HealthEdge

Recording: Enhancing the Claims Administration Process with Modern Solutions
This video recording from HealthEdge and Altruista will provide a live demo for HealthRules Payor, showcasing navigation and benefits of the HealthRules Language, reusable benefit plan configuration, value-based reimbursement automation, automatic reprocessing, and data transparency.

White Paper: Burgess Source® - Investing in Payment Accuracy
HealthEdge understands health plans are spending time and money repairing improper payments. But by investing in today's forward-thinking technology, we now have a path to achieve true payment accuracy.

Recording: A CalOptima Talk: Maximize Accuracy and Operational Efficiencies in the Payer World
In partnership with HealthEdge, CalOptima discusses how they are leveraging Burgess products to maximize claims accuracy, increase operational efficiencies, and improve workflow.

Presentation: A CalOptima Talk: Maximize Accuracy and Operational Efficiencies in the Payer World
In partnership with HealthEdge, this presentation with CalOptima discusses how they are leveraging Burgess products to maximize claims accuracy, increase operational efficiencies, and improve workflow.

Presentation: A Community Plan Succeeds with Providers, Employers and Members
Community Health Options of Maine partners with HealthEdge Software to transform their organization into a modern innovative health plan that delights members and providers while still being an essential part of their community.

Recording: A Community Plan Succeeds with Providers, Employers and Members
Community Health Options of Maine partners with HealthEdge Software to transform their organization into a modern innovative health plan that delights members and providers while still being an essential part of their community.

HealthEdge Software Acquires The Burgess Group
Burlington, MA, and Alexandria, VA, July 21, 2020 - "HealthEdge" Software, Inc. (HealthEdge), a provider of the industry's leading integrated financial, administrative and clinical platform for health insurers, HealthRules Payor, today announced the acquisition of The Burgess Group, LLC ("Burgess"), an innovative payment integrity software company focused on improving healthcare payment operations through technology.

White Paper: How health plans are adapting, responding, and addressing changes during the COVID-19 pandemic
In this white paper HealthEdge covers keeping members and community healthy tops healthy plans' concerns during Covid-19. With the onset of the COVID-19 pandemic, health plans have had to respond to significant demands in a short amount of time. Health plans are addressing business needs, adjusting their budgets, and ensuring providers get paid while simultaneously keeping their organizations running smoothly in a new work environment.

Company Brochure: Company Overview
HealthEdge has been helping visionary health plans transform their businesses across all Lines of Business and membership size for more than ten years. With a sole focus on the health insurance market and a solution approach, HealthEdge offers an industryleading healthcare platform, a proven track record of success and hundreds of years of cumulative healthcare experience across its staff.

HealthEdge Insights: What's in your Medicare Advantage Toolbox
This HealthEdge brochure offer questions and answers on Medicaid Advantage. Each day more than 11,000 people become Medicare Advantage plan eligible. Every year, Medicare beneficiaries can make new choices to purchase from among many competitive plans aimed at providing services and resources for better health.