Payer Claims & Administration Platforms
Core claims/administration systems used by health plans to process and pay (adjudicate) claims, enroll health plan members, and manage payer product lines (i.e., benefit/plan offerings).

Recent Insights
Key Findings:
- HealthEdge Leads the Market in New Wins
- Technology’s Robust Flexibility Creates New Efficiencies—and Some Complications
- HealthEdge Has Improved Engagement & Delivery; Frustration Persists in a Few Areas
- HealthEdge Viewed as Best Technology Option; Ability to Consistently Deliver Not Yet Proven
- System Information Provided by HealthEdge
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Performance Data
Overall Score by Product
Overall Score by Question Topic
Provider Facility Size by Product
Provider Facility Type by Product
Reducing Filters
Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.
This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.
We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.