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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 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 © 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.