Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Description

Garner offers a comprehensive platform that harnesses extensive data to assist individuals, employers, and health plans in pinpointing the best medical providers, utilizing one of the largest claims databases in the country, which comprises over 60 billion records from more than 320 million patients. This platform employs over 500 metrics specific to various specialties to evaluate provider performance and determine patient outcomes effectively, supported by an AI-enhanced directory that boasts around 92% accuracy for details such as provider contact information and appointment availability. Providers who are designated as “Top Providers” adhere to strict standards, emphasizing evidence-based practices, the reduction of unnecessary medical procedures, and the maintenance of cost efficiency. Additionally, members have access to both a mobile app and a concierge service that facilitate the identification of in-network Top Providers with upcoming appointments, and they may be reimbursed for certain out-of-pocket expenses for services provided by these top-tier professionals. Furthermore, this innovative platform not only streamlines the process of finding quality healthcare but also aims to improve overall patient satisfaction and outcomes through its meticulously curated resources.

Description

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

Free
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Garner

Country

United States

Website

www.getgarner.com

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Benefits Administration

COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
Flexible Spending Accounts
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management

Product Features

Claims Processing

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

Alternatives

Alternatives

PLEXIS Payer Platforms Reviews

PLEXIS Payer Platforms

PLEXIS Healthcare Systems
PlanXpand Reviews

PlanXpand

Acero Health Technologies