HealthEdge’s Provider Data Management
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See What 350+ Health Plan Leaders Say About Challenges
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Experts in managing complex CMS data for over 25 years. Partnering with top payers for 10+ years.
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Access insights and strategies for healthcare payers in the evolving landscape with the 2024 HealthEdge Payer Market Report.
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Advanced secondary editing from HealthEdge Source™ helps reduce inappropriate claims before they are paid.
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"All of our pricing and editing is a one stop shop"
- Melissa Rusk, VP of Operations, SummaCare
HealthRules Payer® is a modern and flexible core administrative processing system that can help health plans navigate the No Surprises Act and transparency requirements with ease and efficiency.
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EditingHealthEdge® listed as a Representative Vendor in the 2023 Gartner® How U.S. Healthcare Payer CIOs Can Future-Proof Claims Editing report.
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Ready to Begin Your Digital Transformation?
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Prioritizing member satisfaction is vital for health plans to succeed in today’s highly competitive and rapidly changing landscape.
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Over the past several years, health plans have been hit by a tsunami of regulatory changes, and two primary themes have emerged: transparency and interoperability. From the Transparency in...
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