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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 * Lines of Business * Commercial * Government * Medicaid Medicare Dual-Eligibles * Plans With Home & Host Capabilities * Dental * Consultants * Resources * Blog * Brochures * Case Studies * Data Sheets * eBooks * Executive Summaries * Infographics * Podcasts * Videos * White Papers Events Newsroom * Company News * Press Releases * About Us * Leadership * Careers * Life at HealthEdge US Office India Office Employee Testimonials * Job Openings Contact us Contact us Skip to main content Toggle menubar Resources * Toggle submenu for: Products * HealthRules Payer * Source * GuidingCare * Wellframe * Toggle submenu for: Type * Blog * Brochures * Data Sheets * Case Studies * eBooks * Executive Summaries * Infographics * White Papers * Toggle submenu for: Line of Business * Medicare * Medicaid * Commercial * Medicare Advantage * Self-Funded * Government * ACA Exchange * Home & Host * Dental Open search box Search sitewide Close search box Share this Post SHARE THIS POST * Share on facebook * Share on twitter * Share on linkedin * Share on email 1. Home 2. GuidingCare 3. Transforming Healthcare: The Role of Open and Flexible Care Management Systems TRANSFORMING HEALTHCARE: THE ROLE OF OPEN AND FLEXIBLE CARE MANAGEMENT SYSTEMS * * * * Expand Fullscreen Exit Fullscreen Download PDF Expand Fullscreen RECOMMENDED FOR YOU Show previous Show next * 1:01 about 2 months ago HEALTHEDGE & BLUE CROSS BLUE SHIELD OF AZ - SOLUTIONS BUILT TO SOLVE HEALTHCARE CHALLENGES Watch Video * 6:01 about 2 months ago BLUE CROSS BLUE SHIELD OF AZ CASE STUDY - DIGITAL SOLUTIONS FOR A MODERN HEALTH PLAN Watch Video * 2:16 6 months ago CARE-PAYER Watch Video Return to Home * Previous Flipbook GuidingCare Utilization Management * Next Flipbook Understanding the Role of Open and Flexible Care Management Solutions © HealthEdge Software Inc * Become a Digital Payer * Solutions * Lines of Business * Resources * Request a Demo * About Us * Contact Us * Speak Up Hotline * Customer Login Privacy Policy | EOO Statement © 2023 HealthEdge Software, Inc. | HealthEdge®, HealthRules®, The HealthRules Language™, GuidingCare®, and the Wellframe logo are registered trademarks of HealthEdge Software, Inc. All Rights Reserved.