Health Edge Authorization Entry

Listing Websites about Health Edge Authorization Entry

Healthcare Prior Authorization Platform

(1 days ago) WebThe GuidingCare® Authorization Portal offers an intuitive and comprehensive authorization management platform to ease the preauthorization, appeals, and …

https://healthedge.com/solutions/care-management-workflow/guidingcare-authorization-portal/

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Payer Solutions HealthEdge

(3 days ago) WebAuthorization entry workflow improvement, including single-case agreement and referral category enhancement Near-real-time authorization delivery from GuidingCare to …

https://healthedge.com/solutions/

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GuidingCare®: Leading Care Management Technologies

(Just Now) WebGuidingCare®. The GuidingCare solution suite provides easy-to-use, next-generation data integration and workflow management tools that help you operationalize an evidence …

https://healthedge.com/solutions/care-management-workflow/guidingcare/

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EDI Gateway Healthcare Transaction Processing HealthEdge

(4 days ago) WebCare-Payer Data Exchange delivers significant benefits to your organization, including: Smooth implementation through HealthEdge® expertise and standardized processes. …

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

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Payer-Care Management Integration - HealthEdge

(6 days ago) WebCare-Payer creates a new level of operational efficiency in authorization entry and medical management. Direct API-based integration between HealthRules Payer and GuidingCare …

https://healthedge.com/care-payer-integration/

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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 …

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

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Healthcare SaaS To Accelerate Digital Transformation HealthEdge

(6 days ago) WebHealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – help payers accelerate their digital transformation and position …

https://go.healthedge.com/

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GuidingCare® Release Notes Authorization PortalEnhancements

(1 days ago) Webdrafts. Draft audit data will be permanently deleted from this new table when the draft authorization archival data is permanently deleted from the database after 30 days. The …

https://go.healthedge.com/rs/803-KIL-291/images/8.16_Authorization_Portal_Release_Notes.pdf

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Auto-Adjudication Feature HealthRules Payer

(Just Now) WebThat’s why HealthRules Payer has been ranked number one in its class among core administration platform solutions. Besides delivering 90%–97% first-pass auto …

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

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GuidingCare® Release Notes Configuration Management …

(5 days ago) WebWe made changes to system-defined records in Manage Configurations as they are non-editable records: CM > Address Type > Address Type. : A new validation message …

https://go.healthedge.com/rs/803-KIL-291/images/8.16_Configuration_Management_Release_Notes.pdf

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Rules Designer HealthEdge

(5 days ago) WebCare-Payer Data Exchange delivers significant benefits to your organization, including: Smooth implementation through HealthEdge expertise and standardized processes. …

https://healthedge.com/solutions/care-management-workflow/guidingcare-rules-designer/

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Utilization Management Software HealthEdge

(3 days ago) WebStreamline Your Workflows with GuidingCare® Utilization Management Solution. The GuidingCare® Utilization Management module supports the authorization lifecycle – …

https://healthedge.com/solutions/care-management-workflow/guidingcare-utilization-management/

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Availity Essentials Provider Portal

(5 days ago) WebAvaility Essentials gives you free, real-time access to many payers through your browser. It’s ideal for direct data entry, from eligibility to authorizations to filing claims, and getting …

https://www.availity.com/essentials

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GuidingCare API Catalog 2022 - HealthEdge

(9 days ago) WebHealthEdge’s GuidingCare features a robust API Integration Suite to enable connections with external solutions across the entire payer IT ecosystem. As an interoperable …

https://go.healthedge.com/rs/803-KIL-291/images/GuidingCare%20API%20Catalog.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebHorizon NJ Health UM Department to verify that a prior authorization has been obtained. To check status of Prior Authorization and/or changes to the Prior Authorization, go to …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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HealthRules Payor

(1 days ago) WebHealth plans have internal goals to lower costs, maximize operational efficiency, and optimize the use of existing resources while innovating to serve providers and their …

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

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Quick Reference Guide for Horizon Behavioral

(8 days ago) WebFor Medicare primary members, Medicare must be billed first and the EOB should be later submitted to Horizon NJ Health. Horizon NJ Health Claim Appeals Department PO Box …

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HNJH.pdf

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HealthRules Promote HealthEdge

(2 days ago) WebHealthRules Promote is a standalone, browser-based application that enables your analysts to promote and test those configuration changes in minutes. With HealthRules Promote, …

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

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Authorization Data Entry - Orthopaedic & Spine Center of the …

(1 days ago) WebAuthorization Data Entry works closely with their Team Lead/Manager in obtaining a concise understanding of the rules and regulations for various insurance companies. …

https://www.orthohealth.com/career/authorizations-data-entry/

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34148 Federal Register /Vol. 89, No. 84/Tuesday, April 30

(8 days ago) WebFederal Register/Vol. 89, No. 84/Tuesday, April 30, 2024/Rules and Regulations 34151. would either limit SCS to large carriers with nationwide authority over a block of …

https://www.govinfo.gov/content/pkg/FR-2024-04-30/pdf/2024-06669.pdf

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WebHorizon NJ Health Claims–Provider Services Line 1-800-682-9091 utilize the TriZetto Provider Solutions (TTPS) Direct Data Entry (DDE) SimpleClaim system. All providers …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Appeals and Grievances Software HealthEdge

(3 days ago) WebAuthorization entry workflow improvement, including single-case agreement and referral category enhancement; Near-real-time authorization delivery from GuidingCare to …

https://healthedge.com/solutions/care-management-workflow/guidingcare-appeals-and-grievances/

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