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

Building for Growth, Eciency, and a Consumer-First Future

Friday Health Plans, a health insurance provider focused on individual consumers, needed a highly scalable and efficient core administrative platform to support its rapid expansion into new markets. Their outdated legacy systems with minimal flexibility and slow manual processes were hindering their agility. To solve this challenge, they partnered with HealthEdge and implemented its HealthRules Payer platform.

HealthEdge provided the next-generation HealthRules Payer system, which delivered the operational efficiency and reliability Friday Health Plans required. The solution enabled the company to test and implement new plans and features in hours or days instead of weeks, directly supporting their growth. A key result was a 99% first call resolution rate for member service in 2020, achieved because the system provides customer service representatives with clear, English-like information.

Friday Health Plans

Sal Gentile

Chief Executive Officer