HealthEdge, founded in 2005 and headquartered in Burlington, Massachusetts, provides a next-generation Core Administrative Processing System (CAPS) for health plans. The company's platform supports digital transformation through transaction automation and real-time engagement, serving over 130 health plan customers across 48 states, covering more than 110 million lives.
The company's flagship product, HealthRules, is a patented suite designed to process claims and enable health plans to bring new products to market quickly and transform business models. HealthEdge's technical domains span core administrative processing, payment integrity, care management, digital member engagement, and AI-driven business intelligence.
HealthEdge has raised over $125 million in funding. The company operates within the healthcare and health plans verticals, focusing on enabling innovation and operational efficiency for its customers.
