Alternatives to Payapps
Compare Payapps alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Payapps in 2026. Compare features, ratings, user reviews, pricing, and more from Payapps competitors and alternatives in order to make an informed decision for your business.
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1
Cloud Claims
APP Tech
Improve claim outcomes with streamlined First Notice of Loss (FNOL), claim processing and flexible reporting. INCIDENT BASED CLAIMS MANAGEMENT Effective claims management is about more than simply managing claims outcomes. It is about having an automated process that ensures efficiency and accuracy across the organization, getting timely notice of losses, and taking swift action are keys to success. The incident-based approach of Cloud Claims covers all accidents and losses, delivering a complete picture of loss to executives and claims managers. Cloud Claims by APP Tech is an integrated solution that is highly configurable, with actionable reports to guide decision-making and a friendly UI so you can get work done faster and more confidently. Cloud Claims runs in the cloud, so there’s minimal IT burden and no installation required — just simple configuration, effortless system upgrades, best-in-class security, and the ability to scale quickly.Starting Price: $2,500 per month -
2
TradeOff
Blue Shuck Consulting Ltd
TradeOff is cloud-based software for takeoff, estimating, and progress billing that streamlines workflows from blueprint analysis to client payment. The platform enables users to upload PDF drawings directly into their browser, where scale calibration, trace, and count tools simplify quantity aggregation. An AI assistant enhances this process by extracting quantities, detecting scales, and suggesting rates. The estimating matrix provides a spreadsheet-style grid for pricing, while progress billing features support schedule-of-values billing, retainage tracking, and tax compliance like CIS deductions and VAT reverse charges. Payment processing is supported through Stripe and BACS, complemented by team collaboration roles and one-click PDF exports for branded estimates and payment applications.Starting Price: Free -
3
Paradigm
Paradigm
Paradigm Senior Services offers a full-service, AI-powered revenue cycle management platform specifically tailored to home-care agencies that bill third-party payers such as the U.S. Department of Veterans Affairs (VA), Medicaid, and other managed-care payers. It automates and streamlines every step of the billing and claims process: from eligibility/authorization verification, state- or payer-specific enrollment and credentialing, to submission of clean claims, denial handling, and payment reconciliation. It integrates with common agency management software and electronic visit verification tools to scrub shifts, verify authorizations weekly, and reconcile payments, reducing denials and minimizing administrative burden. Paradigm also supports “back-office as a service” for providers; even if they already have internal billing staff or scheduling software, Paradigm can take over claims processing as a specialized, expert billing department. -
4
MyClaimStatus
Medical Payment Exchange
If your staff is wasting precious time and resources by manually statusing claims on web portals and sitting on the phone with payors you need myClaimStatus. Get real-time, actionable claim status information on all of your claims and eliminate the waste. myClaimStatus’s suite of data tools helps you reconcile claims faster. It doesn’t matter how big or small you are. Save more with every claim when you use myClaimStatus. Are you working efficiently? MedX medical claim services use robotic process automation to maximize your workflow efficiency. Easily reconcile reimbursement rates with your contracted amount ensuring you’re receiving what you should. Drill down with real-time data for every healthcare claim from every payor, no matter the dollar amount. This is not your standard healthcare claims processing software. Optimize AR follow-up activities to work by exception and get more done in less time. -
5
Axxess Home Health
Axxess
Increase your organization’s cash flow by processing claims from Medicare, Medicaid and all other commercial payers. Automated processing of all payer claims in real time from anywhere at anytime ensures your claims get processed and get paid faster. Automatically submit and track your claims from anywhere at any time with real-time claims status updates. You are assigned a dedicated account manager that is a certified health care claims manager. You even have their mobile phone number. Diversify your revenue sources and improve your cash flow with our automated, anytime, anywhere claims processing with complete visibility to all your electronic funds transfers (EFT) and payment projections. Process, track and fix claims in real-time to capture all your revenue while eliminating costly time-consuming processes. Automate Medicare eligibility verification and claims processing. -
6
NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
7
E-COMB
KBTS Technologies
EDI Compatible Medical Billing (E-COMB) is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute (ANSI). The application is designed to generate, submit and reconcile the claims to the insurance carriers, guarantors and/or patients. This is one of the most important tools for doctors in realizing their revenue by reducing the turnaround time in the claims reimbursement. All the information related to environment of the Doctor’s Office/Hospital is grouped together as Master Data. This information is frequently used for claims processing and is less likely to change quite often. Master Data contains details of the Procedures, Diagnoses, Doctors, Payers, and Billing Providers etc. This data is created as part of the initial set up and can be updated easily at any time. -
8
Clean Claims
Clean Claims
Clean Claims is a field documentation and remote monitoring software designed to streamline restoration processes and ensure 100% accuracy in job documentation. By eliminating human error, it saves businesses time and money. It offers remote sensors that provide live data 24/7, eliminating the need for on-site visits to check temperature and moisture readings. Its process enforcement feature guides technicians through step-by-step documentation, preventing tasks from occurring out of order and ensuring compliance. Field service management is centralized, allowing for easy tracking of all projects and their stages. Insurance adjusters trust Clean Claims, leading to quicker claim approvals. The user-friendly interface enables technicians to learn the software in less than a week, reducing training time. Every action on a job is timestamped and attributed to a specific user, enhancing accountability. Comprehensive documentation provides instant proof to expedite payments.Starting Price: $0.80 per month -
9
Alaffia
Alaffia Health
Alaffia’s AI-powered system uncovers fraud, waste, and abuse in the most intricate healthcare claims to prevent and recover overpayments for payers and employers. Alaffia detects and corrects errors in misbilled claims before an improper payment is made. Alaffia empowers you to recover and save on overpayments previously made on misbilled claims. Overpayments on error-filled claims could be costing you hundreds of dollars per employee each year. Work with Alaffia to eliminate overpayments and drive more savings to the bottom line. The Alaffia system detects and corrects inaccurately billed claims, preventing overpayments. We work directly with your health plan or TPA for seamless integration and no disruption to your members. Our services are entirely contingency-based, so you only pay when we deliver savings. We ensure that providers aren’t charging your employees for services not rendered. -
10
Claim Agent
EMCsoft
EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user. -
11
TrackLeave
Recordables
FMLA tracking software from Recordables provides everything necessary for strategic leave tracking across an organization. TrackLeave is available as a stand-alone leave tracking program or as part of Recordables comprehensive RMIS software solution. Business and claims managers benefit from comprehensive FMLA leave tracking software for recording, tracking, and reporting. TrackLeave provides tracking for all types of leave claims, including FMLA, medical leave and disability leave. Use Recordables FMLA tracking software to improve your FMLA leave tracking and disability leave tracking. TrackLeave is specifically designed to make it easier to organize and efficiently complete and track leave claims. Track ADA related issues for compliance purposes, and gain insight into claims using powerful reporting analytics. These powerful leave tracking software tools are available as a stand-alone tool, or can be integrated with workers compensation claims tracking, or other HR claims systems. -
12
BHRev
BHRev
BHRev is a specialized revenue cycle management service and automation platform built for behavioral health providers that helps practices streamline and optimize their entire financial workflow from claims submission to payment collection with AI-powered automation, expert oversight, and industry-specific expertise. It focuses on the unique challenges behavioral health organizations face, including complex payer rules, documentation requirements, high denial rates, and evolving compliance standards, by automating up to 80% of RCM tasks while human experts handle exceptions, compliance checks, and more nuanced billing functions to ensure faster reimbursement and fewer administrative errors. It combines advanced automation with human review to handle critical steps such as insurance eligibility verification, claims processing and scrubbing, denial management and follow-up, and patient payment posting so clinics can reduce operational burden and increase cash flow. -
13
ppoONE Connect
ppoONE
This application automates the repricing of claims in a Web environment. WebCR verifies provider participation and patient coverage, validates dates of service, and identifies possible duplicate claims. It is supported by a data management team and system, WebDM, that works to ensure accuracy and currency of data. This application automates the repricing of claims in a client/server environment. WebCRX verifies provider participation and patient coverage, validates dates of service, and identifies possible duplicate claims.Starting Price: $1000.00/month -
14
MediConCen
MediConCen
The ultimate insurance claim automation solution powered by patented blockchain technology. Claims are the moment of truth for all insurance, and with our solutions, everything has been craftily designed to automate insurance claims for insured and insurers with unbeatable accuracy and speed, from claim estimation before a claim occurs, to making the right claim decision and settling the payments. MediConCen is a leading insurance technology that automates insurance claims and makes insurance usable for insurance companies, medical networks, and clinics using Hyperledger Fabric blockchain. We empower claim assessors with powerful AI models and expert knowledge decision rule engines so that fraud and abuse can be spotted instantly and clean cases can be approved right away for consistently perfect claim cost management and unbeatable efficiency. Be in the know with powerful claim analytics that simply work for underwriting and product development. -
15
Arrow
Arrow
Arrow is a healthcare revenue cycle management platform that modernizes and streamlines healthcare payments by automating billing, claim operations, and predictive analytics to help providers and payers reduce administrative burden, minimize denials, and accelerate collections. It brings workflows, data, and AI together so teams can detect errors in claims before submission, manage denials with root-cause analysis and one-click fixes, and get detailed real-time claim status updates directly from payers. It simplifies the ingestion of Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) data into a centralized, user-friendly format, provides revenue intelligence with actionable insights into the revenue cycle, and monitors payment integrity to highlight underpayments or overpayments according to payer contracts. -
16
CoverSelf
CoverSelf
CoverSelf’s healthcare-specific, next-gen, cloud-native, and customizable claims accuracy platform is built from the ground up using modern software development techniques. It empowers users' long-term success by smoothly adapting to ever-evolving, dynamic claims, and payment inaccuracies, reducing complexities and administrative costs. This platform provides open access to all partners working to address claims inaccuracies, administrative waste & inefficiency, enabling them to build, customize, innovate & release at a faster pace. CoverSelf’s payment integrity platform engages modern technologies to address payment leakage & inaccuracies while remaining transparent & accessible to payers. Helps create new scenarios & data mining algorithms, innovating products, and expediting customization through this purpose-built platform, and increases speed to innovation. Claims are corrected and processed automatically, ensuring that there’s no additional human intervention or effort required. -
17
INDUS.AI
INDUS.AI
Instill a Culture of Safety. Automate Observations and Reduce Safety Risks. Transparency and Visibility the INDUS.AI Way Make faster and more informed data-driven decisions, stay on top of your project, and keep all stakeholders informed while reducing surprises, delays, cost overruns, and claims. Improve Efficiency, Transparency, and Safety At Your Job Sites Construction safety reports for General Contractors Solutions for General Contractors. Make data-driven decisions with actionable insights. Protect your margins and improve profitability. Decrease time on claim disputes and subcontractor coordination. Attract and retain talent. Solutions for Developers. Gain real-time visibility and transparency. Proactively identify and mitigate project risks. Track jobsite health to minimize schedule surprises. Improve safety and compliance to reduce liability issues. NDUS.AI is the only AI construction platform that collects and analyzes site data -
18
Claims Manager
JDi Data
Claims Manager is a comprehensive, integrated RIMS system built to streamline your process from FNOL to settlement. A unique, configurable business rules engine automates workflow, reduces manual and duplicate work, saves time, and improves outcomes for all stakeholders. Claims Manager’s integrated solutions streamline workflow by helping you administer, adjust, and report your property and casualty claims. Claims Manager is a versatile, and simple to use Risk Management Information System that offers tomorrow’s solutions, today. Its intuitive interface seamlessly integrates with an automated workflow that is accessible anytime, anywhere, from any device. Letting you easily capture, benchmark, administer, and report claims for all lines of property and casualty insurance. -
19
Quadient Correspondence
Quadient
Quadient® Correspondence, manage claims correspondence, in the cloud. Quadient® Correspondence is a subscription-based SaaS solution that enables insurers to create, approve and deliver regulatory compliant, accurate and personalized claims correspondence to customers across print and digital channels, with no reliance upon IT. Quadient Correspondence was designed and priced for insurers who want to further their transformation to digital, but don’t have the resources to invest in an end-to-end customer communications management (CCM) solution. Business analysts create and update templates. Claims managers and compliance experts edit & approve templates for use. Business users write correspondence using a controlled editing experience. Designated personnel review and approve correspondence for delivery. Instant delivery via email, PDF and SMS. Business users start by selecting the appropriate claims correspondence template and customizing the content within pre-defined editable fields. -
20
BuilderSYS
SEnterpriSYS Limited
Sets the industry standard in plan viewing and advanced takeoff software. Our Takeoff allows construction estimators & project managers to view and takeoff PDF plans & CAD output files, calculate materials, count objects, measure straight lengths, as well as calculate simple or complex areas and volumes with amazing speed and accuracy. Can prepare detailed, bill of materials/abstract estimate, including material and labor estimates of residential and low rise commercial buildings. You can also prepare tenders, variations, cost abstract, labor/contractor's bill, generate and approve selected purchase orders. Has features such as job details, remarks, job progress, customer details, contract documents, management, document library, share documents, mail merged standard letters, progress claims updating and job cash book entries. -
21
SSI Claims Director
SSI Group
Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts. -
22
mDOC
Mack Software
Using our claim listing page you can quickly resolve errors and omissions prior to submitting your claims. After all information has been posted, diagnosis and modifier codes applied, you can submit a group of claims to Trizetto Provider Solutions® in one quick step to upload the claims. Trizetto Provider Solutions® will in turn perform additional claim scrubbing and then send your claims on to the payers. Post payments from insurance companies against claims indicating allowed amounts, adjustments and copay, coinsurance and deductible. Payments are entered in batches to ensure accuracy. Statements are prepared at your desired frequency - daily, weekly, monthly. These statements are presented in a simple, clear format that is easy for patients to read and understand. No more confusion!! A credit card authorization area is included on the statement for convenient payment of balances due. -
23
eClaimStatus
eClaimStatus
eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges. -
24
Inovalon Claims Management Pro
Inovalon
Keep revenue flowing with a powerful tool that speeds up reimbursements with eligibility checks, claims status tracking, audits and appeals, and remittance management for government and commercial claims, all in a single system. Leverage an advanced rules engine that immediately scrubs claims against the most up-to-date CMS and commercial payer rules, allowing you to correct errors before claims go out the door. Verify eligibility across all payers during claim upload and see flagged errors so claims can be edited before submission. Decrease days in A/R with automated workflows for audit responses, appeal submissions, and ADR tracking. Customize staff workflow assignments based on the type of claim and action needed. Automate secondary claims submissions to stop timely filing write-offs. Increase claims revenue with automated workflows for faster, more successful audits and appeals. -
25
TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
26
Webexpenses
Webexpenses
Automated employee expense tracking and reconciliation, invoice processing, and more with Webexpenses highly-rated business software solutions. Snap a receipt to build claims in seconds with Google-Vision-powered OCR. Financial teams can manage expenses and increase visibility with drag-and-drop reporting. Works seamlessly between expense app or desktop. Plus, the Webexpenses system can integrate with your existing ERP for seamless data exchange. Streamline your P2P process with Webexpenses automated AP software. It can be used as a stand-alone or with expenses to manage both employee and operational business spending - without manual data entry. Remotely manage your POs and invoices to accelerate approvals and greater gain control over cash flow from anywhere. Manage your business payments and reconciliations online with our Payments module. Reimbursing employee expenses is simple, quick, and easy - for happier employees. -
27
Assurance Reimbursement Management
Change Healthcare
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims. -
28
CureAR
TechMatter
CureAR is an AI-powered medical billing and revenue cycle management software designed for in-house billers, billing companies managed-service providers and DME companies. The software consolidates eligibility verification, charge capture, AI-assisted coding suggestions, claim scrubbing, electronic claim submission, ERA ingestion, and automated payment posting into a single cloud-hosted system. It is configurable for specialty billing rules and supports multi-tenant operations for practices that handle multiple client accounts. Key Features: AI-assisted coding and claim scrubbing: Machine learning highlights likely coding errors and applies payer-specific validation rules before submission. Real-time claim status and alerts: Tracks claims from submission to adjudication and surfaces exceptions for prioritized follow-up. ERA ingestion and automated posting: Electronic remittance advice handling with configurable reconciliation workflows reduces manual posting effort.Starting Price: $129/month/user -
29
ImagineBilling
ImagineSoftware
The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 75,000 physicians across the country. Globalized data eliminates the need for duplicate entry. Visit-driven to allow for large volume and complex information. Flexible data structure accommodates requirements across multiple practices and specialties. Helping you get paid faster. Post payment manually or through electronic remittance. Automatically scrub claims for errors and missing information. Automatically refile insurance claims based on selected criteria. Fast review to evaluate and approve charges. Audit charges by modality, procedure, insurance, user, doctor or date of service. Intuitive reports for tracking the financial health of your front-end and back-end billing. Never lose another charge again. Integrates with your preferred clearinghouse or statement vendor. -
30
OptiPayRCM
OptiPayRCM
OptiPayRCM’s platform delivers seamless, “last-mile” revenue cycle management automation by integrating with EHRs, clearing houses, payer portals, and other systems via flexible adapters so your billing workflows can be processed end-to-end. Its unified core engine handles eligibility checks, claim submissions, payment postings, denial management, and full accounts receivable workflows using AI and robotic process automation to reduce manual effort and accelerate cash flow. Real-time dashboards and reports provide visibility into key metrics and enable predictive insights, while customizable automation supports exceptions and unique workflows. It reduces first-pass denials by up to 63%, speeds claim status checks up to 50 times faster than human processing, and reduces payment cycle time by up to 35%. It is compatible with more than 200 healthcare systems and supports direct integrations via EHRs, FHIR, EDI, and HL7. -
31
ediLive!
Texas Medical Systems
ediLive! claims processing software works with any NSF, ANSI, or print file claim image, allowing the HIPAA complaint transmittal of any practice management software's claim file. Additionally, ediLive! customers benefit from real-time connectivity and claim collections workflow management. ediLive! attaches all claim status messaging from payers directly back to the claim for easy follow-up and correction, taking all incomplete claims and compiling them into a single on-screen worksheet for fast corrections and resubmittal. If you use ediLive!, we have a wonderful product call claims scrubber that can help you to get your claims paid – not only faster, but better! Call our office to schedule a free on-line demonstration. We can scrub the first 100 claims for you as a free trial. Every coding error you make costs your practice money. -
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Expense On Demand
Expense On Demand
Our charges are often less than half those of our competitors. We have no setup charge and no long-term contracts. And by preventing fraudulent claims ExpenseOnDemand virtually pays for itself! ExpenseOnDemand is loaded with smart features and functions to save time and money. You can add or remove functions at any time - you only pay for what you use. With our Universal Importer you can import data from your existing systems in minutes. Use automated workflows and smart functions to process claims quickly and accurately. Keep your workforce happy with timely reimbursements while ensuring both statutory and corporate compliance. Allowances and spend limits can be applied to each expense category. As a claim is entered, employees are guided by these policies reducing errors and overspend. As claims are entered, potential duplicates are identified by automatically searching for common entries such as date, amount and supplier. -
33
Refunzo
Refunzo
Refunzo is the ultimate solution for Amazon sellers looking to recover funds from Amazon's FBA process. By connecting your Amazon account to Refunzo, the tool performs a comprehensive check based on over 20 criteria to reconcile your account, identifying discrepancies such as lost inventory, damaged goods, missing returns, incorrect FBA fees, and more. After the check is complete, Refunzo provides a detailed report estimating the amount Amazon owes you. What makes Refunzo stand out is its full-service approach. The tool doesn't just identify discrepancies; it also logs support cases, substantiates claims, and ensures that your reimbursements are followed up on diligently. This means you don’t have to manually chase Amazon for reimbursements or navigate through complicated processes. Once the claims are approved, refunds are credited directly to your bank account, providing a hassle-free experience. -
34
ClaimSpark
ClaimSpark
ClaimSpark is an AI-powered platform designed to help roofing contractors create insurance-ready estimates quickly and accurately. The tool converts roof reports, photos, and insurance documents into professional claim estimates within minutes. By analyzing uploaded documents, ClaimSpark identifies missing line items, outdated pricing codes, and underbilled work. This helps contractors capture the full value of their roofing projects without relying on expensive supplement consultants. The platform automatically links line items to supporting evidence such as photos and measurement reports. Contractors can also add additional findings using plain language, which the system converts into proper insurance pricing codes. ClaimSpark helps roofers increase claim approvals and maximize revenue while simplifying the insurance estimate process.Starting Price: $200/job -
35
Artsyl ClaimAction
Artsyl Technologies
Processing high volumes of medical claims through intelligent automation helps businesses deliver higher levels of efficiency that does more than reduce costs. For organizations that rely on manual processes, managing medical claims documents and data is labor-intensive and error-prone, injecting unnecessary risk into the process. With ClaimAction medical claims processing software from Artsyl, your organization can improve margins, minimize touch points and eliminate processing bottlenecks. Capture medical claims data without the need for custom software coding. Route claims data and documents automatically to the right claim examiner, based on your business rules. Configure complex benefits and reimbursement rules to streamline processing and reduce payment delays. Respond quickly to changing government regulations and support data, document and process compliance. -
36
AveaOffice
Avea Solutions
Designed specifically to mirror the typical patient journey from pre-admission to post-discharge, yet flexible enough to adjust to your unique processes, every staff member is guided to push workflows forward effortlessly and capture the information needed to ensure clean claims and maximum reimbursements. From patient intake and benefit verification, across every Utilization Review, marking attendance and getting claims out the door, working denials and collecting payment, we’ve got you covered. It has never been more critical to work smarter and not harder in the industry. We’ve raised the bar when it comes to liberating your teams from the burden of manual processes and workarounds with our automation and powerful claim rules engines. Managing your revenue cycle is like watching dominoes fall in a harmonious pattern. Continuous industry changes, new payer rules, declining reimbursements, tighter margins. -
37
CLAIMSplus
Addiox Technologies
Expedited claims. Multiple interfaces sync with your corporate brand. Digitized data environment that can be accessed from anywhere, at any time. Health and Life processing via faster systems that aligns with your processing needs. Speeding up the claims life cycle to match the influx of your claims—while reconciling and resolving the more complicated claims at record velocity. It’s in. It’s out. No interruptions or claims processing delays. CLAIMSplus moves claims faster, working with employers, TPAs and insurers with robust in-the-cloud processing platforms. CLAIMSplusis in the business of optimizing processes and expediting medical claims through secure, reliable and efficient electronic claims management. More to the point, our technology—first and foremost—manages claims quickly and efficiently. We’ve asked our clients, and the timescale of the claim is the most important element for claims processing. -
38
PrognoCIS Practice Management
Bizmatics
Seamlessly integrating with, our cloud-based Practice Management solution allows for quick and easy billing management, which enables your practice to quickly identify and confirm patient insurance benefit eligibility level and copay. Work with many different clearinghouses. Efficiently manage your accounting books. Easily reconcile patient accounting and insurance billing. Quick and easy online patient payments and EOB/ERA processing. Our healthcare practice management system has a very robust tasking system. You can quickly find and assign claims to work on using a filter-based search function. You can filter and search outstanding claims by around 100 different parameters, including patient vs. insurance responsibility, primary/secondary/tertiary payer or payer grouping, provider, date of service, aging bucket, and denial reason. Filters can be saved and reused later.Starting Price: $250 per month -
39
NovoHealth Dental
NovoDynamics
Our platform automatically flags and prioritizes anomalous claims for review. NovoHealth Dental ensures exceptional claim quality and offers real-time analysis. Our platform provides accurate and consistent dental disease assessment. The future of dental claims processing is here. Our proven AI platform is in use within some of the country's largest dental payer organizations. We offer pilots to demonstrate the value of our solution. NovoHealth Dental saves time and money by making dental insurance claim review faster, easier and more efficient. It helps your analysts uncover anomalies that may indicate errors, omissions or potential fraud. We use AI to quickly verify and assess the quality of submitted claims and their attachments. The platform quickly, accurately, and consistently assesses dental diseases. Our AI fingerprints and analyzes every claim and attachment to detect high-confidence anomalies. -
40
Polsinelli PatentCAD
Polsinelli
Polsinelli PatentCAD is a patent-approved AI software tool for visually creating patent applications based on method or apparatus claims. PatentCAD processes the claims and composes sentences from the claims and application drafters visually arrange the claims into a written description. Our novel user interface can handle complex claims such as mutually exclusive embodiments, alternative conditions, and optional steps. This approach enables our application drafters to draft high-quality claims and then visually build the specification with full support of those claims. On average, PatentCAD users draft and input an average of 1.7 independent method claims and 18 dependent claims which are converted into specification content, other statutory claims, and other content with minimal input. PatentCAD also helps build a well-organized patent application by handling repetitive formal tasks and surfacing reusable content such as client-specific boilerplate and other common technical content. -
41
omni:us
omni:us
Seamless integration into existing claims systems. Automate processes and reduce costs. No longer is it a choice between saving costs and improving the customer experience. Better decisions with data-driven insights. Automate manual processes. Empower your claims personnel. Invest in your customers’ happiness. Seamlessly integrate incoming claims with your insurance core system. Tackle process inefficiencies with claim automation and watch your customer satisfaction skyrocket. Reduced manual claims incidence of low to moderate complexity by automating claims handling. Improved triaging and manual claims assignment increased case team effectiveness drastically. Decreased process time for remaining manual claims. Allowed a real-time claims settlement in significant amount of cases. Automated digital claims journey by applying FNOL-completeness check, coverage check, automated claims file creation. -
42
Curacel
Curacel
Curacel’s AI powered platform enables insurers track fraud and automate claims seamlessly. Collect your claims from your Providers in real-time and easily auto-vet the claims. Curacel Detection helps you detect and curb fraud, waste and abuse in the Claims Process. Collect claims from their providers and prevent fraud, waste and abuse in the claims process. We studied the Health Insurance industry to understand where the most value is lost by Insurers. This was identified to be the Claims Process. The Process is mostly manual and is fraught with a lot of fraud, waste and abuse. Our solution, driven by AI, helps to curb wastage and make the Insurer more efficient, thereby making them unlock hidden value. ravel insurance is peculiar in that it is built on on-demand policies that cover relatively short periods of time. Should a policy holder want to make a Claim, both the insurer and the insured want claim settlement to be as efficient and accurate as possible. -
43
ESO Billing
ESO
Automate your workflow and integrations, and put an end to the repetitive manual work associated with revenue cycle management. ESO Billing frees your team to focus on what they do best. In today’s reimbursement world, efficiency counts. ESO Billing was built to save you time at every possible point in the billing process. Even its interface has been freshly redesigned for the ultimate in speed and ease of use. Customize your workflow based on your business process, task-based workflow moves each claim through its stages with minimal touches. It even alerts you automatically when payments aren’t on time, for the ultimate peace of mind. Our payer-specific proprietary audit process ensures that each claim contains all critical billing information prior to claim submission. The result? The lowest clearinghouse and payer rejection rate in the industry. Pair billing with ESO Health Data Exchange (HDE) and ESO Payer Insights to tap into hospital-generated billing information with one click. -
44
procurence meercat
Procurence
Procurence Meercat seamlessly connects Procurement, Quality Management and Compliance / HSE departments. We help companies create transparency in their supplier base, decrease supply chain risk and streamline internal supplier management and communication processes to lower the overall cost of procurement. Our award-winning software is perfect for fast-growing manufacturing companies with multiple ERP systems and a growing product range, as well as project-based companies (renewables/wind/construction). Procurement-oriented functions. Supplier Management and Development. Supply Chain Compliance / Audits. Supplier Risk Management. Savings Management. Compensation Claims, contracts, etc. Commodity Management. Production Tool Mgt. Supplier Portal. Part Profiles, New Product Introduction & Target Costing. Quality-oriented functions. Non-Compliance Reports / 8D. Global Part Approval Process (PPAP/APQP). Total Quality Score.Starting Price: $500/month/business unit -
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Strata Sum Sure
CoreLogic
Strata Sum Sure is a digital tool developed by CoreLogic to assist strata managers in accurately estimating rebuild costs for multi-storey strata-titled properties in Australia. By inputting key property attributes, users can obtain rebuild cost estimates that reflect current construction costs. It utilizes validated data from national suppliers, incorporating regular updates and insights from builders and insurance assessors to ensure accuracy. Strata Sum Sure is designed to comply with various state-based legislations that require strata properties to be adequately insured, helping to minimize risks of under-insurance and over-insurance. It offers a streamlined process for generating rebuild cost estimates, providing peace of mind to owner corporations and multiple lot owners by ensuring financial risks are managed in the event of a large insurance claim. -
46
Aroris360
Aroris Health
Aroris360 is a healthcare-focused contract management platform designed to digitize, organize, and analyze payer contracts to improve revenue visibility and performance. It transforms paper-based agreements into a searchable digital library, enabling instant access to contract terms, side-by-side comparisons, and automated compliance alerts that streamline renewals and strengthen negotiation strategies. It centralizes payer contracts, fee schedules, and claims data into a single system, integrating directly with clearinghouse files to process real-time payment data and maintain a comprehensive claims history. It provides advanced analytics that break down payer mix, code utilization, and revenue patterns, allowing organizations to identify discrepancies between contracted rates and actual payments, uncover underpayments, and highlight opportunities for optimization. -
47
Shift Payment Integrity
Shift Technology
Shift’s Payment Integrity is an AI-powered solution for health plans designed to improve accuracy and reduce costs in the claims payment process. It works both pre-payment (before claims are paid) and post-payment, helping plan administrators catch issues early and recover overpayments. Key features include claims editing (with updated, dynamic rules), generative AI-assisted medical record review, anomaly & fraud/waste/abuse detection, and external data enrichment for deeper context. The system supports evolving policy and guideline changes, allowing automated policy analysis and edit logic workbench features so health plans can test concepts before deployment. It provides explainable flags/alerts (so reviewers understand why claims are flagged), tools to accelerate document review, highlighting relevant parts of records, data mining for emerging trends, and a unified case management UI for investigative workflows. -
48
Axora
Axora.AI
Axora AI is an intelligent, end-to-end claims engine that blends AI-powered automation with billing expertise - managing everything from eligibility to payment posting. But it’s more than automation. Axora AI prevents denials before they happen, adapts to payer rule changes, and prioritizes what matters - so you recover more revenue with less effort. 1. Manages your full claims cycle from start to finish 2. Flags denial risks before submission 3. Prioritizes actions that improve cash flow 4. Seamlessly fits into your EHR, payer, and finance systems 5. No migrations. No disruption. Just faster, cleaner paymentsStarting Price: $30/month -
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One Inc
One Inc
One Inc offers a single platform built for insurance to process premiums and claims payments. It’s the one solution you need to deliver a frictionless payment experience. Close claims faster and save money on processing checks by paying claims digitally through ClaimsPay®. Increase customer retention, lower operating costs, and reduce security and compliance risk by delivering digital claims payments through payees’ preferred payment channels and methods. Give policyholders the digital payment options they want without getting rid of your existing core systems and processes. Securely capture payment information without storing it on your network. Make reporting and reconciliation fast, easy, and painless. Put money back into your pocket by processing inbound and outbound payments digitally. Gone are the long days of processing paper checks, and manual reporting and reconciliation processes. -
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Loop Logics
Loop Logics
Loop Logics is an all-in-one construction management platform built for insurance builders, restoration businesses, commercial builders and trade contractors across Australia and New Zealand. Purpose-built for the ANZ market, Loop Logics replaces disconnected spreadsheets and job management apps with a single system covering the full job lifecycle — pre-construction quoting, project delivery, field operations, WHS compliance, and job costing — all connected in one platform. Key capabilities include templated estimating and tendering, drag-and-drop scheduling and dispatch, mobile site data capture, digital SWMS and compliance tracking, real-time job costing, progress claim billing, RFI management, and Xero integration. Loop Logics is purpose-built for insurance repair and restoration work, supporting high-volume claim management, insurer documentation and panel compliance requirements. ISO 27001 certified.
