HealthRules Edge
by HealthEdge · Insurance core · Burlington, United States
Cloud core claims administration for health plans
What HealthRules Edge does
- HealthRules Edge's AI-Embedded Claims Engine
- Comprehensive data warehouse
- Embedded AI agents
- Cloud-Native Integration
- API-first architecture
- Real-time adjudication
What HealthRules Edge is used for
- Administer health plan claims
- Configure benefit plans and provider contracts
- Analyse data and generate insights
- Connect systems through APIs
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
- Payment Accuracy Edge: Payment integrity
- Clinical Edge: Care management
- Provider Atlas Edge: Provider data management
- Enduring Edge: Software plus managed operations delivery model
More in this category: Insurance policy administration and claims software.
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