Audience

Companies searching for a Claims Processing solution

About HealthRules Payer

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.

Integrations

No integrations listed.

Ratings/Reviews

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Company Information

HealthEdge Software
www.healthedge.com

Videos and Screen Captures

HealthRules Payer Screenshot 1
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Product Details

Platforms Supported
Cloud
Support
Phone Support
Online

HealthRules Payer Frequently Asked Questions

Q: What kinds of users and organization types does HealthRules Payer work with?
Q: What languages does HealthRules Payer support in their product?
Q: What kind of support options does HealthRules Payer offer?

HealthRules Payer Product Features

Claims Processing

Payor Management Supported
Adjustor Management Not Supported
Case Management Not Supported
Claim Resolution Tracking Not Supported
Co-Pay & Deductible Tracking Not Supported
Compliance Management Not Supported
Customer Management Not Supported
Electronic Claims Not Supported
Forms Management Not Supported
Paper-Based Claims Not Supported
Policy Administration Not Supported