[December 29, 2020]
HealthEdge Software Completes Acquisition of Altruista Health
HealthEdge Software, Inc.® ( HealthEdge ), provider of the industry s leading integrated financial, administrative, and clinical platform for health insurers, HealthRules Payor®, today announced it has completed the acquisition of Altruista Health, Inc. ( Altruista ). Since 2007, Altruista s cloud-based enterprise care management platform, GuidingCare®, has been used by health plans to streamline care management workflows, facilitate coordination among clinical, behavioral and community resources, accelerate quality improvements, and promote engagement with their members.
Altruista marks HealthEdge s second significant and highly synergistic acquisition in 2020, following The Burgess Group, the first solution to natively bring together claim payment automation with business intelligence, enabling a unified approach to ensure payment accuracy. Altruista offers customers a highly configurable set o
The Burgess Group Selects Concert Genetics to Power Genetic Test Claims Payment Automation
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ALEXANDRIA, Va. and NASHVILLE, Tenn., Dec. 15, 2020 /PRNewswire/ The Burgess Group ( Burgess ), a HealthEdge company, an innovative payment integrity software company focused on improving healthcare payment operations through technology, has selected Concert Genetics to deliver genetic testing claim edits within the Burgess Source® claims payment automation and business intelligence platform.
The solution integrates Concert s real-time claim editing capabilities, powered by patented machine learning capabilities, into Burgess Source, which enables complete claims payment automation through up-to-date regulatory content, claims pricing and editing, and real-time analytics tools.