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Claims Processing Software
Claims Processing software automates insurance claims management, electronic submission and collections.
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Comprehensive benefit administration system and claims processing software solution designed for Medicaid and Medicare health plans.
Learn more about HEALTHsuite Advantage
HEALTHsuite Advantage is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Managed Medicaid and / or Medicare Advantage benefits. This rules-based auto adjudication software solution was designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more.
Learn more about HEALTHsuite Advantage
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Cloud-based solution to manage claims, capitation, eligibility, referrals, authorizations, case management and communication.
Learn more about QuickCap
QuickCap is an advanced platform designed for IPAs, PHOs, MSOs, TPAs and Risk Based Organizations managing Medicare, Medicaid and Commercial LOBs. It is EDI 5010 compliant in claims, capitation, eligibility, referrals, authorizations, premium billing, case management and related auto routing and workflow processes. QuickCap is a seamless, highly efficient, cost effective, and comprehensive product set today. For more information, please call or contact us through our website.
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
AdInsure is an award-winning standard insurance platform designed for Life, Non-Life and Commercial insurers and insurance Brokers.
Learn more about AdInsure
AdInsure insurance platform ensures insurance businesses keep up with industry changes. It connects and supports all insurance teams, helping them work smarter, launch faster, and provide modern CX. Built around best practices, AdInsure acts as a foundation of award-winning solutions: AdInsure for Non-life, Life, and Commercial insurers, and AdInsure for Brokers.
Features for insurance business teams: Core Systems (PAS, Billing and Collections, Claims and Recoveries), Non-Core features (Commission management, Reinsurance), Digital tools (agent portals), Data Analytics.
Change-management capabilities for IT and operations: No code/low code compliant architecture, a modern integration framework that includes out-of-the-box API, AdInsure Studio (an end-to-end tool for product design, testing, and distribution) and Cloud support.
AdInsure combines comprehensive features in a single, unified platform and connects your insurers with emerging technologies, service providers, and partners.
Learn more about AdInsure
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Hi-Tech Health’s customizable claims administration systems serve TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, etc.
Learn more about Series 3000
Hi-Tech Health builds claims administration systems that serve TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, and more. For over 30 years, our customizable workhorse platform has increased efficiencies in processing claims, meeting any payer’s needs. It can also be implemented swiftly without outside consultants. Whether you’re a start-up or well-established organization, we can help. Whatever your adjudication, reporting, or plan needs are, we build our software around you.
Learn more about Series 3000
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
SimplePractice is a HIPAA compliant practice management software. Join 200,000+ thriving health & wellness professionals.
SimplePractice is a top-rated EHR software and all-in-one practice management solution trusted by more than 200,000 health and wellness providers. While using this practice management software, practitioners are able to access everything they need from appointment scheduling, billing, and payments to HIPAA-compliant Telehealth, insurance claim filing, and more. Sign up for a free, 30-day trial today to try it out for yourself.
Learn more about SimplePractice
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
NextGen Healthcare provides ambulatory practices with award-winning solutions along with dedicated support & professional services.
NextGen Healthcare is a leading healthcare software and services company that empowers the transformation of ambulatory care. Our smart, electronic health record solutions - NextGen Office (1-10 physicians) and NextGen Enterprise (10+ physicians) - help ambulatory practices alleviate the burden of documentation, advance clinical outcomes, connect with other health systems, elevate provider and patient satisfaction, streamline the revenue cycle, and foster healthier communities.
NextGen Office is bringing that cutting-edge technology to your workflows with NextGen Office Ambient Assist. When providers use NextGen Office Ambient Assist, integrated ambient listening technology securely converts the spoken, natural patient-provider conversation into a structured SOAP note that can be reviewed and edited by providers and automatically integrated into the patient's chart in NextGen Office.
Learn more about NextGen Office
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Trusted by over 100,000 mental health professionals, TherapyNotes software helps therapists manage their practices more efficiently.
Trusted by over 100,000 mental health professionals, TherapyNotes helps behavioral health therapists manage their practices more efficiently through an easy-to-use, secure platform for notes, billing, scheduling, and more. TherapyNotes simplifies administrative work, giving practitioners more time and energy to focus on providing effective care for their clients.
Learn more about TherapyNotes, LLC
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
DrChrono cloud-based mobile EHR with PM includes live claims feed, real time eligibility checks, custom templates and appt reminders
DrChrono’s all-in-one cloud-based mobile EHR comes with speech-to-text and custom templates/forms to chart effectively. With DrChrono's practice management and medical billing software you get a live claims feed for billing and payment processing, HCFA/Superbill generation, and e-fax integration. Real-time eligibility checks help you check patients’ information, and you can send custom appointment reminders through email, SMS, or phone. For students please visit DrChrono University.
Packages starts at $299 per month per provider.
Learn more about DrChrono
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Medical practice management solution that helps businesses with insurance billing, CMS 1500 forms filling, payment tracking, and more.
Speedy Claims is possibly the easiest to use software available anywhere for billing your patients and insurance companies whether by paper or electronically. An easy to use point and click interface showing the actual CMS 1500 form on the screen makes filling out a claim simple and coupled with our error checking scrubber makes it accurate and powerful. Try us free for 30 days!
Learn more about Speedy Claims
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
The Healthcare OS that lets you work, your way
The Healthcare OS that lets you work, your way -
Boost your Client's outcomes, efficiency, and productivity by customizing any tool or workflow to fit your needs.
Learn more about Carepatron
Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Ready to simplify healthcare payments? See why 500K+ providers use 1 platform to automate claims, prevent denials + speed reimbursement
Ready to simplify healthcare payments? 500K+ providers already have with a single platform that’s proven to automate cleaner claims, prevent denials, and speed reimbursement — all in 1 place. With an average first-pass clean claims rate of 98.5+%, Waystar’s Claim Manager uses AI + RPA to predict the best times to status and appeal claims; creates searchable e-versions of EOBs; automates Medicare workflows; and reconciles, splits, and posts 95+% of payer payments. Discover a better way forward.
Learn more about Waystar
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Simplify claims and expenses with Info-Tech! Scan receipts, approve on-the-go. Payroll integration ensures quick reimbursements.
Info-Tech’s claims processing software makes expense management simple. Submission and reimbursement can be done easily by employees through our app, while managers can review claims and supporting documents via web or mobile to streamline the approval process. Integration with payroll ensures that approved claims are automatically processed in the next pay cycle, reducing errors and saving time.
Learn more about Info-Tech HRMS
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Why Practice Better?
- Elevate your client experience
- Grow beyond 1-1
- Automate admin tasks
- Be part of a movement
An all-in-one practice management and EHR solution built to fuel the success of health & wellness professionals and their clients.
Trusted by thousands of practitioners across the globe, our platform simplifies how wellness professionals operate their businesses with a comprehensive set of features that manage booking, billing, telehealth, charting, client engagement, online programs/courses, and more.
Learn more about Practice Better
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Healthie is an all-in-one practice management platform and EHR designed for health and wellness providers and their clients.
Healthie is an all-in-one practice management platform and EHR designed for health and wellness providers and their clients. From scheduling, billing to patient engagement, Healthie provides you every tool you need to grow your practice.
Healthie is HIPAA, SOC-2, PIPEDA, GDPR, ONC-Certified, and PCI-Certified.
The platform offers integrations with various third-party applications such as Stripe, Fullscript, Zoom and more.
Sign up today for your 14-day free trial.
Learn more about Healthie
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Enterprise Risk Management (ERM) featuring claims, incidents, contracts, insurance, compliance, and assets with Analytics and Workflow.
Servicing corporations, government, & non-profits around the world with claim workflow automation, dashboard analytics, custom reports, notifications, reminders, document management, & claim portals. Tracks All Claim Types, Incidents, & Events. Featuring subrogation, litigation, costs, expenses, payments, and reserves. Supports multiple languages and currencies. Offered fully hosted or on-premise. Professional support & training.
Learn more about A1 Tracker
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Construction estimating solution that helps businesses calculate depreciation, manage projects, and access local pricing research.
Construction estimating solution that helps businesses calculate depreciation, manage projects, and access local pricing research.
Learn more about Xactimate
Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Intelligent Medical Software (IMS) by Meditab, is an award-winning, all-in-one EHR, practice management, and billing platform.
IMS caters to every step of the patient care delivery process, from patient engagement to telehealth, practice analytics, automated check-in, care coordination, reporting, and more. Its multi-specialty features, modules, and templates were built from the ground up to adapt to the exact needs of over 40 specialties.
Learn more about Intelligent Medical Software
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Anagram delivers eligibility, benefits, and claims for vision insurance patients, in-network and out-of-network, in one simple platform
Anagram is an all in one vision insurance software platform that helps healthcare providers and patients access in-network out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper.
Anagram allows eye care providers to navigate all vision plans in a single software tool delivering eligibility, benefits, and claims for vision plans so that you can focus on patient care instead of vision insurance administration.
Learn more about Anagram
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Effortlessly capture, store, audit, and submit Medicaid claims using GoClaim!
GoClaim™ by Go Solutions, an acclaimed product designed to simplify the Medicaid reimbursement process for special education and related services. This award-winning software provides real-time data on special education staff utilization, enabling school districts to make quicker and more informed decisions. The best part? It demands no internal IT investment from your school district, ensures secure data storage in compliance with HIPAA regulations, and offers round-the-clock support for your
Learn more about GoClaim
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
This fully-customizable online app allows storage & management of information about claims, patients, staff and claim processing stages
Preconfigured web-based database application that allows the storage and management of information about claims, patients, staff (e.g. claims processor, manager), claim processing stages and dispute areas.
The system is fully customizable: you can manage your data the way you want to and modify the application any time you need to reflect each and every detail important in your business.
TeamDesk provides unlimited records, unlimited storage, unlimited support, stable rates and free trial.
Learn more about TeamDesk
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
All-Payer Real-time Patient Insurance Verification Solution including Patient Transparency Estimator and Insurance Coverage Discovery.
pVerify provides a leading SaaS platform focused on Patient Healthcare Insurance Eligibility and Benefits Verification via API, SFTP Batch Processing, and Secure Cloud Portal access methods, including ancillary RCM tools like Patient Estimator and Insurance Discovery. pVerify’s Suite of Solutions streamlines front-end insurance eligibility and benefits verification and maximizes back-end Claims and Billing cycle, increasing efficiency and optimizing revenue.
Learn more about pVerify
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Software that saves time, resources, and hassle for providers by streamlining reimbursement, care quality, and staffing.
Inovalon is a leading provider of cloud-based SaaS solutions empowering data-driven healthcare. The Inovalon ONE® Platform combines national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved outcomes and economics across healthcare.
Inovalon software solutions are designed to save time, resources, and administrative hassle for providers by streamlining reimbursement, care quality, and staffing. We help strengthen revenue cycle management with automation that maximizes payer reimbursement and patient collection. Our applications enable advanced data analysis and streamlined documentation to boost care quality and enhance the patient experience, while also helping organizations manage their workforce with amazing staff scheduling. For more information, visit www.inovalon.com.
Learn more about Inovalon Provider Cloud
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Esker is a global cloud platform built to unlock strategic value for Finance, Procurement and Customer Service professionals.
Esker is a global cloud platform built to unlock strategic value for Finance, Procurement and Customer Service professionals, and strengthen collaboration between companies by automating the cash conversion cycle. Esker’s mission is to build a foundation that promotes positive-sum growth, increased productivity, improved employee engagement, and greater trust between organizations.
By developing AI-driven technologies and automating the source-to-pay and order-to-cash cycles, Esker frees up Finance, Procurement and Customer Service professionals from time-consuming tasks, helps them be more efficient, and enables them to develop new skills. At the same time, Esker improves relationships between customers and suppliers, while allowing them to maintain their ERP independence. Esker’s cloud platform integrates with existing ERP environments, giving businesses the flexibility to connect with any system without having to change the way they work.
Learn more about Esker
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Fully integrated HIPAA, ONC, compliant Practice Management software Scheduling, Portal, Insurance UB04 & 1500 & Patient billing.
Harmony Practice Management software delivers unparalleled power, flexibility, reliability, and ease-of-use while providing increases in efficiency with comprehensive EDI, workflow, reporting scheduling and complete revenue cycle management services. Harmony is the most user-friendly and easy to use. Specialties include Mental Health, Surgical, ASC, Dermatology, Oncology, Anesthesia, Pain Mgt., Orthopedics, Gastroenterology, Addiction practices, Primary Care & Hospitalists.
Learn more about HARMONY Medical
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
Collaborative software for facilities, maintenance and services. Urbest connects supervisors, people on the field and users with needs.
Urbest is a collaborative software between managers, service providers, and tenants that helps teams to organise communication, monitoring, management, and evaluation of maintenance and service tasks.
Urbest saves 30 to 90 minutes per day through easy access to information, task automation, and automatic reminders.
Urbest is :
- 200+ hours saved per year per person;
- 250,000 people served;
- 5.5 million m2.
Learn more about Urbest
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Features
- Case Management
- Payment Processing
- Claims Tracking
- Self Service Portal
- Compliance Management
- Workflow Management
- Reporting & Statistics
- Reminders
- Billing & Invoicing
- Electronic Claims
