Health Edge Care Payer

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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 will give UM staff, care managers and providers unparalleled access to near-real-time …

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

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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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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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Healthcare Prior Authorization Platform

(1 days ago) WebHealthRules 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 management of …

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

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End-to-End Integration in Health Insurance: The Path to Efficiency

(5 days ago) WebIn addition to productized integrations between HealthEdge solutions, including Care-Payer, Payer-Source, and the newly available Care-Wellframe, …

https://healthedge.com/resources/blog/the-evolution-of-health-insurance-technology-embracing-end-to-end-integration

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HealthRules® Payer Horizons: Enabling Health Plan Automation …

(3 days ago) WebStreamline workflows and create efficiencies by automating the claims adjudication process and saving manual reviews for what matters most. With …

https://healthedge.com/resources/blog/healthrules-payer-horizons-enabling-health-plan-automation-with-integration

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HealthEdge Resources

(2 days ago) WebBrowse our content to learn more about how to become a digital payer through the use of Core Administrative Processing Systems, Care Management Workflows, Prospective …

https://healthedge.com/resources

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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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Utilization Management Software HealthEdge

(3 days ago) WebThere are 3 types of assessments in Utilization Management (UM) to review medical necessity: prospective, concurrent, and retrospective. Per CMS, medical necessity is …

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

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a Digital Payer - HealthEdge

(6 days ago) WebA new era for health plans. By using our digital healthcare software to automate business workflows and seamlessly exchange data in real-time across the ecosystem, HealthEdge …

https://healthedge.com/become-a-digital-payer/

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Clinical Leadership Forum 2024: Integrated Digital Health …

(9 days ago) WebIn early May, HealthEdge hosted the 2024 Clinical Leadership Forum in Boston, Massachusetts. This event brought together more than 50 health plan …

https://healthedge.com/resources/blog/clinical-leadership-forum-2024-integrated-digital-health-management-is-the-future

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Population Health Software Solution GuidingCare® HealthEdge

(8 days ago) WebPopulation Health. The GuidingCare® Population Health Management module is a robust, web-based care coordination application developed specifically for use by primary care …

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

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P3 Oral Surgery Announces New Chief Executive Officer, Tim North

(7 days ago) WebBased in Charleston, WV, P3 is a portfolio company of HealthEdge Investment Fund IV, L.P., and operates as a leading oral surgery service organization …

https://finance.yahoo.com/news/p3-oral-surgery-announces-chief-110000599.html

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How to reduce your patient acquisition costs Healthcare Dive

(9 days ago) WebReducing patient acquisition costs. Marketing is the largest cost component of patient acquisition. That’s why it’s important to do your due diligence and spend …

https://www.healthcaredive.com/spons/how-to-reduce-your-patient-acquisition-costs/716142/

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Sr Director Contracting and Payer Relations MCS at Mayo Clinic

(7 days ago) WebMayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the …

https://jobs.mayoclinic.org/job/rochester/sr-director-contracting-and-payer-relations-mcs/33647/65299043920

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State Opportunities to Build on New Federal Regulations to …

(3 days ago) WebMedicare is the primary payer for Medicare beneficiaries who need rehabilitation after a hospital stay (often called “post-acute” or “short stay” residents). …

https://www.bettercareplaybook.org/_blog/2023/11/state-opportunities-build-new-federal-regulations-increase-nursing-home-transparency

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TeleMental services in 2024 - NAMAS

(9 days ago) WebWhen the PHE, public health emergency, ended on May 11th, the payer published guidance confused many of us on what was still covered (extended through …

https://namas.co/telemental-health-services-2024/

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Become a Digital Payer: Advancing Care Management Through …

(9 days ago) Web38:36 Webinar: HealthEdge Source™ - Avoiding Payment Integrity Pitfalls The traditional approach to payment integrity stacks multiple claims editors and incentivizes catching …

https://healthedge.com/resources/videos/become-a-digital-payer-advancing-care-management-through-digital-transformation

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