HealthRules Payer Alternatives (January 2026)

Auto-Adjudication Feature | HealthRules Payer

https://healthedg.com/solutions/core-administrative-processing-systems/healthrules-payer/

HealthRules Payer’s auto-adjudication feature ensures accurate payment processing for healthcare payers. Learn more about our auto-adjudication feature today.

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TriZetto Facets® Healthcare Admin for Payers | Cognizant

https://www.cognizan

.com/us/en/trizetto/core-administration/facets/

The TriZetto Facets core administration platform is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals. Find out how Facets positions healthcare payers for growth and change with its flexible platform today.

Automated Medical Necessity Reviews | InterQual® AutoReview | Change Healthcare

https://www.changehealthcar

.com/clinical-decision-support/interqual-autoreview/

Learn about InterQual® AutoReview, our automation solution that leverages the EHR to complete InterQual® medical reviews automatically, instantly, and accurately.

Payerpath: Delivering Provider & Payer Solutions | Veradigm

https://veradig

.com/payerpath-provider-payer-solutions/

Veradigm Payerpath (formerly Allscripts Payerpath) is an end-to-end revenue cycle management (RCM) suite that delivers provider and payer solutions that conn...

CareAdvance® Provider—Authorization Automation Solution | Cognizant

https://www.cognizan

.com/us/en/trizetto/care-management/careadvance-provider/

CareAdvance provider® automates providers’ authorization and utilization management processes. Learn more.

InstaMed Powers a Better Healthcare Payments Experience

https://www.instame

.com/

InstaMed makes healthcare billing and payments better for everyone. Solutions for contactless, automated and mobile payments, claims, ERA & more.

Provider Enrollment Credentialing Solutions | symplr

https://www.sympl

.com/products/symplr-payer/

Improve efficiency, reduce risks, and safeguard revenue with symplr Payer's comprehensive provider enrollment credentialing solutions.

GuidingCare®: Leading Care Management Technologies

https://healthedg

.com/solutions/care-management-workflow/guidingcare/

Explore how GuidingCare®, HealthEdge's advanced care management solution suite, improves care coordination, evidence-based strategies, and population health.

TriZetto Health Claims Processing Product: QNXT™ | Cognizant

https://www.cognizan

.com/us/en/trizetto/core-administration/qnxt/

TriZetto QNXT Enterprise Core Administration System is an end-to-end claims processing solution supporting multiple lines of business. Find out more about QNXT's suite of services including claims processing, referral and provider network management, group administration and more.

Home - Retrace

https://retrac

.ai/

Instant payments. Brighter smiles. Retrace helps oral health care providers get paid accurately and instantly with a complete billing and office solution that connects your entire practice.Retrace helps oral health care providers get paid accurately and instantly with a complete billingand office solution that connects yourentire practice. Join Now Validation We’re taking the guesswork out