge®, a visionary leader in the healthcare technology industry, proudly announces the opening of its new office in Bangalore. This strategic expansion...

HealthEdge® Survey Reveals Top Health Plan Priorities for 2025

Nearly 500 health plan leaders consider security, modern technology, and product expansions as the most important. BURLINGTON, Mass.–(BUSINESS WIRE)–HealthEdge®, a leader in healthcare technology...

Edifecs and HealthEdge®, Two Best in KLAS Technology Vendors, Announce Strategic Partnership to Deliver Seamless Healthcare Data Exchange

BELLEVUE, Wash. and BURLINGTON, Mass. – September 25, 2024 – Edifecs® and HealthEdge® today announced a new partnership that natively integrates Edifecs’ EDI Gateway offerings and HealthEdge’s...

HealthEdge® Appoints Robert Duffy as Chief Technology Officer to Lead Disruptive Technology Transformation in Healthcare

HealthEdge®, welcomes Robert Duffy as its new Chief Technology Officer (CTO), marking a transformative moment for the company.

Innovative New Tool Empowers Unprecedented Health Plan Efficiency

HealthRules® Promote makes plan configuration faster and easier than ever BURLINGTON, Mass., August 22, 2023 — Next-generation healthcare SaaS company HealthEdge® today announced the release of a...

55% of Healthcare Consumers are not Fully Satisfied with their Health Insurance

Survey of 2,800 health plan beneficiaries reveals members want more personalized care BURLINGTON, Mass., August 15, 2023 — New research released today by next-generation healthcare SaaS company...

MedTech Breakthrough Names HealthEdge a Top Company in Health Technology

HealthRules Payer recognized as best core administrative processing solution of 2023 BURLINGTON, Mass., May 11, 2023 — Next-generation healthcare SaaS company HealthEdge® today announced that its...

HealthRules Payer Awarded ‘Best in KLAS’ for Second Consecutive Year

HealthEdge‘s Core Administrative Processing Platform Earns #1 Ranking BURLINGTON, Mass., Feb. 21, 2023 — Next-generation healthcare SaaS company HealthEdge® announced its flagship solution,...