# Advantasure

> Advantasure combined health-plan administration software and outsourced operations with risk adjustment, provider engagement and quality improvement for U.S. insurers and provider organizations. Acquired by UST HealthProof in March 2023, its brand was unified under UST HealthProof in September 2024; that business merged into HealthEdge under Bain Capital ownership in September 2025.

- **Headquarters:** Aliso Viejo, United States
- **Products:** Core administrative technology and services, Provider Engagement Coordination (PEC), Risk adjustment platforms and services, EDPS, Symphony
- **Notable:** Several key systems achieved HITRUST CSF certification in August 2020; this is a historical certification announcement, not a claim of current certification., Veracode’s directory lists Billing, Claims, Enrollment, EDPS, risk adjustment, Medical Record Review and Symphony applications at differing Verified tiers., UST HealthProof completed the acquisition on March 21, 2023.

## Products & services

- **Core administrative technology and services** — Enrollment, premium billing, claims, correspondence, member and provider servicing, portals, appeals and grievances. Available historically as technology and outsourced operations.
- **Provider Engagement Coordination (PEC)** — Works with provider offices on clinical documentation and risk and quality gaps, including CDI alerts, medical-record review and follow-up queries.
- **Risk adjustment platforms and services** — Medicare Advantage and commercial risk adjustment analytics, medical-record retrieval and review, and encounter-data submission support.
- **EDPS** — Historical online platform for formatting, validating, reconciling and tracking RAPS/EDPS files submitted to CMS.
- **Symphony** — Historical health-management platform supporting case management, disease management and utilization management.
- **Quality improvement and member outreach** — Stars-related quality programs and outreach to help members complete preventive services, including appointment scheduling.
- **Member acquisition services** — Technology-enabled Medicare Advantage member acquisition services described in the company’s 2024 ebook.

## Achievements

- Several key systems achieved HITRUST CSF certification in August 2020; this is a historical certification announcement, not a claim of current certification.
- Veracode’s directory lists Billing, Claims, Enrollment, EDPS, risk adjustment, Medical Record Review and Symphony applications at differing Verified tiers.
- UST HealthProof completed the acquisition on March 21, 2023.

## Latest updates

- **2025-09** — Bain Capital completed its acquisition of UST HealthProof and its merger with HealthEdge; the combined company operates as HealthEdge, led at announcement by Kevin Adams.
- **2024-09** — UST HealthProof unified Advantasure, Advalent and UST HealthProof under the UST HealthProof brand.
- **2023-03** — UST HealthProof closed the Advantasure acquisition and named Robert Hillman president.

## Links

- Website: https://www.advantasure.com/
- LinkedIn: https://www.linkedin.com/company/advantasure

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Profile page: https://yespress.io/advantasure
Published by YesPress — https://yespress.io
Last updated: 2026-10-24
