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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Healthcare payers face challenges in coordinating the various elements of health plan administration. Our solution enables payers to centralize their data, vendors, and business workflows under a single login, allowing them to effectively oversee all aspects of healthcare from one location. This system minimizes the effort spent on managing the complexities and maximizes the time available for business expansion. The HPS portal enhances control over operational processes and frees up valuable time to prioritize essential tasks. For over two decades, Third Party Administrators, Health Plans, International Insurance Carriers, Employers, and Unions globally have collaborated with Health Portal Solutions™ to streamline their online operations, leading to improved efficiency and business development. With over 30 customizable features for your portal, no software development is required. Our customer support team is well-versed in your industry while respecting the distinctive nature of your business. By choosing us, you can enhance your operational efficiency and focus on achieving your strategic goals.

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 No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

$500.00/month/user
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version 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 

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 No 
Live Rep (24/7) Yes 
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) No 
In Person Yes 

Types of Training

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

Vendor Details

Company Name

Health Portal Solutions

Founded

2000

Country

United States

Website

www.hpsglobal.net

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Hospital Management

Accounting Integration Yes 
Appointment Management No 
Appointment Scheduling Yes 
Bed Management No 
Billing & Invoicing No 
Claims Management Yes 
In-Patient Management No 
Inventory Management No 
Medical Billing Yes 
Out-Patient Management No 
Patient Records Management Yes 
Physician Management Yes 
Policy Management Yes 
Revenue Management Yes 

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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