Source: Payment Integrity Case Study: Medicaid & Duals ©2022 HealthEdge Software, Inc. | HealthEdge® and HealthRules® are registered trademarks, The HealthRules LanguageTM is a trademark, GuidingCare® is a registered trademark, and the Wellframe logo is a registered trademark of HealthEdge Software, Inc. All Rights Reserved. T 781.285.1300 F 781.419.6183 E info@healthedge.com W healthedge.com A 30 Corporate Drive, Burlington, MA 01803 Background & Objective A top-15 insurance company with over five million members was looking to: Leaders knew in order to make things work at scale, they needed a fully automated claims reimbursement process. Grow its government business Streamline operations Experiment with new models Expand to new states This client enjoyed the following savings and

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