Alternatives to PayerPrice
Compare PayerPrice alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to PayerPrice in 2026. Compare features, ratings, user reviews, pricing, and more from PayerPrice competitors and alternatives in order to make an informed decision for your business.
-
1
HexIQ
HexIQ
The HexIQ software provides fast and easy access to negotiated rate data and tools that help users search, download, and analyze complex healthcare reimbursement rates for any code, payer, provider (NPI), or tax identification number (TIN) of interest so they can leverage transparency in coverage requirements to inform business decisions and negotiations. It ingests hundreds of machine readable files (MRFs) from payers every month, cleans and enhances the data with provider names, addresses, and network relationships, and updates it regularly so users can benchmark their negotiated rates against peers in the same specialty and region without manual Excel manipulation. Advanced search features let users filter by code, specialty, state, place of service, payer, NPI, or TIN and download results in CSV format for further analysis, while built-in analytics and visualization tools show rate distributions, average and mode rates, and contracted provider networks to reveal market insights.Starting Price: $25 per month per code -
2
Turquoise Health
Turquoise Health
Turquoise Health delivers a comprehensive suite of solutions built around healthcare price-transparency and contracting workflows, offering modules such as Clear Rates Data (which aggregates over a trillion provider, payer, professional, drug, and device rate records covering institutional and professional services) and Clear Contracts (a centralized cloud application that supports contract creation, negotiation, and storage for payers and providers). It also includes Compliance+ to help organizations remain compliant with machine-readable file requirements and Good Faith Estimate rules, Analytics tools to benchmark and query market-level rate data, Custom Rates extracts tailored for specialty healthcare segments, Standard Service Packages (pre-built bundles of common procedures), Search and Care Search dashboards for rate discovery and comparison, and a Turquoise Verified program enabling providers and payers to publish and manage price transparency data. -
3
HRA
HRA
HRA® (Healthcare Research & Analytics) is a full-service healthcare market research agency that provides unique access to a pure, proprietary panel of physicians, payers, patients, caregivers, pharmacists, and other key stakeholders to support your brand strategy. More than 100,000 community-based healthcare professionals and key opinion leaders (KOLs), payers, pharmacists, patients, and caregivers who provide unique insight on issues that are critical to your success. Leveraging 75+ years of combined experience partnering with healthcare companies to deliver insights and guidance for pre-launch, launch, and post-launch success. Supporting your commercial needs through brand strategy development, execution and real-time assessment of stakeholder attitudes, behaviors, and insights. Offering strategic solutions for a breadth of healthcare clients, HRA® combines clinical and commercial expertise, powerful connections, and creative solutions to keep you ahead of the healthcare community. -
4
Medisolv ENCOR
Medisolv
Medisolv provides comprehensive quality management solutions for hospitals and clinicians. ENCOR, our award-winning software platform, is a complete quality solution. Medisolv is a healthcare quality data management company. Their all-in-one Quality management software provides tools that help healthcare organizations with core measure abstraction, electronic measure capture in the hospital and ambulatory settings, data aggregation from multiple sources and submission to various reporting entities including CMS, TJC, other payers, state entities and reporting organizations such as ACOs. Medisolv’s acclaimed quality management software, ENCOR, provides timely eCQM performance data to assist hospitals in improving their performance and easily submitting to regulatory programs. ENCOR, makes chart abstraction easier with daily updated data and pre-populated patient information. Our software is designed to assist hospitals in successfully meeting their reporting requirements. -
5
Stratasan
Stratasan
Stratasan’s Analytics Platform provides strategic planners and hospital executives with the most in-depth and up-to-date healthcare intelligence. Instead of using valuable time to comb through data, use your energy for strategy and planning decisions. By using this tool to facilitate high-level strategic discussions, everyone will be on the same page. Your team can make real-time decisions based on a universal understanding of intelligence. Build and share strategic presentations on market intelligence and strategic initiatives in minutes, not weeks. Compare reimbursement rates by payer and see rate trends across service lines. Enter negotiations confidently, champion acquisition targets with the highest potential of success, and accurately analyze the potential ROI of entering a new market. -
6
Agilum
Agilum
We enable the leap to value-based care by comparing treatments, drugs, processes, and costs to help hospitals, life science companies, and payers identify treatment plans that achieve the best patient outcomes. Our CRCA™ P&T platform empowers P&T committees to yield data-driven improvements in quality metrics, such as average length of stay (ALOS) and 30-day readmissions. Our unique POP-BUILDER Rx™ solution provides comparative analyses between selected cohorts and CRCA’s real-world data index of over 140MM longitudinal patient records. Our drug remittance dashboard analyzes and reports drug remittance data across payer types and for focused groups of high-cost drugs down to the NDC level. We help hospital finance departments quickly and easily monitor and improve service line costing and profitability, productivity, and revenue cycle performance via insightful analytics, reporting, and our Agilum Healthcare Intelligence team. -
7
MedInsight
Milliman MedInsight
Founded in 1998, Milliman MedInsight® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success. -
8
PatientIQ
PatientIQ
Founded in Chicago, Illinois, PatientIQ serves provider organizations, medical device & life sciences, and payers with its platform to learn their practice with data-driven medicine. The largest platform for healthcare professionals to collaborate and improve patient outcomes. Empower healthcare providers with industry-leading technology to practice data-driven medicine. In the U.S. healthcare market, all stakeholders are under increasing pressure to prove their value. A critical component to assessing "value" is an objective measure of patient outcomes. The challenge of measuring outcomes is expensive, nuanced, and ladened with technological barriers, but outcomes are the most valuable currency in value-based healthcare of the future. A transparent solution to systematically measure, analyze, and compare outcomes across stakeholders is the next big market opportunity in digital health. -
9
Talix
Talix
The Talix platform powers intelligent workflow applications that enable risk-bearing healthcare organizations to succeed in the age of value-based care. Our workflow solutions for payers and providers require intelligent underlying technologies to work in unison and at scale. We’ve engineered the Talix Platform to support the needs of thousands of end-users, anywhere in the world simultaneously. Moreover, our platform architecture enables multiple SaaS application solutions in order to harness the efficiencies derived from being able to process millions of patient charts and encounter data. The Talix Platform is comprised of several technology components, intricately linked, to power software applications at scale for healthcare payers and providers. These components form the building blocks of artificial intelligence (AI). -
10
Anomaly
Anomaly
Anomaly is an AI-powered payer management platform built for healthcare revenue teams to “know your payers as well as they know you.” It surfaces hidden payer behaviors by decoding complex rules and detecting payment patterns across hundreds of millions of healthcare encounters. The core engine, Smart Response, continuously analyzes payer logic, adapts to shifting policies, and embeds learnings directly into existing revenue cycle workflows to provide real-time denial prediction, assisted claims correction, and alerts to revenue risks. By integrating payer-specific insights into existing systems, users can anticipate revenue loss, negotiate payer contracts from a stronger position, and proactively correct or reverse denials before they impact cash flow. The system helps level the playing field between providers and payers by turning opaque billing logic into actionable intelligence and embedding it into day-to-day financial operations. -
11
LexisNexis MarketView
LexisNexis
LexisNexis® MarketView™ delivers medical claims-based intelligence to healthcare payers, providers, life sciences companies and health IT organizations across the United States. MarketView delivers actionable insights to remain competitive, allowing businesses to see valuable insights, and visualize ways to transform business. Whether you are a life sciences company, a health plan, a health system, or a health IT vendor, MarketView can help transform key business work streams including marketing, sales, strategic planning, physician relations and outreach, market research, network optimization, recruitment, pricing, contracting, clinical teams and more. Your business needs the most actionable insights to remain competitive. But it’s hard to diagnose the right areas of focus when the picture is unclear. MarketView delivers insights into areas including referral patterns, physician alignment strategies, the quality of clinically integrated networks, patient volumes, etc. -
12
Sift Healthcare
Sift Healthcare
Sift demystifies healthcare payments by integrating actionable intelligence into revenue cycle workflows to help healthcare organizations optimize payment outcomes and reduce the cost to collect. Sift equips healthcare providers with actionable denials intelligence that enables them to protect their receivables and accelerate cash flow. Sift captures insurance claim and patient financial data into a HIPAA-compliant, cloud-based and normalized database, providing a single source of truth for around your healthcare payments. Sift fills the gaps between a provider’s EHR, clearinghouse, workflow tools, and patient engagement platform. Sift unifies the data points from each system to build a unique and proprietary data set and provide holistic payments oversight. By applying multiple data science techniques, Sift provides comprehensive and integrated recommendations for denials management, payer assessment, patient collections and patient acquisition. -
13
Ember
MetiStream
Unite and free your unstructured health data Interactive AI and NLP solution delivering health insights to Providers. Payers. Life Sciences. Interactive AI and NLP solution to unlock health insights from unstructured clinical notes data for: Provider. Accelerate data abstraction from and clinical validation of information contained in clinical notes. Decrease time and reduce costs required to identify care gaps, review care quality dashboards, and generate registry reports. Payer. Integrate and analyze both claims data and clinical notes to more effectively manage high risk and high cost member cohorts. Life Sciences. Rapidly match patients to clinical trials–and vice versa–using clinical trial databases and data from clinical notes. Leverage the power of real world clinical data and evidence. Ember is an end-to-end solution at the intersection of NLP and predictive analytics. Streamline. Healthcare Analytics for Unstructured Data to Improve Quality, Efficiency, and Outcomes -
14
Press Ganey
Press Ganey
Meet and exceed consumer expectations for care—and achieve new levels of growth and loyalty. Press Ganey’s next-generation Consumer Experience technology will revolutionize patient acquisition, retention, and reputation management at your healthcare organization. Press Ganey announced the acquisition of SPH Analytics (SPH), the national leader in member experience measurement and engagement for the health insurance industry. Press Ganey will combine its industry-leading patient experience data with SPH’s rich member experience data to unite previously fragmented provider and payer insights to drive optimal healthcare outcomes. Your dedicated Press Ganey success team is on hand to guide and advise you every step of the way. Our continued investment in leading-edge technology and top talent puts our clients at the forefront of healthcare. -
15
MphRx Minerva
MphRx
Value driven care depends on real-time, accurate and reliable data. Leverage the Minerva Healthcare Data Platform to bring together clinical and claims data from disparate systems into a unified FHIR® repository. Natively based on FHIR® and vendor-neutral, Minerva aggregates data across your care delivery network – from multiple systems and formats to power your data exchange, accelerate data analytics and meet Cures Act regulations. Minerva brings ready-to-use data connectors to rapidly ingest data from disparate clinical and claims sources. Leverage available healthcare standards and custom data formats to bring in data in real-time or in batches. Integrate data from your clinical network and your payers to build a unified view of your patient’s data. -
16
Explore Dx
Change Healthcare
A scalable business intelligence tool that provides retrospective insight into pharmacy and healthcare organization business operations, sales, inventory, and more. Query multiple data sources from an intuitive, centralized, web-based tool. Perform large queries in minutes rather than hours with innovative technology. Perform back-end ETL (extract, transform, load) and front-end analytics simultaneously without disrupting either process. Grow with your business and computing needs through constant development and scalable processing power. Driving universal e-payment adoption among healthcare payers starts with strategy, expertise, and leading by example. Discover how dialysis centers and other renal care providers can ensure financial stability through revenue cycle optimization. Get the hard facts that drive such a strong business case for moving members to digital communications. -
17
MD Clarity
MD Clarity
Boost your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place. Spot patterns of underpayment by insurance companies. Ensure you are setting your chargemaster optimally. Assign investigations/appeals to staff and see task status, all in one place. Compare performance across payer contracts and renegotiate terms from a position of strength. Project out-of-pocket costs at a high level of accuracy, giving patients the confidence to make up-front deposits. Enable patients to make up-front deposits directly from their online estimate. Hold insurers accountable for the full amount they owe. Get the upper hand in contract negotiations. Reduce bad debt, cost-to-collect, & accounts receivable days. -
18
Lumiata
Lumiata
We’re ushering in a new era of groundbreaking predictive analytics beginning with healthcare data management, machine learning tools and applications custom-built for the healthcare industry. Designed with the business and delivery of healthcare data in mind, Lumiata’s superior cost and risk predictions consistently outperform legacy methods and are modernizing how risk and care are managed across the broader healthcare space. From underwriting to care management to pharmaceuticals, Lumiata has you covered. Our applications and data science tools enable a flexible and collaborative partnership with payers, providers, and digital healthcare companies. Welcome to the light at the end of your AI tunnel. Equip your data science teams with the ML productivity tools they need. It all starts with our proprietary data preparation and cleansing process in which raw data is autonomously ingested, cleansed, and organized into a consumable format ready for machine learning.Starting Price: $6,000 per month -
19
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. -
20
Kodiak Platform
Kodiak Platform
Kodiak Platform is a cloud-based healthcare finance and revenue-cycle solution designed to unify and elevate critical financial operations across hospitals, health systems, and physician practices. Built around their proprietary Revenue Cycle Analytics software, the platform aggregates over two decades of national payor and provider data to enable deep insights into net revenue trends, industry benchmarking, and risk accelerators, all aimed at generating a high return on investment. It integrates modules for charge capture, three-way cash reconciliation, uncompensated-care reimbursement, and payor market intelligence, enabling finance teams to automate key processes, gain visibility into unapplied payments, and benchmark payor performance at the payer level. With detailed dashboards, multi-step workflows, and continuous monitoring, users can standardize revenue-cycle tasks, reduce manual effort, and identify growth opportunities from one unified platform rather than siloed systems. -
21
fhirstation
Iron Bridge
Built on FHIR v4 with native FHIR data models and RESTful API. USCDI v1 is compliant and can store and service full USCDI v1 to patients and partners. Export electronic health information safely and securely for patient access. Plug your EHR, Payer System, or any HIT into fhirstation for instant Final Rule compliance. Fhirstation is a turn-key scalable, secure, multi-tenant Software as a Service (SaaS) solution for electronic health record (EHR) vendors, health plans, hospitals, providers, and any other entities that must provide patient data through the United States Core Data for Interoperability(USCDI) v1 FHIR v4 API and electronic health information export for the HHS final rule and CMS interoperability rule. Fhirstation breaks down information blocking by enabling information exchange between patients, health IT developers, health systems, EHR vendors, and payers. SMART on FHIR ready for patient access applications of the future. -
22
Gigasheet
Gigasheet
Gigasheet uses AI to turn healthcare price transparency data into actionable market intelligence. The platform processes Transparency in Coverage datasets at scale and benchmarks payer and provider rates to reveal outliers, savings opportunities, and competitive insights. Users can combine transparency data with their own claims, contract, or network information in a spreadsheet-style interface built for large datasets. Gigasheet’s AI agent generates reports, dashboards, and executive summaries that help teams compare pricing, evaluate networks, and make informed contracting decisions without complex setup or external tools. -
23
Innovaccer
Innovaccer
We help providers integrate disparate patient data to deliver actionable insights at the point of care, collaborate across care teams, and achieve better health outcomes. We help drive collaboration and connectivity among payers, providers, and members to manage risk, costs, compliance, and rising member expectations. We help biopharma and medtech companies build digital solutions at their intersection with healthcare and better leverage real-world data across the value chain. Unify patient data, generate comprehensive clinical and financial insights, and innovate faster. Move beyond silos to an open, secure platform that unifies healthcare data into a single, longitudinal patient record that enables whole-person care. Rapidly develop interoperable solutions and accelerate digital strategies through our developer tool suite and open APIs. Customizable analytics and advanced insights help enhance care quality, reduce costs, and improve clinical and financial outcomes for providers. -
24
Panalgo
Panalgo
Panalgo’s Instant Health Data platform is a comprehensive healthcare analytics software suite built to eliminate complex programming and speed real-world data analysis for life sciences, pharmaceutical, payer, provider, government, and academic teams. It ingests diverse health data sources, including claims, electronic health records, registry data, and other real-world datasets, and converts them into a unified, analysis-ready format with a healthcare-specific data model and an extensive library of algorithms, enabling scalable, transparent, and rapid analytics without traditional coding barriers. IHD supports point-and-click analytics, custom dashboards, statistical analysis, machine learning forecasting, automated documentation, and collaborative reporting so stakeholders can explore, interpret, and share insights efficiently. Integrated components such as Ella AI provide natural-language, generative-AI assistance to build cohorts, generate insights, and make decisions. -
25
Provider Credentialing
Visualutions
Our Provider Enrollment and Credentialing services enable practice providers to get and remain enrolled for the services they provide by ensuring that payers have the data they need to process claims for the services you provide. New Provider Enrollment. Establish relationships with new or missing payers to optimize revenue opportunities. Re-credentialing. Commercial payers and hospital applications. Annual Maintenance. CAQH Maintenance and Attestation, re-validations for Medicaid and Medicaid, Expirables: DEA, License, Malpractice, etc. Expert Credentialing Services For Healthcare Physicians Trying to manage and understand the required credentialing for your health center can be time-consuming, and take up valuable staff resources. As a full service revenue cycle management company we understand the impact provider credentialing can have on your cash flow. Our provider credentialing service includes options for new and existing providers. -
26
Health Intelligence Analytics
Analytics Partners
We make a difference with uncommon thinking. Providing the innovative products & resources that enable our clients to Do More With More, they are more informed, have more insights & are more successful. Reform and change within the healthcare market have forced payers to develop more consumer-focused business models – but a company’s legacy data warehouse environment isn’t always capable of supporting a move into this direction. Examine the case study of how one payer implemented our solution for tracking medical cost trends and providing pay-for-performance reporting. Going beyond their existing claims-processing capabilities, Health Intelligence Analytics (HIA) identified ways to save the company millions or your business. Simple10 HIA℠ Simple10℠ is all of your ICD-9 to ICD-10 tasks made simple. Simple10 eliminates conversion concerns through the pre-built crosswalk, customizable application and prebuilt analytics and dashboards. -
27
Valer
Valer
Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large-sized healthcare settings, specialties, and payers from one platform and portal. Valer is the all-specialty, all-payer technology solution designed around your needs, not ours. Unlike off-the-shelf products that limit specialties, service lines, and payer mix (that don’t even automate submissions), Valer is explicitly customized to fit your needs. Because Valer is so easy to use, the dashboard increases staff productivity, simplifies staff training, and measures staff and payer performance across all service lines to enable continuous improvement. Valer doesn’t just connect to some of your payers for some of what you need. We link to all payers for all specialties, service lines, and care settings with real-time payer rule updates. -
28
Aetion Evidence Platform
Aetion
Aetion Evidence Platform® delivers real-world evidence for life sciences companies, payers, and at-risk providers. We help you answer the high-stakes questions in health care: what works best, for whom, and when. Because better answers lead to better decisions. As a partner to the majority of the top 20 global biopharma firms, leading payers, and the FDA, Aetion informs the most critical decisions in the industry. Our transparent analyses guide product development, commercialization, and payment innovation into health care’s modern era. Aetion Evidence Platform moves the application of real-world evidence from descriptive analytics to causal conclusions. And it delivers answers within days and weeks—the rapid results needed to improve clinical and financial outcomes. Turn your best available information into insights you can use now. -
29
Healthgrades
Healthgrades
Improve clinical outcomes and complication rates with our team of experts and an intensive consultative approach. Improving patient outcomes has always been a priority for hospitals, clinical leaders, and their teams. Now, more than ever, there is a greater focus on quality by patients, employers, and payers. The industry’s increasing focus on quality requires that hospitals be both aware of and transparent with their quality outcomes, and Healthgrades has the tools to help hospitals drive continuous efforts to measure and improve quality outcomes. The Healthgrades Quality team works with hospitals across the quality spectrum to explain the “why” behind a hospital’s performance. Healthgrades helps hospitals teams understand where there are improvement opportunities and how to prioritize their improvement efforts. Our team reviews a comparative analysis with clients of their performance against top-performing hospitals, local and national competitors, etc. -
30
HealthNexus
PurpleLab
HealthNexus is trailblazing innovation across the healthcare continuum. We’ve made our platform medically fluent so no information is left off the table. Get ongoing results you can trust, faster and more economically. Benefit from our billions of intelligently structured and harmonized data points, enabling deeper and more precise real-world insights and outcomes across patients, providers, and payers. These include patient and provider social determinants of health (SDOH), Risk Adjustment factors (RAF), Hierarchical Condition categories (HCC), and quality scores. A variety of comprehensive reports are at your fingertips from predefined reports templates to highly customized complex, user-generated queries that speed access to insights across the entire healthcare ecosystem. Access to PurpleLab’s universe of medical terminology and crosswalk concept groups allows you to systematically govern and manage medical terminology reference data across your organization. -
31
Evidation Health
Evidation
We measure health outside of formal healthcare settings to better understand disease burden. Our comprehensive view of the patient unlocks business opportunities through new measures of disease and patient health. Develop a patient-centered understanding of disease impact on everyday function to activate physicians and payers, and to guide patient support. Create the algorithms that predict disease onset, progression/regression, or identify key intervention point. Generate support for the benefits of your products using real world digital data. A technology-enabled service for conducting real world research that incorporates novel, everyday behavior data to support clinical, medical affairs, and commercial teams, leveraging Evidation's virtual site, Achievement. Flexible study design, device integration strategies, and protocol management for centralized and streamlined study operations. We can sponsor or you can. -
32
Flexpa
Flexpa
Flexpa is a healthcare data interoperability tool that gives developers and organizations instant, patient-consented access to comprehensive health records from insurers, electronic health record (EHR) systems, and nationwide health exchanges through a unified API, replacing slow, manual record collection with real-time standardized data retrieval using FHIR (Fast Healthcare Interoperability Resources) standards and a 3-in-1 network that includes CMS-9115 payer APIs, ONC (g) (10) provider APIs, and TEFCA IAS nationwide exchange support. Flexpa handles the entire authentication and authorization process, including digital consent flows, SMART Health Links, IAL2 identity proofing, and conversion-optimized UX, so applications can onboard patients, collect compliant consent, and begin pulling data quickly without building custom integrations. Flexpa’s Records API extracts and enriches complete patient data, including claims history (EOBs, coverage details), clinical records, and etc.Starting Price: $65,000 per year -
33
SHP for Skilled Nursing
Strategic Healthcare Programs
A better way to improve your care and gain referrals. With Value-Based Purchasing (VBP) and the new PDPM model, it is now more important than ever to have access to actionable, real-time SNF performance data that helps to: Improve readmissions, quality of care and outcomes, Demonstrate value to referral partners and payers, Better manage high-risk residents and resource usage, Successfully navigate PDPM and VBP. SHP for Skilled Nursing is a web-based performance improvement program that enables you to proactively manage your readmissions, functional outcomes, staff resources, and helps you to improve your referral partnerships and payer relationships. Strategic Healthcare Programs improves quality and optimizes performance of home health agencies, hospices, skilled nursing facilities and hospitals by providing real-time actionable analytics, benchmarks and dashboards. -
34
Infosys HELIX
Infosys
Driving AI - first as a business strategy for payers, providers and PBMs with products and platforms which are built on AI and runs on cloud. A “healthcare digital platform” is the integration of applications and emerging technologies to provide a tailored healthcare solution that drives business outcomes—a significant modern and accelerated approach to disintermediate legacy core administration processing systems (CAPS). To better understand the role of digital platforms and emerging technologies in achieving business objectives, the impact of digital platforms on healthcare payer KPIs, and the relative attractiveness of healthcare platforms, Infosys, in partnership with HFS, reached out to 100 C-suite healthcare payer executives in US. -
35
Greenway Health
Greenway Health
Greenway's mission is to make a difference in healthcare by delivering high-quality solutions that serve our practices, their patients, and their communities. An all-in-one, interoperable healthcare software solution and client service experience that accommodates the needs of ambulatory care specialties. Our team of clinical, financial, and technology experts consistently delivers solutions to help our clients achieve success in the evolving healthcare landscape. We focus on emerging client needs, consistently delivering products and services based on direct client feedback to create enhanced provider experiences. Reliable and easy-to-use medical software for ambulatory practices. Our client-first model delivers a full suite of adaptable, data-based EHR, practice management, and revenue cycle solutions to help practices keep pace with industry changes. End-to-end EHR, practice management, and medical billing systems. -
36
symplr Payer
symplr
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing. -
37
Enter
Enter, Inc
Enter gets Providers (doctors, practices & hospitals) paid faster than anyone in history. Enter processes health insurance claims and pays in 24 hours while automatically communicating and collecting patient responsibility with a white label collection engine, complete with payment plans. Enter is 30x faster at getting claims paid and 45x faster at getting patients billed at the same cost as existing medical billers. - $150mm+ of claims processed in just 1 year of operations. - $100mm credit facility actively being deployed for providers. - Revenue Cycle Management Partner for United Healthcare Nevada. - Enter supports a wide variety of specialties including ASC, Orthopedics, Neurology, Dermatology, Emergency Rooms, Behavioral Health, Pain Management and more. - Enter works with all commercial and government health insurance carriers. - Enter integrates with all EMR / practice management systems. - No monthly fees. No integration fees. - Enter is venture backed -
38
CareJourney
Arcadia
CareJourney is a cloud-based healthcare analytics platform offering deeply comprehensive, clinically-relevant intelligence derived from one of the largest longitudinal claims datasets in the U.S., covering hundreds of millions of beneficiaries across Medicare, Medicaid, Medicare Advantage, and commercial populations and profiling more than 2 million providers. It empowers organizations to assess markets and patient cohorts to uncover opportunities for cost savings and better outcomes, build and grow high-performing networks, make smarter contracting decisions, identify referral patterns and leakage, and benchmark provider performance against peers. It also supports management of at-risk populations through segmentation models, helping organizations understand chronic condition prevalence, care utilization, and cost drivers. -
39
SKYGEN’s Provider Data Management (PDM) is an on-demand solution that helps healthcare payers strengthen provider network management and provider relationships. PDM also strengthens payers’ ability to effectively build provider networks, improves provider and member satisfaction, and lowers administrative costs. It’s a smart solution that helps payers and providers meet the needs of today’s technology-savvy healthcare constituents. Lower contract acquisition costs via fast, efficient, paperless provider recruitment and supplemental network rental. Lower credentialing costs and improved provider satisfaction through online credentialing. Eliminating expensive outreach by automating provider self-verification and ensuring accurate and verified provider data for online directories. SKYGEN powers dental and vision connectivity solutions that inspire clients to move confidently into the future by employing technology that creates unparalleled efficiencies.
-
40
MCH Strategic Data
MCH Strategic Data
From medical device sales to integrated delivery networks to transformative care trends, healthcare is an industry strewn with opportunities, risks, and challenges. It’s more important than ever for businesses selling to the healthcare market to have the right data intelligence and insight to stay competitive. MCH's updated, affordable healthcare data resources deliver just what you need for your next sales push, with the power to search far and wide, and in more detail than ever. With over 2 million contacts, our healthcare database is compiled from leading industry sources. So you can confidently explore corporate ownership, provider specialties and an expanded list of care centers, laboratories and other health organizations. Filter with precision by institution type, professions and specialties across more than 7,000 hospitals nationwide. Search by current number of beds, physicians, and other providers. -
41
MMIT
MMIT
MMIT (Managed Markets Insight & Technology) offers a comprehensive healthcare market access and analytics platform that centralizes high-value coverage, policy, restriction, payer, and real-world data to help life sciences and healthcare organizations understand and act on how therapies are covered, reimbursed, and accessed across the U.S. healthcare system. The MMIT Platform serves as a single point of entry where users can explore integrated solutions, including formulary, medical policy, and restriction intelligence, payer landscape and enrollment data, coverage search tools, API access, and analytics, organized by workflow and strategic priority to support commercialization, competitive analysis, and patient access strategy. It provides detailed insights into drug coverage status, restriction rules, payer behavior, and market segmentation, with features that help evaluate patient access barriers, inform field engagement, predict policy shifts, and integrate coverage data. -
42
XSOLIS CORTEX
XSOLIS
A new category of utilization management software, CORTEX provides a 360° approach to addressing the intricacies of utilization management and revenue cycle processes. Powered by real-time predictive analytics and machine learning engine, CORTEX ensures that the right cases are handled at the right time, by the right staff or by exception. CORTEX incorporates precision medicine upon a foundation of evidence-based medicine. Machine learning models operate in real-time to better assess your patient population. Our analytics have been deployed in hospitals and health plans across the nation. With clear inpatient cases, CORTEX does the heavy lifting by automating inpatient determinations on cases that meet your unique threshold. For difficult cases, CORTEX offers your staff the insight they need to make a strong determination. This approach offers incredible value to payers and providers alike. -
43
Camber
Camber
We're on a mission to make behavioral health more available and accessible. At Camber, we build software for behavioral health clinicians to improve the quality of care. We streamline and replace manual efforts so clinicians can focus on what they do best. Camber is a software platform designed to streamline administrative tasks for behavioral health clinicians, enabling them to focus on providing high-quality care. It automates daily claim validations and submissions, incorporating pre-submission error detection and payer-specific claim formatting to enhance accuracy and efficiency. By leveraging AI-driven workflows, Camber has achieved first-pass collection rates of approximately 93%, significantly improving financial outcomes for healthcare providers. The system also offers data-driven insights, assisting clinics in identifying optimal locations for expansion and facilitating payor contract negotiations. -
44
Dynafios 4CAST
Dynafios
With Dynafios 4CAST healthcare analytics, organizations receive valuable real-time provider and program effectiveness, presented in a powerful visual and interactive format. Users can immediately identify variations, trends, behaviors and other performance metrics against best practices and benchmarking indicators for a complete 360° view. Although healthcare organizations are no stranger to collecting data, the majority of these organization haven’t begun to create actionable information from data analytics. The volume of data generated from ASC’s to large Tertiary Hospitals can be so overwhelming that most organizations only see a small percentage of the real value to make critical decisions. Managing and harnessing the analytical power of these large data sets is pivotal to the future success of each of these organizations. To that end, Dynafios has the answer! In healthcare, there are three major types of data, clinical, financial and operational performance. -
45
Avicenna Pathlab
Alhazen Technologies
We have developed a cloud-based software that does not only focus on the IT functions of a healthcare institutions, but delivers an end-to-end, holistic solution that empowers all stakeholders. It eases every day operations of all healthcare institutions, giving enhanced administrative control and helps ensure superior care delivery with increased patient satisfaction. State of the art, fully integrated, hospital information management system to optimise patient care. A cloud based, powerful and easy to use Path-Lab Management System integrated with latest technology tools. A system designed to meet end-to-end operational requirements to provide comprehensive pharmacy services. A system designed to increase your profitability and empowers you by giving complete control over clinic operations. Choose to be a part of Practo’s network and increase your revenue and patient experience by minimizing your cost. -
46
Quantros
Quantros
Quality and cost matter. With value-based care arrangements increasing, hospitals, physicians, employers and plans need accurate, illuminating analytics. Quantros’ unmatched insights allow stakeholders on the giving and receiving end of care the ability to make data-driven decisions. Quantros’ analytics software helps healthcare providers understand, predict, and improve performance. And provides purchasers of healthcare a clear picture of how reliably hospitals and physicians are delivering the best outcomes and appropriate care across the continuum. -
47
MantraComply
MantraComply
MantraComply is a provider credentialing and enrolment platform. We deliver comprehensive services in provider credentialing, payer enrollment solutions, license verification, hospital privileging, and healthcare compliance management. Trusted by thousands of providers, health plans, payers, group practices, and digital health companies, MantraComply ensures faster provider onboarding, reduced denials, and improved regulatory compliance. Our model integrates AI-driven insights, customizable credentialing workflows, and 24/7 expert support, enabling providers and organizations to stay compliant while focusing on patient care. MantraComply is proudly backed by $15M in funding from Impanix Capital. -
48
Truven
Merative
Truven, a part of Merative, offers a comprehensive suite of healthcare analytics and member engagement solutions aimed at enhancing health and financial outcomes. Their offerings include information services, analytic tools, benchmarks, research, and consulting services tailored for various healthcare organizations. With over 40 years of experience, Truven is trusted by leading health plans, employers, benefits advisors, government agencies, providers, pharmaceuticals, biotech, and medical device companies. Their solutions are designed to support patient safety, streamline workflows, and provide actionable insights to improve healthcare delivery and management. -
49
MedeAnalytics
MedeAnalytics
The MedeAnalytics platform is built on a foundation of advanced analytics innovation. With powerful data orchestration, intuitive visualization, predictive analytics, benchmarking, and guided analysis, our intelligent, cloud-based platform empowers you with the insights you need to transform healthcare. Its platform-as-a-service (PaaS) capabilities enable you to build your own applications. And our healthcare-ready, scalable solutions deliver the actionable insights you need to drive excellence in every corner of healthcare. To solve today’s pressing healthcare challenges, you have to first experience them from the front lines. MedeAnalytics is led by a team experts with extensive healthcare experience from renowned organizations such as Huron Consulting, Accenture, Trizetto, and PricewaterhouseCoopers. -
50
TikaMarketAccess
TikaMobile
TikaMarketAccess provides Market Access teams with the ability to: -Manage contracts and pricing -Handle clinical requests and accepted response dates -Analyze a comprehensive overview of competitor activity -Gain insight into formulary plan coverage for different therapeutic groups -Drill into specific plan details, including number of lives by plan or by state; and push real-time alerts to sales reps for formulary wins by location and physician Tika’s powerful app leverages data and information to establish the best practices in value-based contracting, ensuring success from contract initiation to execution and evaluation. The solution also enables teams to uncover optimal payment and delivery approaches, balance value, accessibility and affordability for patients, ultimately upholding the goal of a patient-centric approach to healthcare.
