What challenges did HealthEdge face before AI implementation?

Enable enterprise-wide adoption of generative AI and agentic workflows across operations. Integrate AI into claims processing and member experiences to reduce operational effort and improve speed and accuracy.

What was the impact of the AI solution?

HealthEdge says it will offload 15% of employees' current work to AI over the next 12 to 18 months. AWS says the transformation will deliver reduced operational costs, faster claims processing, and improved decision-making accuracy. The company expects faster time to market for internal workflows, customer workflows, and product features.

Source

HealthEdge migrates to AWS and uses Amazon Bedrock for AI-native healthcare payer operations and agent-led workflows

Use case typeAI platformUpdated Jun 13, 2026

HealthEdge is migrating its operations to AWS and integrating generative AI and agentic systems into its core operations, products, and infrastructure. Loka, AWS partner of the year in 2024, will use Amazon Bedrock to build and scale generative AI applications for HealthEdge. The company says it is building AI applications for internal tooling and customer-facing workflows, including claims processing and natural-language question answering.

Organization: HealthEdge
Industry: Healthcare
Location: United States
Published: May 2025

Reported outcomes

15%

quantified impactOther quantified impact

Strategic outcomes

Cost efficiencyReduced operational costsSpeed & agilityFaster claims processingBetter decisions & insightImproved decision-making accuracySpeed & agilityFaster time to market

Primary read

Use case focus

Showing 3 of 4

1Generative AI platform
2Agentic workflows
3Claims processing automation

Enable enterprise-wide adoption of generative AI and agentic workflows across operations.
Integrate AI into claims processing and member experiences to reduce operational effort and improve speed and accuracy.

Migrating operations to AWS.
Using Amazon Bedrock with partner Loka to build and scale generative AI applications.
Creating HealthEdge Agent Lab to deliver agent-led workflows in two-week sprints.
Embedding AI into internal workflows and customer-facing features such as claims processing and natural-language question answering.

Technologies

Amazon Bedrock AWS

HealthEdge says it will offload 15% of employees' current work to AI over the next 12 to 18 months.
AWS says the transformation will deliver reduced operational costs, faster claims processing, and improved decision-making accuracy.
The company expects faster time to market for internal workflows, customer workflows, and product features.

Architecture

HealthEdge is migrating its operations to AWS and building an AI-driven platform on AWS. Loka will use Amazon Bedrock to build and scale generative AI applications, while HealthEdge Agent Lab is designed to deliver agent-led workflows in two-week sprints. The architecture is positioned to support internal tooling, customer-facing workflows, and platform infrastructure at enterprise scale.

Implementation partners1

Loka

Sources & evidence1

Groundedness: 5/5Type: Press ReleasePublished: May 21, 2025Publisher: HealthEdgeEvidence: PrimaryConfidence: High

Primary source

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Customer evidence