HealthEdge

HealthEdge is a healthcare technology company based in Burlington, Massachusetts, founded in 2005. The company provides a next-generation SaaS platform that connects health plans, providers, and patients through digital solutions aimed at automating operations, reducing administrative costs, and improving health outcomes. HealthEdge operates in the Enterprise Systems and Healthcare IT sectors and employs around 2,000 professionals across the U.S. and India. The company's core product offerings include HealthRules® Payer for claims and benefits processing, HealthEdge Source™ for integration and real-time engagement, and GuidingCare® for care management. Additionally, HealthEdge provides tools for member engagement and business intelligence. The platform supports cloud-native deployment, focusing on automation, compliance, and value-based care. In 2025, HealthEdge merged with UST HealthProof to enhance its capabilities with AI-driven solutions. The company primarily serves health plans, including commercial insurers and government programs, helping them modernize their administrative systems.