HealthEdge

HealthEdge® is excited to announce its merger with UST HealthProof combining best-in-class core payer technology with seamless integration capabilities.  Learn more about our shared vision for the future: ow.ly/V5Oy50WQwbZ

Are you ready for touchless claims automation? See where your plan falls on the readiness scale and get tailored suggestions for improving efficiency & controlling costs. Take the full assessment spr.ly/6018B6nqy4

See how the Director of Clinical Services Optimization at Medica works with HealthRules® Payer and GuidingCare to support provider engagement, quality performance, and cost optimization. Watch the full interview on our website: spr.ly/6019B6p2d9

Relying on manual processes can be costly & inefficient, so payers are turning to agentic AI to automate workflows & optimize cost management. Download the report, Gartner® Predicts 2026: U.S. Healthcare Payers Bet Big on Agentic Workforce, to learn more: spr.ly/6014B6z2om

Will we see you at RISE National 2026? Visit us at booth #210 & catch our roundtable: "Reimagining Risk Adjustment: Strategies to Reduce Waste, Drive Accuracy, and Improve Member-Centered Outcomes," hosted by HealthEdge® SVP of Risk Adjustment & Quality: spr.ly/6011B6z2Sx

To manage costs & improve outcomes, health plan leaders must adopt proven strategies that protect financial performance. Join our webinar on March 25 to learn how advanced payment integrity solutions like HealthEdge Source™ positions payers for success: spr.ly/6013B6zcB5

Discover how integrating AI-driven tools into care management & member engagement platforms can empower care teams to deliver more personalized care, reduce time spent on administrative tasks, and make data-informed decisions in less time: spr.ly/6018B6ziqa

As AI adoption accelerates, 2 key questions emerge: -Are members ready for the AI-powered experiences payers are building? -What will it take for health plans to succeed with AI tools in 2026 and beyond? See insights: spr.ly/6017B6zeq9

The HealthEdge® team was honored to receive the Best in KLAS award for “Pre-Payment Accuracy & Integrity Solutions (Payer)” in person at HIMSS 2026. Thank you to KLAS for the recognition and to HIMSS 2026 for having us: spr.ly/6019B6ywXF

HealthEdge® proudly shares that HealthRules® Payer achieved 4x scalability in just one year—now processing the claims volume of more than 40 million members in a single instance—one of the most significant milestones in company history. Learn more: spr.ly/6017B6Eo6S

Raising a glass to our employees who celebrated a work anniversary in February - we are so thrilled you are here! Cheers! #workanniversary #workiversary #workatHealthEdge #yearsofservice

Celebrating #InternationalWomensDay! This year’s theme, Give to Gain, reminds us that progress grows when we lift each other up. Here’s a special look at some of our HealthEdge women sharing their experiences and the impact they make every day. #workatHealthEdge

UAT. SIT. QA. Regression testing. At times, it can feel like software testing has its own language. Our new article explores: -What software testing is -Why it matters -Different types of tests Learn more: healthedge.com/resources/blog…

Legacy technologies can inhibit a health plan's ability to manage key priorities like cost containment, regulatory compliance, and member experience. See how HealthEdge® empowers health plans to deliver frictionless and cost-effective services: spr.ly/6012hApCM

See how the new integration between HealthEdge GuidingCare® and Suki AI leverages the power of ambient artificial intelligence to streamline the documentation process, allowing care managers to focus on what matters most: the member Learn more: spr.ly/6013hApIF

Selecting the right operation model is a critical decision for payers, and understanding your health plan's unique needs is essential. See how one regional health plan identified HealthEdge® as the right partner to facilitate innovation: spr.ly/6012hApaw

Provider data management is fundamental to care coordination—but is time & labor intensive. See how the AI-powered Provider Information Form (PIF) for HealthEdge® Provider Data Management automates data extraction & streamlines data validation: spr.ly/6019hApeT

How is @NorthwindStrat leveraging AI-powered tools to improve workflows and processes? Watch the full interview with the President of NorthWinds and the Chief Technology Officer of HealthEdge®: spr.ly/6010h2eB6

To keep up with industry demands, health plan leaders must constantly evaluate their operational strategies. Three primary options have emerged: BPO, TPA services, and the BPaaS model. See the key differences: spr.ly/6011h2k27

Scaling health plan operations to meet new opportunities can be challenging. Working with a strategic partner like HealthEdge® gives health plans the expert insights and digital capabilities they need to scale rapidly and effectively: healthedge.com/resources/bpaa…

As the healthcare landscape evolves, traditional payment integrity models are insufficient. To achieve cost management & regulatory excellence, payers must pivot to next-generation solutions like HealthEdge Source™. Learn more in our upcoming webinar: go.healthedge.com/src-the-future…