HealthRules Payer

HealthRules Payer

HealthEdge Software
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About

HealthRules® Payer is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. For more than ten years, health plans implementing HealthRules Payer have been able to quickly address market opportunities and stay in front of their competition. HealthRules Payer is unlike any other core administrative solution because of its use of the patented HealthRules Language™, an English-like vernacular that delivers a revolutionary new approach to configuration, claims processing and transparency of information. HealthRules Payer helps transform health plans looking to grow, innovate and compete beyond any other core system today.

About

We’re empowering the healthcare system with next-generation technology that reduces burdens for payers and providers, resulting in reduced administration, increased clarity, and an improved overall system. Manage provider relations more smoothly and cost-effectively with self-service configurations and reporting. Streamline costly and antiquated on-premise solutions into a single cloud-based SaaS platform that prioritizes usability and transparency. Manage workflows, minimize redundancies, and promote cross-team collaboration with platform-provided tools. Easily drill down and navigate the connections between policies, claims, providers, and customizations in your integrated platform. Monitor your performance and discover new savings opportunities using our interactive aggregate dashboards and policy-by-policy breakdowns.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Companies searching for a Claims Processing solution

Audience

Healthcare centers in need of a next-generation healthcare platform

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

HealthEdge Software
www.healthedge.com

Company Information

Rialtic
Founded: 2020
United States
www.rialtic.io

Alternatives

Alternatives

PlanXpand

PlanXpand

Acero Health Technologies
PLEXIS Payer Platforms

PLEXIS Payer Platforms

PLEXIS Healthcare Systems
Decision Desk

Decision Desk

DecisionDesk.io

Categories

Categories

Claims Processing Features

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Integrations

No info available.

Integrations

No info available.
Claim HealthRules Payer and update features and information
Claim HealthRules Payer and update features and information
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