Alternatives to Turquoise Health

Compare Turquoise Health alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Turquoise Health in 2026. Compare features, ratings, user reviews, pricing, and more from Turquoise Health competitors and alternatives in order to make an informed decision for your business.

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    Mend

    Mend

    Mend

    Mend is an enterprise-grade patient engagement and telehealth platform designed to help healthcare organizations profitably scale their practice and care for more patients. Founded in 2014, Mend is on a mission to revolutionize healthcare delivery so that every patient can receive extraordinary care. Mend makes it easy for healthcare providers to securely and efficiently communicate with their patients and colleagues, without concerns of violating HIPAA compliance or misplacing patient information. Mend provides integrated in-office and virtual care experiences for over 100 specialties with more than 5 million patients. Mend's comprehensive platform works hand-in-hand with all major EHR and PMS software to facilitate more than 400,000 telehealth visits per month, increase patient satisfaction by up to 23%, reduce no-show rates as low as 4%, radically improve staff productivity, and help providers drive more revenue through better patient attendance.
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    PayerPrice

    PayerPrice

    PayerPrice

    PayerPrice is a healthcare data analytics platform that provides comprehensive insights into negotiated rates between payers and providers across the United States. By aggregating and analyzing data from all 50 states, specialties, and practice sizes, PayerPrice enables healthcare organizations to benchmark commercial rates, optimize managed care contracting, and enhance revenue cycle integrity. The platform offers tools for in- network analysis, rate benchmarking, and payment auditing, supporting stakeholders such as hospitals, providers, contracting consultants, and healthcare innovators in making informed decisions.
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    HexIQ

    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
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    Anomaly

    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.
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    Gigasheet

    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.
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    Aroris360

    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.
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    Arrow

    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.
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    symplr Payer
    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.
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    Panalgo

    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.
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    Ember

    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
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    Lumiata

    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
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    MMIT

    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.
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    Valer

    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.
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    Claude for Healthcare
    Claude for Healthcare is a HIPAA-ready AI platform built on Anthropic’s advanced Claude models that helps healthcare organizations move faster without sacrificing safety, accuracy, or compliance by connecting to trusted medical, payer, and clinical data sources. It enables use cases such as prior authorization review, insurance claims appeals, clinical documentation generation, patient message triage, care coordination, and other administrative workflows by validating provider credentials, medical codes, coverage requirements, and drafting recommendations or summaries with traceable sources for verification. Claude can integrate with industry standards and databases, including CMS coverage policies, ICD-10 codes, provider registries, and PubMed, and supports secure connection to personal health records (e.g., lab results and medical histories) with user consent so patients or clinicians can get plain-language summaries and insights.
    Starting Price: $17 per month
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    SKYGEN Provider Data Management
    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.
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    Camber

    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.
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    Free Market Health

    Free Market Health

    Free Market Health

    Free Market Health is a healthcare technology company dedicated to improving the specialty pharmacy ecosystem with a care-driven marketplace platform. Free Market Health partners with forward-thinking payers and specialty pharmacies of all sizes to streamline the complex and opaque specialty medication fulfillment process, ensuring patients have prompt access to life-saving and life-altering medications. The platform addresses inherent challenges by automating submission pack creation and validation, facilitating transparent and equitable access to specialty drug prescriptions, and enabling real-time decision-making. This dynamic marketplace empowers stakeholders to optimize resources, maximize opportunities, and balance the cost of care with the value it provides. Free Market Health has managed over 200,000 specialty drug claims annually, representing nearly a 400% increase year over year.
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    Athelas

    Athelas

    Athelas

    Athelas is an AI-driven RCM, EHR, and ambient AI platform built to grow modern healthcare organizations. It brings revenue cycle management, clinical documentation, EHR workflows, and healthcare AI agents into one practice platform designed to accelerate payments, reduce administrative work, and help providers focus on patients. Athelas RCM transforms claim management, denial defense, remittance reconciliation, and reimbursement tracking with AI-powered tools that identify the right approach for each claim, automate portal information retrieval, extract payer decisions from the web or phone calls, and surface insights into practice financial health. Ambient AI works as more than a scribe, adapting to each clinician’s documentation style, automatically syncing chart notes to the EMR, generating CPT and ICD-10 codes, supporting parallel scribing, answering questions, retrieving data, running tasks, and providing compliance nudges during encounters.
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    mydimed

    mydimed

    mydimed

    Preventive medicine is the future of medicine. We help healthcare providers identify and intervene with high risk patients. Helping clinicians keep patients safe. Lowering ADR inside Healthcare providers facility Between 5%-10% of hospitalized patients have an ADR during their hospitalization, an adverse event that increases risk, increases length of stay, and denies reimbursement from payers for additional hospitalization days and procedures. These Adverse Drug Reactions can be prevented. Helping ACO's, HMO's and payers to reduce preventable ER visits and hospitalization. Lowering ADR among the population with emphasis on the Elderly. Between 15%-30% of all 65+ years old patients ER visits are due to an ADR. These visits are often accompanied by hospitalization. These Adverse Drug Reactions are preventable. What We Do. Advanced Science Multi disciplinary science. Our technology is based on medical research and advanced data science, a powerful combination that yields better
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    Handl Health

    Handl Health

    Handl Health

    Never rely on carrier discounts again with Handl Health’s comprehensive data analytics tool, Iris. Use contracted rates to evaluate networks and understand disruption risk of switching your clients or prospects to a new plan. Selecting the network is just step one. Look under the hood to design plans around high performing providers and push these insights into member tools to make right decision the easiest one when searching for care. Our solutions are specifically designed to help benefits consultants gain and convert more leads, enhance client retention and achieve cost savings objectives. Requiring health plans (insurance carriers and self-funded employers) to publicly publish a machine-readable file of all negotiated rates, and give members internet-based tools to search for care and understand their out-of-pocket costs.
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    Stratasan

    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.
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    Infosys HELIX
    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.
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    Statim

    Statim

    Statim

    Statim (Latin for "immediately") is the unified pharmaceutical intelligence tool built for modern clinical practice. It eliminates the friction of fragmented drug data by consolidating prescribing info, safety analysis, and clinical trial evidence into a single, reliable workspace. Statim's "Smart Search" feature empowers healthcare professionals with immediate, data-driven decisions through advanced FDA adverse event analysis and peer reviewed published articles. Access all critical drug intelligence quickly and securely—it's free and does not handle patient data. Who is Statim for: + Physician + Medical Resident / Fellow + Nurse Practitioner + Physician Assistant + Pharmacist + Pharmacy Resident + Registered Nurse + Medical Assistant + Healthcare Administrator + Formulary / Payer Specialist + Medical Student + Pharmacy Student + Nursing Student + Researcher + Patient + Caregiver
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    Optimus Suite

    Optimus Suite

    EqualizeRCM Services

    Innovative and industry-defining software solutions are at the heart of EqualizeRCM’s healthcare revenue cycle management strategy. Our RCM automation platform, Optimus Suite, seamlessly coexists with clients’ existing infrastructure (EMR, PM, Clearing House, Payer, and other systems). This platform, along with its set of intelligent applications, empowers facilities and practices to have efficient revenue cycle processes while reducing operational costs. Optimus can be tailored to integrate with your system and help bring your RCM performance to the next level. Denials and AR management system, enabling easy claim status, dashboard analytics, and root cause analysis of denials and AR. Platform to integrate 835 and 837 data into the denials and AR management process, enabling rapid claims analysis. A hosted, inexpensive, customizable contract payment calculator enabling calculation of expected payments per provider’s contracts and comparison to payments received.
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    Ibeza

    Ibeza

    Ibeza

    Ibeza’s products are based on over 30 years of experience in Ophthalmology, Optometry and Retail Optical management. We know how to simplify the business of Vision Care. Ibeza, LLC. Is an Information Technology Solutions company that designs, implements, and manages healthcare IT solutions for the private and government medical industry. Ibeza rules ensure that service providers remain aware of all indicated tests and procedures without the need for a deep search of the patient records. Payer contracts are becoming increasingly complex with ever-changing reimbursement guidelines. Now you can ensure accurate documentation and adherence to these guidelines before services are rendered.
    Starting Price: $200 per user per month
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    Droidal

    Droidal

    Droidal LLC

    Droidal is an AI-powered revenue cycle management platform that helps healthcare organizations reduce costs, increase revenue, and improve patient experiences. By leveraging Generative AI and large language models (LLMs), Droidal automates complex billing, claims, and payment workflows with precision and speed. The platform processes over 2 million claims monthly across 1,800+ locations while maintaining coverage for 3,500+ payers. Its AI agents streamline operations for hospitals, clinics, and care providers — cutting denials, accelerating payments, and boosting cash flow. Designed for seamless integration, Droidal enhances productivity without replacing existing systems or workflows. With enterprise-grade compliance and a subscription-based model, Droidal delivers measurable ROI while freeing up staff to focus on patient care.
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    Inovalon Payer Cloud
    Improve clinical quality metrics, risk score accuracy, patient and provider engagement, patient outcomes, operational transparency, and economic performance, all with one comprehensive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into data-driven processes that support your health plan’s key objectives. Backed by industry-leading analytics capabilities, our converged SaaS solutions deliver the member-centric insights and speed, accuracy, and flexibility you need to stay ahead in this diverse, ever-changing marketplace. Inovalon's SaaS suite of healthcare payer solutions delivers member-centric insights and actions to help health plans measure, manage, and improve healthcare outcomes, economics, and quality of care. Payer solutions to improve member care and outcomes while achieving greater operational performance and efficiency with sophisticated analytics and dynamic business intelligence.
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    BillingBench

    BillingBench

    BillingBench LLC

    BillingBench is an independent denial management and payer intelligence platform for medical billing and revenue cycle teams. It tracks published payer requirements and longitudinal adjuster patterns by combining a citation-audited policy dataset with aggregate denial data. Free core tools streamline daily billing workflows. The Denial Code Decoder translates CARC codes into plain-language definitions and root-cause analyses. To accelerate recoveries, the Appeal Letter Builder generates structured arguments with statutory citations tailored by denial type, specialty, and payer. Daily operations are supported by a Modifier Matrix with verified rulings, prior authorization checklists, a Timely Filing Calculator, and an 835 ERA Parser. A dedicated Chrome extension provides real-time support alongside major payer portals. Citations are verified against primary sources, each with a transparent changelog.
    Starting Price: $49/month
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    MedScout

    MedScout

    MedScout

    MedScout is a revenue acceleration and sales intelligence platform designed specifically for medical device, diagnostic, and life sciences companies to improve how their commercial teams identify opportunities and execute sales strategies in healthcare markets. It transforms large volumes of healthcare claims data into actionable insights that sales representatives, marketing teams, and sales leaders can use to prioritize the right physicians, facilities, and healthcare systems to target. It aggregates multiple data sources, including Medicare and commercial payer claims, public healthcare data, proprietary datasets, and the company’s existing CRM data, creating a unified view of the healthcare landscape and enabling teams to analyze procedure volumes, diagnosis trends, prescription activity, referral networks, and payer mix for individual providers or institutions.
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    MD Clarity

    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.
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    CargoSoft CRM
    Our solution for Enterprise Condition Management, also known as Rate Management - makes creating a reliable quote and contract structures easier by compiling transparent and concise rate management. The core of the application is the homogenization of the often complex costs of logistics services and the clear presentation of all information. With the help of CargoSoft ECM, you can compare rates and corridors more easily and prepare quotations quickly and reliably. Costs, cost trends and the basis for calculations can be compared transparently for individual corridors. The selection of preferred service providers is made easier, calculations are supported and your negotiating position with those service providers is strengthened. By assigning individual user rights to functions of rates and contracts, all users involved in the process can receive global access to data which is relevant to them.
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    CargoSoft ECM
    Our solution for Enterprise Condition Management – also known as Rate Management - makes creating reliable quote and contract structures easier by compiling transparent and concise rate management. The core of the application is the homogenization of the often complex costs of logistics services and the clear presentation of all information. With the help of CargoSoft ECM, you can compare rates and corridors more easily and prepare quotations quickly and reliably. Costs, cost trends and the basis for calculations can be compared transparently for individual corridors. The selection of preferred service providers is made easier, calculations are supported and your negotiating position with those service providers is strengthened. By assigning individual user rights to functions of rates and contracts, all users involved in the process can receive global access to data which is relevant to them.
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    Harris Affinity RCM

    Harris Affinity RCM

    Harris Healthcare

    Optimize transforming patient care into cash with clear insight into every financial decision. Affinity Revenue Cycle Management reduces the need for bolt-on applications thus lowering an organizations overall cost to collect from both payers and guarantors. Bringing together the best of healthcare software solutions under one integrated platform. Lower the cost to collect by automating the revenue cycle and expediting claim processing. Harris Affinity helps healthcare organizations focus on what matters most: patient care. We do this through our RCM software, which helps automate the revenue cycle, expedite claim processing and lower the cost to collect. Use electronic transactions (EDI) to send & receive data directly to a payer or clearinghouse. Unlock screens without needing to contact support. Analyze data with easy to read dashboards. Optimize complex scheduling procedures. Send automatic appointment reminders to patients.
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    Agilum

    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.
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    VoiceCare AI

    VoiceCare AI

    VoiceCare AI

    VoiceCare AI is an agentic AI platform that automates the entire healthcare revenue cycle (RCM) from patient intake to claims across payer portals, voice, SMS, web chat, and legacy systems, with native EHR integration. One AI agent, Joy, orchestrates benefit verification, prior authorization, and claims & denials management by talking to patients and payers directly and navigating payer portals autonomously. The platform is built for specialist medical practices, dental groups and DSOs, RCM enterprises, and integrated delivery networks (IDNs) and health systems. Every agent action is logged, audit-ready, and transparent, with a human-in-the-loop safety net for complex clinical exceptions. VoiceCare AI is HIPAA-compliant and SOC 2 Type II attested.
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    Lyfegen

    Lyfegen

    Lyfegen HealthTech AG

    Lyfegen is a cloud-based software delivering innovative access, pricing, and rebate solutions to businesses in the healthcare industry. Its suite of offerings includes a drug contracting simulator, agreements library, and rebate analytics platform (ARA). Lyfegen's solutions are designed to remove barriers to implementing access solutions and make healthcare more efficient and affordable. The platform facilitates the implementation of value-based contracting, streamlines collaborative drug contract design, and reduces the administrative burden of managing contracting. It also ensures efficient rebate compliance, enabling healthcare organizations optimize their operations. The agreements library provides a comprehensive knowledge base and the drug contracting simulator enables users to negotiate better and faster.
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    Post Acute Analytics

    Post Acute Analytics

    Post Acute Analytics

    Post Acute Analytics (PAA) leads the transformation of care delivery to improve patient lives by actioning real-time insights across a connected healthcare system. This is possible by implementing our AI-based, turnkey integration solution – PAA Anna™ Platform – with healthcare providers’ and payers' systems. Anna permits total transparency of their patients’ journeys through post-acute care in real-time and enables proactive intervention to prevent negative quality and cost events from occurring. Through proprietary analytics, turnkey integration engine, and medical leadership, our solutions ensure that providers and payers can make real-time decisions that improve patient outcomes while reducing total cost of care.
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    eprovion

    eprovion

    ObjectOrb Technologies

    eprovion is a modern provider management system designed for payers, that automates contract workflows for various provider types. The system integrates tightly with claims systems to enable accurate contract loading and makes available claims-based provider profiles. Later versions of eprovion will include such features as claims issue tracking, business intelligence, and disease management. The system is web-based and enterprise-class i.e. it is scalable, secure, robust, and offers high availability, and high performance. eprovion supports the entire lifecycle of contract management - from preparing for a negotiation using provider profiles, to planning a negotiation calendar, to monitoring the contract during its lifetime and finally the renewal or termination of the contract. All of this is supported in one easy-to-use environment with powerful MS-Office integration. Contract templates can be created for reuse, and contracts can be annotated, versioned and batchprocessed.
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    SE Healthcare Patient Experience Platform
    The Patient Experience Platform is a specialty-specific survey tool that collects data directly from your patients and provides your practice with credible, reliable insights into the patient experience. These insights, displayed in an easy-to-navigate dashboard, provide a window into the health of your practice, from the patient’s perspective. These insights allow your practice to improve performance, increase patient retention, and generate higher revenue. Five-star reputation tool that provides transparency into the quality of your providers to help convert website visitors into patients. Free text comments that provide greater depth to the feedback you receive from your patients. Real-time, actionable metrics so you can move forward immediately on insights. Location and physician benchmarking. Measurement of physician, office staff, and practice performance. Enhancing your value story to enhance negotiation with payers.
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    SteepRock

    SteepRock

    SteepRock

    SteepRock's suite of AI-powered tools is designed to expand your market reach by identifying influencers and processing vast data, automating analytics, uncovering hidden insights, and summarizing multimedia for more efficient decision-making. Our flagship product, Opinion Leader Analytics (OLA), is a state-of-the-art healthcare big data search engine that provides comprehensive insights on healthcare professionals (HCPs), healthcare organizations (HCOs), systems of care, payers, congresses, and digital/social media. The Opinion Leader Management System (OLMS) offers a 360° view of key individuals, patient/professional organizations, and accounts impacting your brand by compiling real-time data on billions of external activities and integrating internal company activities. Our AI analytics platform transforms data into clear, actionable strategies by eliminating personal biases and subjective preferences, empowering accurate, objective, and impactful choices.
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    Biofourmis

    Biofourmis

    Biofourmis

    Biofourmis is a technology-enabled care delivery company that partners with health systems, hospitals, and payers to revolutionize the delivery of care across the continuum. Their connected technology platform enables personalized and scalable care delivery, extending care beyond traditional settings. Biofourmis offers solutions designed to provide high-quality care in patient's homes. Their platform integrates continuous and episodic data collection, FDA-cleared AI-enabled analytics, and in-home service coordination to manage patients and improve outcomes. Biofourmis has partnered with over 50 global health systems and payers to expand access to care and therapeutics in their communities. Biofourmis addresses challenges impacting the health and pharmaceutical industries today across the continuum from drug development to care delivery.
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    The Physician Empowerment Suite

    The Physician Empowerment Suite

    SE Healthcare Quality Consulting

    SE Healthcare’s Physician Empowerment™ Suite, a set of specialty-specific data analytics tools, contains solutions that empower your practice to be more successful in an increasingly competitive market. Get the reimbursement you deserve from payers. Make your practice more attractive to networks. Improve your reputation and transparency to convert website visitors into new patients. Retain current patients by uncovering issues and creating a better patient experience. Enhance workplace culture for physicians. Enhance patient engagement and satisfaction. Address critical issues like physician burnout, quality, and safety. Insights into hidden problem areas to improve patient experience, patient engagement, quality, safety, and overall practice performance.
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    EchoOneApp

    EchoOneApp

    HealthStream

    EchoOneApp is a legacy platform supported by HealthStream. New customers should check out CredentialStream. As a current customer with EchoOneApp, you can take advantage of additional modules that will further optimize your platform and processes. These are just a few of the additional tools available to you. Contact your sales representative for more information or to discuss a migration to CredentialStream platform! Enrolling providers with payers, networks, and in contracts has never been more important. Meeting deadlines for enrollment applications and providing accurate provider data is critical to ensure that providers will be enrolled with the requested payers to receive reimbursements. Submit paper and online payer applications with validated provider data directly from EchoOneApp Enroll. Automate the enrollment process with the most advanced tools in the industry to reduce enrollment timelines and aging receivables.
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    Dr7.ai

    Dr7.ai

    Dr7.ai

    Dr7.ai is the world’s first unified medical AI hub, providing one API to access leading healthcare-focused language and vision models. The platform supports 15+ specialized models such as MedGemma, BioGPT, and Med-PaLM 2 for use cases ranging from EHR analysis to medical imaging and drug discovery. Its unified API standard allows developers and healthcare teams to integrate once and switch between models without multiple onboarding processes. With HIPAA/GDPR compliance, advanced encryption, and role-based access, Dr7.ai ensures security and privacy. Real-time updates, benchmarking, and multilingual support make it suitable for global healthcare applications. By streamlining access to cutting-edge AI, Dr7.ai empowers professionals to accelerate innovation in healthcare research, diagnostics, and treatment planning.
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    HRA

    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.
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    Oracle Health
    Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies.
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    Redox

    Redox

    Redox

    Move past protocols with Redox, the only data platform designed to connect providers, payers, and products. It’s EHR integration, patient data, product workflows, and a world of new healthcare solutions powered by Redox. With the Redox FHIR API you can build and scale your application with a common set of workflows that delivers a consistent experience across every payer, provider, or EHR. Redox delivers where industry standards can’t. From large academic medical centers to small practices and everything in between. Using Redox helps you navigate each provider’s review and maintain consistency of process across new connections. Redox is HITRUST certified and SOC2 compliant. Adopt infrastructure built on a broad culture of security that meets the demands of the healthcare industry.
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    PatientIQ

    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.
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    Health Intelligence Analytics
    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.
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    IntegriChain ICyte
    Life science organizations of all sizes and complexity rely on the ICyte platform to streamline pharma market access and therapy commercialization. ICyte provides biotech and pharma manufacturers with world-class channel and patient data aggregation, contracts and pricing managed services, gross-to-net forecasting and accrual systems and expert launch and pricing transparency solutions. With ICyte, pharmaceutical and biotech companies improve market access by quickly transforming patient, payer, complex transaction, and channel data into actionable insight. ICyte also supports analytics-as-a-service, which allows common models and metrics to be deployed as a centralized service across applications, data, and analytics uses. Key performance indicators (KPIs) specific to Life Sciences companies are built into the platform. Also included are advanced analytics such as forecasting, scenario modeling, and a machine-learning-powered recommendation engine.