Clinical Edge
by HealthEdge · Insurance core · Burlington, United States
Care management
What Clinical Edge does
- Connect members to community resources via referral workflows
- Automate clinical documentation
- Appeals & Grievances, Population Health, and Member Engagement
- Omnichannel member engagement
- Community referrals
- Business Intelligence
What Clinical Edge is used for
- Centralise member data and streamline workflows
- Resolve member appeals
- Identify at-risk members
- Manage HEDIS gap closure
About HealthEdge
Core administrative processing and claims software for health plans, including payment integrity and care management.
HealthEdge in the vendor registry: its products, features and similar vendors.
Also by HealthEdge
- HealthRules Edge: Cloud core claims administration for health plans
- Payment Accuracy Edge: Payment integrity
- Provider Atlas Edge: Provider data management
- Enduring Edge: Software plus managed operations delivery model
More in this category: Insurance policy administration and claims software.
Weighing up Clinical Edge? Create a free procurement account to run the question as a procurement: HealthEdge and the alternatives answer your requirements side by side, on the same terms.
Built by Vederca from public sources, last updated 2026-10-18.