HealthEdge Software

HealthEdge Software, Inc.Founded in 2004 in Burlington, US, HealthEdge Software, Inc. develops advanced software solutions for healthcare management. The company was founded by Steven Trinh and has undergone significant growth since its inception.HealthEdge Software, Inc. specializes in healthcare technology solutions, primarily offering an integrated platform that includes several core products designed to optimize healthcare management for health plans. Their flagship offerings encompass the HealthRules® Solutions Suite, a digital claims administration processing system that enhances operational efficiency and accuracy, and HealthEdge Source, which focuses on prospective payment integrity through automated claim payment processes and proactive business intelligence. Additionally, HealthEdge provides GuidingCare®, a widely adopted care management platform that streamlines workflows and improves quality of care, and Wellframe, a digital member engagement solution that empowers health plans to better connect with members.HealthEdge generates revenue primarily through a subscription-based model, wherein clients pay for access to their SaaS products and services. The structure of these transactions typically involves annual or multi-year agreements, providing health plans with continuous access to HealthEdge's suite of solutions, which include HealthRules®, HealthEdge Source, GuidingCare®, and Wellframe. Each of these services is designed to enhance operational efficiency, improve member experiences, and ensure payment accuracy. Given the comprehensive nature of their solutions, clients engage with HealthEdge through direct partnerships, aligning their operational needs with the software capabilities offered.In April 2025, Bain Capital agreed to acquire HealthEdge Software, Inc.6 billion. This acquisition will provide HealthEdge with additional resources and expertise to accelerate growth and innovation, particularly in deploying generative AI in health plans. The company plans to expand its product offerings and invest in developing new technologies to enhance its healthcare management solutions. Additionally, HealthEdge is targeting expansion into new geographic regions and markets to further its reach and serve a broader client base.

1. Series A

   Nov 17, 2010

   Amount

   $1M

   Investors

   Locked

2. Series A

   Jul 13, 2009

   Amount

   $3.5M

   Investors

   Locked

3. Series A

   Jan 15, 2009

   Amount

   $1.6M

   Investors

   Locked

4. Series A

   Aug 25, 2008

   Amount

   $3M

   Investors

   Locked

5. Series A

   Nov 3, 2006

   Amount

   $9.8M

   Investors

   Locked