HealthEdge® is excited to announce we will be working with @awscloud and @lokahq to help ensure our solutions have the power & scalability to continue enabling faster time to market & provide the foundation to an AI-first culture for us & our customers: https://t.co/piJaztsbzn

AI-enabled fraud detection solutions leverage AI algorithms and machine learning to identify, predict and prioritize suspicious activity. To learn more, access a complimentary copy of the Gartner Hype Cycle for U.S. Healthcare Payers, 2025: https://t.co/lcVf9lUGRJ

Payers rely on information from varied & disparate sources—making it difficult to validate. With HealthEdge® Provider Data Management, the Public Employees Health Program (PEHP) was able to automate data matching & merging to enhance efficiency: https://t.co/yCDICJDOga

See how one regional health plan leveraged HealthEdge® Global Professional Services to consolidate and streamline care management across commercial, Medicaid, Medicare, and Dual Eligible Special Needs Plan (D-SNP) lines of business. Read the case study: https://t.co/N02oZFmE1F

HealthEdge® is excited to announce its merger with UST HealthProof combining best-in-class core payer technology with seamless integration capabilities.  Learn more about our shared vision for the future: https://t.co/0ufP8w53gN

Join our webinar on Sept. 30 to hear how Nascentia Health partnered with HealthEdge GuidingCare® to access proactive regulatory support and meet New York’s stringent requirements with less administrative burden. Save your seat today! https://t.co/YAEWQ0acSI

Health plan members want experiences that are personalized, convenient, and responsive—and AI-driven technologies can make a meaningful impact. See how AI can improve member engagement and satisfaction: https://t.co/DMA7NtRPzG

The consequences of payment errors ripple across a health plan’s entire operation, creating downstream effects that touch every department. Discover how your health plan can implement a future-ready payment integrity strategy: https://t.co/sEOVGe5S7D

Legacy Core Administrative Processing Systems (CAPS) come with their own challenges & inefficiencies that can cost payers valuable time and resources. In our blog, we highlight 7 ways an advanced CAPS solution can help payers improve efficiency & margins: https://t.co/i4XSy4RsXx

Engaging members with chronic & complex healthcare conditions—including Medicaid & Dual-Eligible members—requires advanced coordination. See how an integrated digital care management solution can help care teams improve member engagement & outcomes: https://t.co/32WwsgV02M

According to our 2025 Consumer Study, health plans that act as partners in care to their members are rewarded with greater loyalty and retention. Learn more about how your health plan can become a true partner in care using integrated data & AI solutions: https://t.co/3h0NyF8QGs

Streamlining prior authorization makes it easier for health plans to deliver timely, relevant care without amplifying administrative burdens. See how HealthEdge GuidingCare® gives payers the necessary insights to accelerate prior authorizations: https://t.co/N22LVghRTO

Are you a current HealthRules® Payer customer looking to try new features, streamline existing workflows, or enhance auto-adjudication? HealthEdge EDGEcelerate™ enables payers to optimize, adapt, and innovate faster without managing multiple contracts: https://t.co/ZfY6YgLbIE

Rising rates of claims denials are impacting payers and providers across the healthcare system. Discover how a Prospective Payment Integrity solution like HealthEdge Source™ can identify patterns in improper claims denials and address root causes: https://t.co/VX8xaLxMaw

Almost 75% of healthcare workers say that clinical documentation requirements inhibit care delivery. Discover how the Care Management Note Summarizer tool within HealthEdge GuidingCare® can support care managers and enhance care delivery: https://t.co/exy6X63d0W

Relying on manual provider data reviews can be costly & time-consuming. The HealthEdge® Provider Data Management solution is built with native CAPS integration & designed to streamline data ingestion, validation, and enrichment. Try the interactive demo: https://t.co/Puz4LhLLea

Health plan leaders are increasingly adopting Provider Data Management solutions to deliver provider directories, navigation tools, and other essential services. Access the complimentary Gartner Hype Cycle for U.S. Healthcare Payers, 2025 to learn more: https://t.co/4jPgZOSSWc

Working with disparate solutions can disrupt workflows and inhibit data sharing. An integrated CAPS like HealthEdge HealthRules® Payer can support a broad range of health plan needs, including claims processing, member enrollment, and provider management: https://t.co/x1crbzYGvQ

In a recent Q&A, the HealthEdge GuidingCare® VP of Product Management shared some of the ways we're embedding practical & transparent AI into the tools customers use every day—without compromising trust, quality, or compliance. Read the interview: https://t.co/l7AjHS4pDg

Is your health plan looking for better ways to provide maternal health support for Medicaid members? Discover how the Wellframe Maternal Health care program empowers health plans to build member trust, increase engagement, and improve clinical outcomes: https://t.co/XGwU3FVB6u

51% of health plan members see their health plans as a "partner in care"—not just a “payer of claims”. These members are less likely to switch plans and more likely to recommend their health plan to others: https://t.co/C1CxQxZfC5