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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

CoverSelf has developed an advanced, cloud-native claims accuracy platform tailored specifically for the healthcare sector, utilizing cutting-edge software development practices. This innovative solution supports users in achieving sustained success by adapting seamlessly to the continual changes in claims and payment inaccuracies, thereby minimizing challenges and administrative expenses. By allowing open collaboration among all partners focused on tackling claims discrepancies and operational inefficiencies, the platform enables faster customization, innovation, and deployment. Additionally, CoverSelf’s payment integrity system leverages contemporary technologies to resolve payment leaks and inaccuracies while maintaining a high level of transparency and accessibility for payers. The platform fosters the creation of novel scenarios and data mining algorithms, driving product innovation and accelerating customization efforts, all within a specialized framework that enhances the speed of innovation. Furthermore, it automates the correction and processing of claims, eliminating the need for further human intervention or effort, thus streamlining operations even more efficiently. This comprehensive approach not only optimizes the claims process but also significantly contributes to improving overall healthcare operations.

Description

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises Yes 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

CoverSelf

Country

United States

Website

www.coverself.com

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration No 

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Alternatives

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