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   Become a Digital Payer
 * Solutions
   Solutions Solutions
   
   
   CORE ADMINISTRATIVE PROCESSING SYSTEM
   
   The HealthRules® Solutions Suite includes the industry’s leading digital
   claims administration processing system – plus a host of additional
   value-added capabilities.
   
   Healthrules Solution Suite
   
   
   CARE MANAGEMENT WORKFLOW SOLUTIONS
   
   GuidingCare®, our Care Management Workflow solutions, starts with the
   nation’s most widely adopted care management platform – and provides much
   more to improve quality of care.
   
   Guidingcare Solution Suite
   
   
   PROSPECTIVE PAYMENT INTEGRITY
   
   Source is the preeminent digital prospective payment integrity solution,
   combining claim payment automation with proactive business intelligence.
   
   Source Solution Suite
   
   
   MEMBER EXPERIENCE
   
   Wellframe Digital Care Management and Digital Customer Service solutions
   extend the reach of your staff to more fully engage and support members.
   
   Wellframe Solution Suite
   Professional Services Customer Success Care-Payer Integration Payer-Source
   Integration Partners

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RESOURCES FOR YOUR PLAN

 * 21 days ago
   
   
   SOURCE: OUR WORK WITH BLUES
   
   Read Flipbook

 * 7 months ago
   
   
   TRANSFORMING HEALTHCARE: THE ROLE OF OPEN AND FLEXIBLE CARE MANAGEMENT
   SYSTEMS
   
   Read Flipbook

 * 6 months ago
   
   
   HEALTHRULES PAYER HOME & HOST PROCESSING DATA SHEET
   
   Read Flipbook

 * 2 months ago
   
   
   TOP 3 WAYS TO ACHIEVE PAYMENT INTEGRITY INITIATIVES IN 2023
   
   For many Health Plans, 2023 presents unique challenges and opportunities when
   it comes to addressing strategic initiatives. The healthcare payer ecosystem
   is becoming increasingly digital, and for...
   
   Read Article

 * 4:15
   2 months ago
   
   
   HIGHMARK WHOLECARE CASE STUDY - EVOLVING TECHNOLOGY SOLUTIONS FOR BETTER
   OUTCOMES
   
   Watch Video

 * 6 months ago
   
   
   EMPOWERING HEALTH PLANS TO ADVANCE CARE MANAGEMENT WITH GUIDINGCARE
   
   When care teams are empowered with next-gen solutions, they can improve
   coordination and communication, increase member engagement, and ultimately
   help patients better manage their chronic conditions.
   
   Read Flipbook

 * 6 months ago
   
   
   DON'T JUST SIMPLIFY PAYMENT INTEGRITY. CHOOSE THE RIGHT PARTNER TO
   REVOLUTIONIZE IT.
   
   Read Flipbook

 * 28 days ago
   
   
   PLATFORM ACCESS DELIVERS A TRANSFORMATIVE APPROACH TO PAYMENT INTEGRITY
   
   Read Flipbook

 * 4 months ago
   
   
   EFFECTIVE CARE MANAGEMENT FOR A COMPLEX MARKET
   
   How GuidingCare for Government Lines of Business and D-SNPs is a Game-Changer
   
   Read Flipbook

 * 4 months ago
   
   
   THE DIGITAL PAYER JOURNEY TO ACHIEVE A COHERENT INDIVIDUAL HEALTHCARE
   EXPERIENCE
   
   Read Flipbook

 * 6 months ago
   
   
   PROSPECTIVE PAYMENT INTEGRITY MOVING FROM PAY AND CHASE TO PREDICTIVE
   
   This Spotlight examines payer payment integrity platforms and how payers can
   aggressively apply analytics and coordinate workflows to move "left" from
   reactive postpay to proactive, predictive prepay.
   
   Read Flipbook

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HealthEdge Software, Inc. | HealthEdge®, HealthRules®, The HealthRules
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