Freedom251 › Patient Case Management
GuidingCare
Plans
| Plan | Billed and limits | Price |
|---|---|---|
| Sales & General Inquiries | — | On request |
As healthedge.com lists them, read 14 Nov 2026. The maker's own page has the final word.
Facts from GuidingCare's own pages
- AI controls
- Clinical Edge AI features are customer-controlled, visually marked, and not auto-deployed without customer agreement. · healthedge.com, 14 Nov 2026
- Appeals and grievances
- Appeals and Grievances supports regulatory workflows with one-click packets, auto-generated correspondence, and CMS Universe reports. · healthedge.com, 14 Nov 2026
- Business intelligence
- Business Intelligence includes 50+ standard reports and CMS-ready Part C, Part D, CDAG, and ODAG reports. · healthedge.com, 14 Nov 2026
- Care planning
- Care Management builds and updates whole-person care plans from assessments and member data using evidence-based logic. · healthedge.com, 14 Nov 2026
- Community referrals
- Care Management connects members to community social services with closed-loop referrals and SDOH support. · healthedge.com, 14 Nov 2026
- Integrations
- Care workflows are unified with more than 100 real-time APIs. · healthedge.com, 14 Nov 2026
- Member engagement
- The member engagement module, formerly Wellframe, offers a mobile-first app or web experience, 70+ care programs, and HIPAA-compliant chat. · healthedge.com, 14 Nov 2026
- Mobile clinician
- Mobile Clinician works online and offline on Windows and iOS for assessments, care plans, consent, and referrals. · healthedge.com, 14 Nov 2026
- Population health
- Population Health Management identifies high-risk members and tracks HEDIS and Star Ratings gaps and care transitions. · healthedge.com, 14 Nov 2026
- Quality360
- Quality360 is an NCQA-certified module that unifies HEDIS abstraction, chase management, and analytics. · healthedge.com, 14 Nov 2026
- Scale
- HealthEdge states the platform has 28M+ contracted lives, 100K+ users, 10B+ transactions a year, and 20% of Medicaid members nationally. · healthedge.com, 14 Nov 2026
- Training and support
- Clinical Edge University provides 24/7 self-paced training, and Severity 1 production incidents go to HealthEdge Support at 1 (855) 437-4067. · healthedge.com, 14 Nov 2026
- Utilization management
- Utilization Management integrates with MCG Cite AutoAuth and InterQual Connect for evidence-based authorization decisions. · healthedge.com, 14 Nov 2026
- What it is
- Clinical Edge, formerly GuidingCare, is HealthEdge’s care management platform for health plans that streamlines workflows to improve quality and manage costs. · healthedge.com, 14 Nov 2026
- Who it is for
- The platform is positioned for health plans managing care across lines of business. · healthedge.com, 14 Nov 2026
Where GuidingCare stands on Freedom251
- Patient Case Management#9 of 17