Health plans depend on efficient operations to improve members’ experience and reduce costs. Recognizing this demand, Wipro has partnered with HealthEdge, a leader in next-generation core administrative healthcare systems.

We have partnered with HealthEdge to leverage its comprehensive technology suite, including HealthRules Payer, Source, GuidingCare, and Wellframe. These are designed to serve health plans of all sizes and types, and deliver integrated solutions that unify financial, administrative, and clinical operations for payers across Medicaid, managed care organizations, and commercial markets. 

Working together since 2020, we empower health plans with scalable, agile, and compliant platforms - putting patients at the center of a digitally connected ecosystem.

Partners

Services & Solutions

Core Claims Administration

Streamline Medicaid operations with adaptable cloud-native systems.

Care Management

Streamlined care coordination with proactive interventions.

Encounter Management 

Efficiently process encounter claims and support kickback payments. 

A NASPO Empaneled Vendor

Wipro and HealthEdge Services across claims processing and care management modules are empaneled with NASPO ValuePoint.

Together, Wipro and HealthEdge enhance health plans' operational efficiency and member experience. For more information or customized services for your plans, please feel free to reach out to us.