HealthEdge B2B Case Studies & Customer Successes

HealthEdge is on a mission to drive a digital transformation in healthcare. They’re connecting health plans, providers, and patients with end-to-end digital technology solutions to support new business models, reduce administrative costs and improve health outcomes. Their growing portfolio of products (HealthRules® Payer, Source, GuidingCare, and Wellframe) provides talented and passionate professionals with opportunities to lead change and make a lasting, global impact in healthcare.

Case Studies

Showing 31 HealthEdge Customer Success Stories

AmeriHealth Administrators boosts claims accuracy and agility with HealthEdge HealthRules Payer

AmeriHealth Administrators

Michael Robak

Vice President of Service Operations Independence

Blue Cross Blue Shield boosts care management capacity and member engagement with HealthEdge Wellframe

Blue Cross Blue Shield

Blue Cross Blue Shield improves maternal health outcomes with HealthEdge's Wellframe

Blue Cross Blue Shield

Community Health Options improves claims operations and member satisfaction with HealthEdge HealthRules Payer

Community Health Options

Kevin Lewis

Chief Executive Officer

Denver Health Medical Plan improves care management with HealthEdge

Denver Health Medical Plan

Christine Seals-Messersmith

Denver Health Medical Plan

Elderplan achieves more efficient care management with HealthEdge GuidingCare

Elderplan

Craig Azoff

Vice President, Health Plan Information Services

Elderplan lowers administrative costs and boosts efficiency with HealthEdge HealthRules Payer

Elderplan

Daniel Ramos

Assistant Director

Friday Health Plans achieves scalable growth and 99% first-call resolution with HealthEdge HealthRules Payer

Friday Health Plans

Sal Gentile

Chief Executive Officer

Independent Health achieves value-based care savings with HealthEdge HealthRules Payer

Independent Health

Dave Mika

VicePresident, Enterprise Core System Operations

Innovative Regional Healthcare Company achieves scalable growth and integrated care management with HealthEdge

Innovative Regional Healthcare Company

a large digital care management company lowers blood sugar by up to 25% with HealthEdge Wellframe

Large Digital Care Management Company

a large digital health company scales member growth and care management with HealthEdge

Large Digital Health Company

a large digital health company achieves $641 PMPM savings with HealthEdge's Wellframe digital care management

Large Digital Health Company

Trishan Panch

Large Digital Health Company

a large national health insurer streamlines claims payments and saves millions with HealthEdge Source

Large National Health Insurer

a large non-profit health plan improves claims audit and reimbursement accuracy with HealthEdge Source

Large Non-Profit Health Plan Company

a large non-profit health plan improves claims pricing efficiency with HealthEdge Source

Large Non-Profit Health Plan Company

a large southeast payer company achieves one-pass claims pricing and editing savings with HealthEdge Source

Large Southeast Payer Company

a large urban-based health plan company transforms care and operations with HealthEdge

Large Urban-Based Health Plan Company

a leading digital care management company reduces blood pressure with HealthEdge

Leading Digital Care Management Company

a leading health plan company modernizes care management and payment integrity with HealthEdge

Leading Health Plan Company

a non-profit Midwestern health plan achieves a smooth, unified care management implementation with HealthEdge GuidingCare

Leading Non Profit Midwestern Health Plan Company

McLaren Health Plan boosts auto-adjudication and lowers costs with HealthEdge HealthRules Payer

McLaren Health Plan

Sara Mavredes

Vice President of Business Information and Operations

Medica achieves faster, more accurate claims processing with HealthEdge HealthRules Payer

Medica

Stacy Chalupsky

Vice President for Claims Operations and Payment Integrity

Medica achieves claims processing agility and growth with HealthEdge HealthRules Payer

Medica

Kimberly Branson

VP Business Transformation

Medica achieves efficient multi-instance configuration management with HealthEdge HealthRules Promote

Medica

Robb Tushie-Lessard

Manager of Configuration Architecture, Quality and Business Analysts

NeuGen achieves operational efficiency and time savings with HealthEdge HealthCheck

NeuGen

Terri Lowe

Chief Operating Officer

a not-for-profit Medicare company achieves scalable growth with HealthEdge

Not-for-profit Medicare Company

Presbyterian Health Plan boosts claims efficiency with HealthEdge HealthRules Payer

Presbyterian Health Plan

Priority Health speeds prior authorizations and boosts provider satisfaction with HealthEdge GuidingCare

Priority Health

Ann Donnelly

Vice President, Care and Utilization Management

a top-15 insurance company reduces erroneous claims and saves millions with HealthEdge payment integrity

Top-15 Insurance Company

VillageCare improves data accuracy and digital transformation with HealthEdge GuidingCare

VillageCare

Stuart Myer

Chief Information Officer

No matching case studies

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