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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 Transition from outdated and expensive on-premise systems to a unified cloud-based SaaS platform that emphasizes user-friendliness and clarity.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
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