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Claims Systems

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Alivia Analytics Acquires SourcEdge to Expand Healthcare Claims Lifecycle Capabilities for Commercial and Government Payers

The unified organization combines SourcEdge’s claims system technology optimization expertise with Alivia’s AI-powered payment integrity / FWA data…
SourcEdge Solutions
  • News

SourcEdge Introduces ClaimOptima for Testing TriZetto Facets Product Builds

ClaimOptima™ by SourcEdge is the industry’s first and only platform specifically engineered to automate and optimize the testing…
  • News

SourcEdge Enters Reseller Agreement with Qlik to Broaden Data Management Strategies for Health Plans

SourcEdge, a leader in health plan technology optimization solutions, announced it has signed a reseller partnership today with…
  • News

Masking PHI Using De‑Identification Throughout the SDLC

This recorded breakout session presentation will explore the critical importance of masking Protected Health Information (PHI) using de-identification…
Health Plans - Technically Speaking
  • Events, Thought Leadership

Health Plan Going Beyond the No Surprises Act for Price Transparency

Problem: The Challenge of Full Transparency When the No Surprises Act was passed in 2020, many healthcare companies…
Analytics BI
  • Analytics/BI, Success Stories

SourcEdge Year in Review 2022

IT Modernization for Health Plans Helping Our Clients Achieve Financial & Operational Returns SourcEdge had a productive 2022…
Claims Systems Illustration
  • News, Success Stories

Value-Based Care & Impacts on Health Plans / Systems: Lili Brillstein and Mark McAdoo Catchup

When it comes to healthcare, excellence and accessibility is essential to both the provider and the payer.
Health Plans - Technically Speaking
  • Events, Thought Leadership

How One U.S. Health Plan Rapidly Expanded in ACA and Medicaid Using Facets

Data comes into a health plan in many ways. By taking multiple data sources and consolidating them into…
Claims Systems
  • Claims Systems, Success Stories

Claims System Modernization Success: An Interview with the CIO of CommunityCare of Oklahoma

In today’s changing landscape, health plans are continually challenged to modernize and extend the life of their systems.…
Health Plans - Technically Speaking
  • Events, Thought Leadership

Cyber Exposures to Health Plan Systems: An Interview with Hacker & CSFI Chief of R&D

With the advent of virtual healthcare, data exposure continues to increase with continual threats against claims systems, providers,…
Health Plans - Technically Speaking
  • Events, Thought Leadership

CommunityCare of Oklahoma: Modernization Improves Claims System Lifetime and Performance

Health plans must modernize to extend the life of their systems. When those systems are antiquated, SourcEdge delivers…
Claims Systems
  • Analytics/BI, Claims Systems, Success Stories

Delivering the Data that Drives Value-Based Care Initiatives

We provide cloud-based data analytics, so clients can accelerate their value-based care initiatives in the market.
Value Based Care
  • Data Management, Success Stories, Value-Based Care

Unleashing the Power of Data for Key Decision-Making

Data comes into a health plan in many ways. By taking multiple data sources and consolidating them into…
Data Management
  • Analytics/BI, Data Management, Success Stories

Protecting PHI Data and Improving Developer Efficiency

Testing data while protecting privacy is complex. Our solution scrambles data the same way every time, using significantly…
Data Management
  • Data Management, Success Stories

Kno2 Appoints Mark McAdoo to Board of Directors Amid Recent Growth

Kno2®, the company leading the connected future of healthcare communication, today announce the appointment of Mark McAdoo to…
SourcEdge Solutions
  • News

SourcEdge and HealthLX Partner to Solve Interoperability and Compliance Challenges for Payers

SourcEdge Solutions has announced a systems integrator partnership with HealthLX to help health plans comply with the CMS…
SourcEdge Solutions
  • News

SourcEdge Unveils AMISYS Modernization Practice to Help Payers Future-Proof Claims Processing

Support for the AMISYS claims processing system is winding down fast, and health plan CIOs now face a…
SourcEdge Solutions
  • News

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2024 Cognizant Health Sciences Conference

SourcEdge, An Alivia Company, was Cognizant’s First Healthcare Certified Consulting Partner. During this four-day event, SourcEdge and Alivia Analytics will discuss its combined products and services for commercial and government health plans.

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