Health Edge Administrative Processing

Listing Websites about Health Edge Administrative Processing

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Advanced Core Administrative Processing Systems for …

(2 days ago) WebWellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to engage more fully with members and better support high-risk members. HealthRules® Payer is an industry-leading …

https://healthedge.com/solutions/core-administrative-processing-systems/

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About HealthEdge HealthEdge

(2 days ago) WebHealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also enable health plans to innovate and …

https://healthedge.com/about-us/

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Payer Solutions HealthEdge

(3 days ago) WebCare-Payer Integration. HealthRules® Payer is even more powerful when combined with GuidingCare®. Our unique Care-Payer Data Exchange solution provides the API-based integration that enables the continuous …

https://healthedge.com/solutions/

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Healthcare SaaS To Accelerate Digital Transformation

(3 days ago) WebHealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – help payers accelerate their digital transformation and position them for continuous success. Report …

https://healthedge.com/

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HealthRules Home and Host Processing HealthEdge HealthEdge

(1 days ago) WebCore Administrative Processing System (CAPS) If your organization is like many health plans with home and host capabilities, you have a growing need for greater agility – to …

https://healthedge.com/solutions/core-administrative-processing-systems/healthrules-home-and-host-capabilities/

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HealthRules Payer

(3 days ago) WebHealthRules Payer® is a modern and flexible core administrative processing system that can help health plans navigate the No Surprises Act and transparency requirements with …

https://healthedge.com/resources/core-administrative-processing

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HealthEdge Named Best Core Administrative Processing System of …

(5 days ago) WebHealthRules Payer recognized as best core administrative processing solution of 2023. BURLINGTON, Mass., May 11, 2023 — Next-generation healthcare …

https://healthedge.com/resources/press-releases/healthedge-named-best-core-administrative-processing-system-of-2023

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Auto-Adjudication Feature HealthRules Payer

(Just Now) WebCore Administrative Processing System (CAPS) The fact is, a Core Administrative Processing System (CAPS) today needs to do much, much more than just core administrative processing. That’s why HealthRules Payer has been ranked number one in its class among core administration platform solutions. Besides delivering 90%–97% first …

https://healthedge.com/solutions/core-administrative-processing-systems/healthrules-payer/

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HealthRules® Payer Horizons: Enabling Health Plan Automation …

(Just Now) WebFor one metropolitan non-profit health plan, leveraging HealthRules Payer led to: 96% increase in auto-adjudication rate for Medicare claims processing. 95% …

https://healthedge.com/resources/blog/hrp-enabling-health-plan-automation-with-integration

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Next-Gen Core Administrative Processing Solutions: Priority for …

(5 days ago) WebNext-Generation Core Administrative Processing Solutions: A Top Priority for Many Payers. September 14, 2023. HealthEdge. The healthcare landscape is in a …

https://healthedge.com/resources/blog/next-generation-core-administrative-processing-solutions-a-top-priority-for-many-payers

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Simplify Regulatory Compliance for Healthcare Payers

(Just Now) WebMake sure your Core Administrative Processing System (CAPS) is providing the real-time information your health plan needs to maintain accuracy and …

https://healthedge.com/resources/blog/hrp-simplify-regulatory-compliance-healthcare-payers

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HealthEdge Named Best Core Administrative Processing System of …

(5 days ago) WebHealthEdge Named Best Core Administrative Processing System of 2023 MedTech Breakthrough Award honors HealthEdge as a top company in health …

https://www.businesswire.com/news/home/20230511005576/en/HealthEdge-Named-Best-Core-Administrative-Processing-System-of-2023/

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HealthRules Promote HealthEdge

(2 days ago) WebEvery time you launch a new line of business or develop a new product or benefit plan, your business analysts have to first promote configuration changes to test and QA environments. HealthRules Promote is a standalone, browser-based application that enables your analysts to promote and test those configuration changes in minutes.

https://healthedge.com/solutions/core-administrative-processing-systems/healthrules-promote/

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HealthEdge Source™ Horizons: Improve Payment Accuracy and …

(8 days ago) WebThe HealthEdge Source solution is designed to streamline operational workflows and enable payers to accurately, quickly, and comprehensively pay claims the …

https://healthedge.com/resources/blog/improve-payment-accuracy-efficiency-with-advanced-automation

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HealthEdge® Named in - Business Wire

(Just Now) WebThe July 2023 report marks the 13 th consecutive year in which HealthEdge has been named a Sample Vendor for Next-Gen Core Administrative Processing …

https://www.businesswire.com/news/home/20230907695735/en/HealthEdge%C2%AE-Named-in-the-Gartner%C2%AE-Hype-Cycle%E2%84%A2-for-US-Healthcare-Payers-2023

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EDI Gateway Healthcare Transaction Processing HealthEdge

(4 days ago) WebThe integration between HealthRules Payer and Source creates a new level of operational efficiency and accuracy in claims pricing and editing. With the continuous management …

https://healthedge.com/solutions/core-administrative-processing-systems/healthrules-connector/

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HealthRules Payor

(1 days ago) WebHealthRules Payor® is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. For more …

https://go.healthedge.com/rs/803-KIL-291/images/HE21_DS_Payor_PH3-2.pdf

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HealthEdge Named a Sample Vendor for Next-Gen Core …

(5 days ago) WebJanuary 4, 2023. HealthEdge. (Burlington, Mass., Aug. 18, 2022) – HealthEdge today said it has again been mentioned as a Sample Vendor for both its Core Administrative …

https://healthedge.com/resources/press-releases/healthedge-named-a-sample-vendor-for-next-gen-core-administrative-processing-and-prospective-payment-integrity-solutions-in-the-gartner-hype-cycle-for-u-s-healthcare-payers-2022

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HealthEdge Named a Sample Vendor for Next-Gen Core …

(Just Now) WebHealthRules ® Payor is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. …

https://www.businesswire.com/news/home/20220818005161/en/HealthEdge-Named-a-Sample-Vendor-for-Next-Gen-Core-Administrative-Processing-and-Prospective-Payment-Integrity-Solutions-in-the-Gartner%C2%AE-Hype-Cycle%E2%84%A2-for-U.S.-Healthcare-Payers-2022

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Your Healthcare Innovation Partner

(Just Now) Webprocessing i s enhanced with software-driven payment integrity at the point of service, feeding data to an end-to-end care management solution, resulting in lower …

https://go.healthedge.com/rs/803-KIL-291/images/Data%20Sheet_%20Corporate%20Overview_June%202020.pdf

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Providers - INSURANCE BENEFIT ADMINISTRATORS

(1 days ago) WebContact the pre-notification line at 866-317-5273. Medical claims can be sent to: Insurance Benefit Administrators, c/o Zelis, Box 247, Alpharetta, GA, 30009-0247; EDI Payor ID: …

https://www.insurancebenefitadministrators.com/providers.html

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Blackstone to Acquire HealthEdge, a Leading Healthcare …

(2 days ago) Web09 March 2020. NEW YORK–Blackstone (NYSE:BX) today announced that funds managed by Blackstone (“Blackstone”) will acquire a majority stake in HealthEdge, a leading technology business that delivers next generation Core Administrative Processing Systems (CAPS) solutions to healthcare businesses. The investment is being led by …

https://www.blackstone.com/news/press/blackstone-to-acquire-healthedge-a-leading-healthcare-technology-solutions-provider/

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