Enhancing the Claims Administration Process with Modern Solutions

Wednesday, 10/27/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: HealthEdge & Altruista

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

You’re invited to take a real-time look at HealthEdge’s next-generation claims administrative processing system, HealthRules Payor®. This webinar will provide a brief overview of:

• The ease of HealthRules Payor’s navigation
• The patented HealthRules Language
• Reusable benefit plan configuration
• Value-based reimbursement automation
• Automatic reprocessing
• Data transparency

Learning Objectives:

• The webinar demo will allow attendees to see the marketecture and understand how our products work together.
• Shows the flexibility to configure or edit virtually any aspect of a benefit component, whether new or existing.
• Organize value-based criteria within a value-based network, enabling the user to see all value-based pricing provisions on one page.
• Provide real-time information to virtually any stakeholder in an easy-to-digest format with options to quickly share general or detailed information.

HealthEdge also recently grew our ecosystem with Burgess Source®, the next-generation payment integrity solution, and Altruista Health’s GuidingCare®, the innovative care management platform. We will briefly showcase how our integrated solution suite makes possible a vision where claims processing is enhanced with software-driven payment integrity at the point of service, feeding data to an end-to-end care management solution, resulting in lower administrative and healthcare costs and improved patient outcomes. Whether your organization is new to HealthEdge or a current customer of one of our products – come see HealthRules Payor benefits in action.

Those responsible for their organization's claims management, quality management, or risk management efforts will find this webinar impactful.

HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Its next-generation enterprise solution suite is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. HealthEdge’s product portfolio includes HealthRules Payor®, Altruista Health’s GuidingCare®, and Burgess Source®.

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.