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features
design
support

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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.

Description

We are revolutionizing the healthcare landscape by implementing cutting-edge technology designed to alleviate the challenges faced by payers and providers, leading to streamlined administration, enhanced transparency, and a more efficient overall system. Improve your interactions with providers through cost-effective self-service options and detailed reporting capabilities. Transition from outdated and expensive on-premise systems to a unified cloud-based SaaS platform that emphasizes user-friendliness and clarity. Optimize your workflows, reduce redundancies, and foster collaboration across teams using the tools available on the platform. Effortlessly explore and understand the relationships among policies, claims, providers, and customizations within your integrated system. Keep track of your performance and uncover new avenues for savings with our dynamic aggregate dashboards and detailed policy insights. This approach not only enhances operational efficiency but also empowers stakeholders to make informed decisions that positively impact patient care.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
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

HealthEdge Software

Website

www.healthedge.com

Vendor Details

Company Name

Rialtic

Founded

2020

Country

United States

Website

www.rialtic.io

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

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