What Are HealthRules?

HealthRules Answers is a transformative business intelligence solution that transforms the way health plans see and use data in real-time, helping to reduce costs, identify market opportunities, validate new product offerings and support next-generation business models.

What is HealthRules connector?

HealthRules Connector enables health plans to share critical healthcare information quickly, easily and securely. HealthRules Connector is a robust integration layer that provides real-time and batch access to all HealthRules data and functionality from other applications and portals.

What does HealthEdge do?

Description of Services: 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.

Who founded HealthEdge?

HealthEdge was founded by Albert Waxman of Psilos Group and Rob Gillette in December 2004. In January 2005, the company acquired over $125 million in intellectual property and other assets. This technology served as the foundation for the patented, award-winning HealthRules product suite.

Does Blackstone own HealthEdge?

New York – April 9, 2020, Blackstone (NYSE:BX) announced today that funds managed by Blackstone (“Blackstone”) have completed their previously announced acquisition of a majority stake in HealthEdge Software (“HealthEdge”), a leading healthcare technology company that delivers next generation Core Administrative …

What is health rules manager?

HealthRules CareManager allows health plans to lower healthcare costs by providing capabilities for managing members and populations in the most efficient way, resulting in optimized quality metrics and higher reimbursements.

What is edifecs healthcare?

Edifecs is a leading healthcare technology company with the mission to improve healthcare outcomes, reduce costs and accelerate innovation.

How many employees does HealthEdge have?

HealthEdge has 510 employees and is ranked 8th among it’s top 10 competitors.

What is edifecs tool?

Edifecs SpecBuilder is an integrated and easy-to-use tool that simplifies and accelerates authoring, testing and publishing specifications and processing maps for healthcare transaction processing.

What is edifecs XEngine?

Edifecs’ XEngine Server is the premiere healthcare interoperability transaction and data processing engine that powers the Smart Trading suite of solutions. … XEngine enables users to integrate, consolidate and validate silos of healthcare data seamlessly from any connection point or in any format.

What is edifecs EDI?

Edifecs technology simplifies Electronic Data Interchange (EDI) and ensures conformance with industry-specific standards. Our solutions facilitate ongoing compliance, format specification and data integrity assurance.

What are EDI transactions?

Electronic Data Interchange (EDI) is the electronic interchange of business information using a standardized format; a process which allows one company to send information to another company electronically rather than with paper.

What is edifecs SpecBuilder?

Edifecs SpecBuilder is an integrated and easy-to-use design-time toolkit that simplifies and accelerates authoring, testing and publishing specifications, and processing maps for all types of transaction processing.

What is edifecs developer?

Job Responsibilities: – Involved in gathering requirements, installing, configuring and overseeing the implementation of EDIFECS. – Interface with the clients business and technical resources. – Design, build, and test the client’s systems.

What is Encounter management?

Edifecs Encounter Management delivers a consolidated platform that ensures the accuracy, completeness and timeliness of encounter data submissions across all managed care programs and lines of business. … Integrated exception management workflows enable the rapid correction and re-submission of rejected encounters.

Who are HealthEdge competitors?

HealthEdge’s competitors

HealthEdge’s top competitors include Signant Health, CNSI, CipherHealth and The Healthy Billion. HealthEdge is a software company focused on providing core administration and care coordination for transformative health plans.

What are encounters in healthcare?

Encounter. Definition. An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

What is quality of service in service Marketing?

Service quality generally refers to a customer’s comparison of service expectations as it relates to a company’s performance. A business with a high level of service quality is likely capable of meeting customer needs while also remaining economically competitive in their respective industry.

What is an example of EDI?

1000s of standard business transaction documents can be sent automatically using EDI. Some common examples include: purchase orders, invoices, shipping statuses, customs information, inventory documents and payment confirmations.

Where is EDI used?

Electronic Data Interchange can be used in a variety of information transactions, including but not limited to: Transportation management. Major retailers – Walmart, 99 Cents Only Stores, Lowes, Office Depot, and Costco, to name a few – use EDI to manage their transportation and routing instructions.

What are X12 transactions?

X12 is a standard for Electronic Data Interchange (EDI) developed and maintained by the American National Standards Institute (ANSI) Accredited Standards Committee (ASC). The X12 standard governs the exchange of business documents (e.g., purchase orders, invoices, healthcare claims, etc.)


Related Q&A: