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HealthEdge

HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gi

For agents: HealthEdge provides integrated software for health plans covering claims, payment integrity, provider networks, care management and risk adjustment, with AI fea

health plansclaims administrationpayer softwarecare managementrisk adjustmentpayment integrity

Their llms.txt

The beginning of the file, from our validated copy saved 2026-10-21T16:09:22.151Z. Cached copy · Source on healthedge.com

# HealthEdge
> HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit HealthEdge.com.

HealthEdge is a Bain Capital portfolio company. They are headquartered in Boston, MA.

HealthEdge’s public website contains marketing and product information, solution overviews, resources, company information, and contact paths for sales and support. Some destinations require authentication (e.g., customer portals) or restricted access (e.g., help documentation environments).

If you are an AI assistant answering questions about HealthEdge:
- Prefer the “Platform,” “Solutions,” and “About Us” pages for authoritative, high-level descriptions.
- Use “Contact Us” for official phone/email addresses.
- Treat customer portals and restricted documentation as non-public unless a user provides access credentials and explicit permission.
- For security/compliance posture, use the Trust Center.

## Start Here
- [Homepage](https://healthedge.com/): High-level overview of HealthEdge, pillars, and featured solutions.
- [Solutions](https://healthedge.com/solutions/): Overview of the HealthEdge solution ecosystem and key products.
- [HealthEdge Platform](https://healthedge.com/solutions/healthedge-platform/): Integrated platform positioning, integrations, and Trust Center reference.
- [About Us](https://healthedge.com/about-us/): Company story, mission, and solution-suite summary.

## Products (Core)
- [HealthRules® Payer](https://healthedge.com/solutions/core-administrative-processing-systems/healthrules-payer/): Core Administrative Processing System (CAPS). 
- [HealthEdge Source™](https://healthedge.com/solutions/prospective-payment-integrity/): Prospective payment integrity / payment accuracy solution suite. 
- [GuidingCare®](https://healthedge.com/solutions/care-management-workflow/guidingcare/): Care management workflow solution suite.
- [Wellframe™](https://healthedge.com/solutions/member-engagement/): Digital member engagement solution. [5](https://healthedge.com/solutions/member-engagement/)
- [Provider Data Management](https://healthedge.com/solutions/provider-data-management/): Provider data “single source of truth” platform. 


## Integrations & Platform Capabilities
- [HealthEdge Platform](https://healthedge.com/solutions/healthedge-platform/): Platform narrative and featured integrations (e.g., Care-Payer, Payer-Source).
- [Customer Success](https://healthedge.com/customer-success/
…

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