Alternatives to eAdjudication

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

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    Checkr

    Checkr

    Checkr

    Upgrade Your Hiring Workflow Checkr’s AI-powered technology helps you reduce time, human error, and bias from manual reviews. Our award-winning adjudication tools make your hiring process more efficient, while our analytics can help you identify opportunities to expand your talent pool. Legacy background checks require manually pulling data from disparate sources, sorting through inconsistent language, and managing ever-evolving local compliance laws. We’ve rebuilt the background check to automatically standardize charge data, accurately predict report completion ETAs, and keep up with local compliance laws. Unlock talent. Unlock Opportunity.
    Starting Price: $29.99/check
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    Virtual Examiner

    Virtual Examiner

    PCG Software

    Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
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    eReconciliation
    With eAdjudication® software managed service, trial leaders have control of timelines, the flexibility to adapt to changing conditions and outcomes, and the ability to monitor trends in provider performance and protocol conformity over the duration of long trials. Avoid hidden costs and timeline breaches in your Endpoint Adjudication Study with the innovative, all-inclusive, managed software service. The eAdjudication® Managed Software Service is the most efficient way for Endpoint Adjudication (CEC) Management. Working with the eAdjudication® platform and Ethical's Staff, study teams, committee members and clinical organizations interact effectively online in real-time in an user-friendly, and GxP-compliant environment, avoiding time-consuming, costly and error-prone manual processes. eAdjudication® all-inclusive services streamline the integration and adoption of EA software throughout eClinical organizations.
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    eDeviation

    eDeviation

    eDeviation

    eDeviation supports all the operations for Protocol Deviation assessment and management. From software design and validation to collecting supporting documents and exporting data for the TMF, eDeviation® relieves your clinical team from the risks associated with missing or wrongly assessing one-time or recurring protocol deviations. eDeviation® is part of Ethical’s eClinical Software Platforms Solutions supporting faster and more accurate clinical trials management. Whether your protocol deviation assessments are performed by an independent expert committee or by your study team, our eDeviation® software is configured to exactly match your needs. Forms, workflows and exports altogether contribute to a GxP quality and effectively managed study. Study teams, Investigators’ Sites and Committee Members, when applicable, work seamlessly online in real-time to expedite judgments, consensus and timely completion of the protocol deviation assessments and management.
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    Tyler Ethics Management

    Tyler Ethics Management

    Tyler Technologies

    Tyler's Ethics Management solution automates ethics management programs through the preparation, review, and filing of annual financial disclosure and ethics training reports. Tyler’s Ethics Management software adheres to the complex rules and regulations that drive ethics management programs and includes numerous summary reports that can be run by users based on defined roles and access permissions. Additional reports can be easily configured to match an organization’s needs. The audit finding management solution is an efficient tool to manage and administer an audit compliance program. A background investigation software solution plays a critical role in the larger personnel security and suitability process, which also includes adjudication, evaluation, analytics, and even invoicing. Tyler’s Criminal Justice Information System application tracks and manages data and workflows to help federal law enforcement with any kind of case.
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    Claim Agent
    EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user.
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    TrialStat

    TrialStat

    TrialStat Solutions

    Compared to other EDC solutions on the market from MediData, DataTrack, Omnicomm and others, TrialStat is the most all-encompassing suite of study management tools that can be seamlessly connected to external data sources such as EMR, wearables, and other clinical and non-clinical data and information sources. TrialStat offers a fully unified platform suitable for all phases and types of trials. Our single-sign-on, multi-tenant EDC suite includes modules for Randomization, Adjudication, Coding, Safety, Patient Diaries/ePRO, Vendor Neutral Imaging Archive, a robust Reporting and Analytics Portal and custom Machine Learning programs. With a focus on data analytics, TrialStat offers real-time reporting, data extracts on demand, and analytics across a single study, a program, or your entire research portfolio – providing all stakeholders relevant, customized, timely insight into all aspects of study data and highlighting areas of risk or potential delays.
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    Complete Claims

    Complete Claims

    Complete Health Systems

    Claims Adjudication for medical, dental, vision, prescription, short and long-term disability claims. Available for on-site license or as a hosted application (ASP). Microsoft technology: SQLServer database with a Windows front end. Acclaimed Customer service staffed by health care claims experts with a minimum of 12 years’ experience in the field. Support calls are logged with status available via the internet. Plan copy and modification feature enable quick setup of plans. Auto-adjudication using benefit codes built using business rules based on over 25 variables from both the claim and the claimant records made available to the adjudication engine. Inbound claims can be scanned images, EDI or paper. HIPAA EDI 5010 transaction sets. Re-pricing fee and UCR Schedules can be loaded on the system in advance of the effective date. The date-driven logic will re-price based on the date of service.
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    Judi

    Judi

    Judi

    Judi is a cloud-based clinical-trial collaboration platform built to simplify, secure, and streamline complex workflows across sponsors, CROs, trial sites, and partners. It supports a full range of trial functions, from endpoint/event adjudication, central eligibility review, data-safety-monitoring, remote monitoring, medical imaging, and site/user qualification, to fully custom workflows (Judi Flex). Judi replaces manual processes, spreadsheets, untracked emails, or siloed file-sharing tools with a unified, compliant workspace: every document, communication, image, query, and decision goes through secure, traceable pipelines. Built-in features include role-based permissions, audit trails, real-time chat, query management, dashboards and worklists, flexible document submission and review, eCRFs with edit checks, and reporting tools, making trial data collection, review, and reporting far more efficient and less error-prone.
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    Smart Data Solutions

    Smart Data Solutions

    Smart Data Solutions

    Streamline Your Complete Healthcare Data Workflow. Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Whether you’re new to Smart Data Solutions or a long time partner, our development process helps guide you through projects to ensure the best possible position for overall success. Whether your needs are basic or complex, our staff will work with you to understand your needs and the impacts of your workflows. We believe in focusing on your goals, what you want to accomplish, and from that, identifying the best way to get there. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions.
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    ClaimAdept
    This product is an end to end claims system. The primary functions are claims adjudication, claim workflow and payment disbursement. The flexible design allows the addition of adjudication modules on a line of business basis. Each new line of business added reuses the core functionality of the system. This system takes advantage of the user friendly windows screen design and makes use of a relational database to store information within the system. The software platform is Powerbuilder with an SQL database such as Oracle or Sybase. This combination of software supports a client server based environment that is capable of processing large volumes of claims. Installation and training are available and source code is included as part of the licence fee. Expert staff is available for customizations and tailoring of the system to meet any special requirements identified by the client. All modifications are available with detail design and support for acceptance testing.
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    HEALTHsuite

    HEALTHsuite

    RAM Technologies

    HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Medicaid and / or Medicare Advantage benefits. HEALTHsuite is a rules-based auto adjudication software solution designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. RAM’s Medicare Advantage-in-a-Box offering is unique in the industry; the product of RAM’s extensive experience in Medicare Advantage and an unwavering commitment to changing our industry. HEALTHsuite Advantage™ and eHealthsuite™ are the cornerstones of our pre-configured Medicare Advantage-in-a-Box offering. HEALTHsuite Advantage is a fully integrated suite of modules providing our clients with an unmatched solution to administer their Medicare Advantage and Special Needs Plans (SNP’s).
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    PlanXpand

    PlanXpand

    Acero Health Technologies

    PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.
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    Acceptd

    Acceptd

    Acceptd

    We have the tools to make your recruitment, applications, auditions, adjudication, and communication easier than ever. Accept online video auditions, collect applications, collaboratively adjudicate online with custom rubrics, schedule in-person auditions, communicate directly with applicants, seamlessly process payments, and much more. Acceptd is a powerful and secure partner to your team. We provide custom applications, access for multiple reviewers, easy navigation, and tools to view and sort your data. This allows us to serve organizations and programs of all shapes and sizes through the entire audition process. From day one, our team comes alongside yours to set up your personalized account, provide valuable feedback from our experience working with thousands of programs, and guide you through simplifying your process. Simply put, we’ve got your back.
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    eKare inSight
    inSight is a comprehensive integrated suite of applications designed to empower researchers with accurate and timely information. The wound assessment and documentation are streamlined with single image capture and synced to a secure HIPAA, GDPR, and 21 CFR Part 11 compliant environment. Create a unified integrated research experience. Leverage emerging data and clinical evidence to develop study protocol, imaging charter, and adjudication manual. Build and configure the database with ease and efficiency. Customize clinical workflow and integrate seamlessly with your EDC. Dedicated project manager to ensure timely start and project maintenance. De-risk your clinical study with the highest quality standards, quality assurance, and control procedures. Analyze data and uncover insights in real time. Curate data sets, and augment clinical studies with real-world evidence. Our wound imaging solution is CE-marked and registered with the FDA. It has been clinically validated.
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    ImagineMedMC

    ImagineMedMC

    Imagine Software

    Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry.
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    Google Cloud Assured Workloads
    You don’t have to choose between supporting regulatory compliance and using the latest, most innovative cloud services. Help manage the requirements for your regulated workloads with just a few clicks. Reduce costs and risk through simplified management of required controls. The FedRAMP High platform controls support access controls for first and second-level support personnel who have completed enhanced background checks and are located in the US. The CJIS platform controls support access controls for first- and second-level support personnel who have completed state-sponsored background checks and are located in the US. Escorted session controls are also used to supervise and monitor support actions by non-adjudicated staff.
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    iA NEXiA
    iA’s proprietary software platform for pharmacy. The nexus of people, process, and technology, NEXiA software provides comprehensive and flexible fulfillment throughout the entire prescription lifecycle. Seamlessly manages inventory with prioritization and trend forecasting through iA’s sophisticated warehouse management system. Creates the opportunity for pharmacies to more easily and efficiently offer patients choice on prescription delivery. 700 configuration parameters and 70 existing bidirectional interfaces that can integrate with third-party hardware. Intelligent production control from adjudication through distribution. Ability to meet your unique operational needs with flexible configurations and dynamic routing.
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    Facctum

    Facctum

    Facctum

    Facctum is a next-generation compliance intelligence platform that enables financial institutions to detect, screen, and manage financial crime risks in real time. Leveraging AI and high-performance infrastructure, Facctum automates watchlist screening, sanctions compliance, name matching, and alert adjudication across customer and transaction data. Built for modern compliance teams, Facctum reduces false positives, accelerates decision-making, and integrates seamlessly into complex regulatory workflows via scalable APIs. Whether you’re a fintech, bank, or payments firm, Facctum delivers faster, smarter, and more accurate risk control — without compromise.
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    PBM Express

    PBM Express

    Laker Software

    The core of PBM Express is the adjudication program. Claims undergo hundreds of edits to achieve accurate processing results, regardless of the difficulty of the plan design. The parameter drive program provides for an extremely flexible architecture that allows for client customization as needed. Laker's advanced software solution provides clients with superior performance and industry-leading uptime. As a technology leader, Laker continually updates and enhances our systems to meet the growing needs of our customers. Laker customers have the marketplace advantage of the fastest, most flexible and most durable system available. What’s more, Laker works closely with our customers to develop, test, and implement new products which allow them to better compete and win new business.​ Laker grows as our customer's claim volume grows. It is in the best interest of both Laker and our customer’s to provide changes to the software in a timely and efficient manner to allow for that growth.
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    Change Healthcare

    Change Healthcare

    Change Healthcare

    Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication.
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    Cohere PaaS Intelligent Prior Authorization
    Cohere helps health plans digitize the process and apply clinical intelligence to enable in-house, end-to-end automation of prior authorization. Health plans can directly license Cohere’s PaaS intelligent prior authorization for use by the plan’s internal utilization management staff. As a result, our client health plans achieve both significant administrative efficiencies and faster, better patient outcomes. Cohere delivers a tailored, modular, and configurable solution suite for health plans. Digitizes all prior authorization requests into a single automated workflow. Automates prior authorization decisions using health plan-preferred policies and accelerates manual review. Helps clinical reviewers adjudicate complex requests, using responsible AI/ML and automated capabilities. Leverages clinical intelligence with AI/ML and advanced analytics to improve utilization management performance. Improves patient and population outcomes with innovative, specialty-specific programs.
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    Oracle Health Specialty Practice Management
    Oracle Health Specialty Practice Management is part of the Oracle Health family of clinical and practice management solutions, designed to provide the tools needed to run a profitable medical practice. Oracle Health Specialty Practice Management is customizable and integrates well with user-friendly EHRs offering medical document management, patient appointment scheduling and health record management. With an internet connection, Oracle Health Specialty Practice Management provides near real-time updates on claim status. With most payers, Oracle Health Specialty Practice Management is designed to help your practice have its claims adjudicated, paid and posted weeks sooner than a paper-based system. Other key features include patient scheduling, monitoring and posting payments. Oracle Health Specialty Practice Management includes capabilities to help your practice improve efficiencies during the scheduling, monitoring and payment process.
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    Immediation

    Immediation

    Immediation

    Immediation is a comprehensive online dispute resolution platform designed to streamline and simplify the process of mediation, arbitration, adjudication, and automated negotiation. Tailored for legal professionals, including mediators, arbitrators, and law firms, the platform offers a suite of over 30 purpose-built tools that facilitate secure, efficient, and user-friendly dispute resolution. Key features include automated intake forms, customizable workflows, case and panel management, financial tools for invoicing and payments, and a secure client portal. It supports seamless video conferencing, real-time transcription, exhibit management, and document sharing, ensuring a comprehensive digital environment for all parties involved. Immediation is ISO27001 certified, ensuring high standards of security and compliance, and integrates with platforms like Microsoft Teams and Clio to enhance functionality.
    Starting Price: $49 per month
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    PLEXIS Payer Platforms

    PLEXIS Payer Platforms

    PLEXIS Healthcare Systems

    PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service.
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    FormFox

    FormFox

    FormFox

    FormFox makes industry-leading workplace health and safety tools and technology available to all collectors, laboratories, TPAs, MROs and employers. With purposeful automation, our web-based, software-driven service offering streamlines entire collection and event processes from initial order to final decision and reporting. FormFox mitigates errors, saves time, and expedites data delivery to improve quality, accuracy, speed and efficiency for our client partners and those they serve. The FormFox MRO solution delivers faster results adjudication and turn-around time, using a more efficient set of workflows to conduct the review process. The “Common Platform” approach has been embraced across the industry, allowing laboratories to significantly reduce costs while improving the quality and integrity of the testing process. FormFox is the leading Electronic Custody and Control (ECCF) solution for all clinics in the employee health and safety industry.
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    Insurium

    Insurium

    Insurium

    A unified solution providing a 360º view of the P&C insurance process lifecycle. Generate premium and save time with a powerful rules-based, multi-state underwriting module that automates the collection of information and the creation of quotes, endorsements, cancellations, audits, and renewals. Reduce combined ratios with a modern and streamlined approach to the claims adjudication process that is both intuitive and collaborative. Increase new business by making it easy to exchange information with brokers. From streamlining and standardizing the intake of information to providing brokers access to the information they need anytime. Control what submissions your underwriters are focusing on. Drive customer satisfaction and retention by providing your policy holders self-service access to policy information, claims intake and review, online bill pay and more. You decide what portal features to provide your customers for the best user experience.
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    Tyler's Workers’ Compensation Software
    Tyler Technologies' Workers' Compensation software automates processes while adhering to the complex rules and regulations that drive workers' compensation programs. It enables agencies to efficiently receive, track, and process a wide variety of workers' compensation claims, including work-related injuries and occupational diseases, ensuring timely and accurate benefits delivery. It supports the entire claims lifecycle, from initial intake through adjudication and resolution, providing tools for document management, workflow automation, and reporting. It is designed to enhance operational efficiency, reduce administrative burdens, and improve compliance with regulatory requirements. Streamlining case management processes helps agencies focus on delivering quality services to claimants while maintaining program integrity.
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    ClaimScape

    ClaimScape

    DataGenix

    Emerged in the year 2000, DataGenix is strongly resolved to provide TPAs, adjusters, and insurance companies with modern claims processing solutions. We understand that claims processing and health benefits management can include several complications. So that your business does not suffer any losses, our experts have created the advanced ClaimScape software that can automate the entire adjudication process. The goal of our business and the Claims software is to resolve the perplexities that hinder the reach of unmatched customer experience for your clientele network. Keeping in mind the modern trends and requirements, we can assure your business's optimum growth with our software products. We have won the trust of top TPAs of the nation and are willing to serve more.
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    CyberSource Medical

    CyberSource Medical

    ComCom Systems

    The market's most powerful and accurate solution for claims processing. CyberSource Medical Claims Scanning Solution, a complete turn key system for HMO, PPO, TPA, or Self Funded Organization, is installed at your location for automated data entry of CMS-1500, ADA-2006 UB-04 and enrollment forms. Using advanced "intelligent" features combined with your business rules, CyberSource recognizes, validates and formats the data from medical claim forms. Fuzzy Matching performs an intelligent search of your member and provider database correctly identifying the exact match. The matched data is then utilized to verify and correct data on the medical claim before being passed through to adjudication. The combination of industry-leading OCR efficiency, your business rules and “Fuzzy Matching” results in exceptional accuracy of the data from your medical claims forms.
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    Oracle Digital Insurance Platform
    Oracle's Digital Insurance Platform empowers insurance providers to deliver innovative solutions and exceptional digital customer experiences. This comprehensive insurance management system streamlines operations from sales channels to back-office processes, enabling rapid deployment of new offerings and seamless implementation of necessary changes. With real-time analytics, insurers gain valuable insights into their business, facilitating informed decision-making. The platform supports both individual and group life and annuity insurance, consolidating underwriting, policy processing, billing, and claims into a single, efficient system. Health insurers benefit from simplified enrollments, premium billing, and claims adjudication, enhancing member satisfaction through transparent and personalized services. Additionally, the platform accelerates the bancassurance lifecycle by providing real-time connectivity between banks and insurers, ensuring speed, consistency, and reliability.
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    PrimeRx

    PrimeRx

    Micro Merchant Systems

    PrimeRx is a robust pharmacy management platform designed to optimize every part of pharmacy operations, from prescription intake and automated refill management to dispensing, inventory tracking, label printing, billing, and patient engagement, with modules that support retail, specialty, long-term care, compounding, mail order, 340B, and physician office workflows. PrimeRx’s intuitive dashboard shows scheduled refills and compliance metrics, maintains complete patient profiles with medication history and clinical notes, and actively alerts for potential medication conflicts to support safety and adherence. Integrated features include two-way SMS and email communication, an online refill portal, secure payment capture, real-time insurance and adjudication, and flexible inventory management with automatic reordering and wholesaler EDI ordering; complementary mobile apps extend refill, delivery, and inventory tools to handheld devices.
    Starting Price: $150 per month
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    EncoderPro.com
    EncoderPro Spotlight by OptumCoding is a web-based medical coding reference application designed to help ambulatory coding, billing, and reimbursement professionals manage critical coding tasks with accurate, real-time access to CPT, HCPCS Level II, ICD-10-CM/PCS, and ICD-9-CM code sets and associated regulatory guidance; the software includes powerful search and reference capabilities that combine thousands of procedure, service, supply, and diagnosis codes with descriptive and cross-coding information so users can find the right codes quickly and reduce errors in claim submission. It provides proprietary content and tools that go beyond basic code lists to include deeper insights into regulatory compliance topics such as National Correct Coding Initiative (NCCI) edits, Hierarchical Condition Categories (HCCs), and coverage determination policies, automated edit review options for proper unbundling and modifier use, and a historical content database for adjudication reference.
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    Vitamin PBM

    Vitamin PBM

    Rits Software

    Vitamin PBM is a comprehensive pharmacy benefit management software developed to optimize prescription workflows, claims processing, and cost management for healthcare organizations. It enables pharmacies, insurers, and healthcare providers to efficiently manage pharmacy benefits while ensuring operational accuracy and regulatory compliance. The platform supports end-to-end pharmacy benefit management, including prescription validation, claims adjudication, formulary management, and reimbursement processing. It helps reduce manual errors, improve processing efficiency, and ensure accurate billing and cost tracking. Vitamin PBM includes advanced reporting and analytics tools that provide insights into drug utilization, cost trends, and operational performance. These insights support informed decision-making and help organizations optimize pharmacy benefit strategies.
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    FBCS Enterprise
    FBCS Enterprise is a centralized system for guiding decisions about non-VA Purchased care to improve fee basis claims management and adjudication through efficient claims processing. A web-based solution, CTM Plus streamlines workflows and provides oversight to resolve consult and Return to Clinic (RTC) tracking pain points, and ensure patients are called and scheduled on time. Purchasing analytics help to reduce cost and waste, for greater overall accountability. Expired and recalled items are also monitored automatically to keep patients safer. Delayed or misplaced orders can have significant consequences for your bottom line and quality of care. Time spent sorting through paper records and scrolling through screens is time you won’t have for patients. Checking every patient for opioid prescriptions can be an exhausting, multi-step process. DSS PDMP streamlines everything into one simple step.
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    Roker PLUS

    Roker PLUS

    Roker Inc.

    Introducing Roker PLUS – a Hardware-agnostic Solution, leveraging Proprietary IP to address the needs of Governments, Institutions, Businesses, and Real-estate owners with Registrations, Listings, Space Management, Enforcements, and more. True to our mission of finding Smart Urban Spaces, Roker PLUS transforms Curb Spaces to Smart Spaces for supply fleets and on-demand driver’s requirements. The result is less congested streets and simplified curb-space accessibility for short-duration parking. A comprehensive solution to design, manage and administer almost all permit category requirements. Empowers an organization’s ability to authenticate users and adhere to compliances. Encapsulates the lifecycle of parking enforcement, tickets, payments, appeals and adjudication. Designed for enabling secured payments, integrated with industry-leading payment services. Even a single parking space can be leveraged for leasing out and used by those in the vicinity.
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    Electionware

    Electionware

    Election Systems & Software

    Electionware election management software allows jurisdictions of all sizes to manage their elections through the software’s easy-to-understand, user-friendly interface. With five software groups containing eleven modules, Electionware enables election officials to create a secure election information database, format ballots, program voting, and ballot-scanning equipment, consolidate tabulator results, generate election night reports and review ballot images. Each module is a tool to make election management more intuitive, auditable, and secure, and each group is configured to meet equipment and election requirements. Electionware’s state-of-the-art electronic adjudication function masterfully handles the management of write-in votes. The interface displays key ballot information including precinct, ballot style, poll type, machine serial number, and polling location as well as color-coded identification of undervotes and counted votes, which can be exported as individual PDF files.
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    QuantaVerse

    QuantaVerse

    QuantaVerse

    The QuantaVerse Financial Crime Investigation Platform uses RPA, AI, and machine learning to automate data gathering, identify financial crime and document findings. Our solutions have proven to make AML case adjudication and reporting more effective and more efficient. Comprehensive data gathering and validated analytics deliver the consistent findings and uniform reporting you and your regulators require. Multiply the efficiency of your investigation team by eliminating up to 40% of false positives before they’re generated and by cutting 70% of investigation time through automation of data gathering and analysis. Create consistency across your AML/BSA program with innovative solutions that deliver the timely, transparent, and fully-explainable findings that regulators expect. Find the risk your current systems are missing and drive criminals and terrorist organizations out of your institution.
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    CURATE

    CURATE

    QReserve

    From collecting submissions to printing exhibit labels to displaying galleries on your website, CURATE by QReserve is your organization's trusted exhibition management solution. Collect submissions directly from your website, and the information will feed directly into your CURATE portal. Assign tags to instantly organize and distinguish between artists, artwork and exhibitions. Allow judges to view artwork and adjudicate submissions directly from our platform. Can't find the feature you need? QReserve can work with you to develop custom reports, integrations, or logic to satisfy the most demanding requirements. Access downloadable reports with flexible filters from simple submission spreadsheets to complex customized exhibition information. Collect submission payments directly from your submission form. Customize the login page and application with your logo and colours.
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    GenHealth.ai

    GenHealth.ai

    GenHealth.ai

    GenHealth.ai is a healthcare-focused generative AI platform built on a proprietary Large Medical Model (LMM) trained using data from over 100 million patient histories rather than natural language. The LMM processes medical codes and events to predict future patient trajectories, forecast costs, and simulate clinical pathways with higher accuracy and fewer hallucinations than traditional large language models. It supports a suite of purpose-built applications, including Intake Automation (PDF routing, data extraction, medical necessity), Prior Authorization Agent for automated adjudication, and G‑Mode analytics, which enables users to “chat” with historical and projected population‐health data via natural language, all without coding. This AI‑powered co‑pilot has shown 94 % accuracy in prior‑auth cases, a 120× improvement in medical loss ratio forecasting, and 110 % better cost prediction versus standard HCC scoring.
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    TELCOR RCM
    Whether you are an independent reference lab, a pathology practice, an outreach lab or a public health lab, TELCOR RCM billing software provides the tools to overcome tough billing challenges and improve profitability. Perform claim submission, claim monitoring, remittance processes, AR management, client and patient billing, and much more for multiple NPIs all in a single revenue cycle management solution. Minimize billing staffing needs and maximize revenue cycle productivity by using the right tools to automate daily billing functions such as claims submission, collecting patient information, as well as generating revenue cycle management financial reports. Eliminate labor-intensive manual adjudication processes by processing electronic payments received from your payers via 835 ERAs or from your bank via lockbox payment files. Send quick and easy-to-understand billing communication to patients, simplify your patient billing process, and make it easier for patients to pay.
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    Synergy eCase

    Synergy eCase

    Synergy International Systems

    Enhance efficiency, transparency and accountability in courts and criminal justice agencies. Ensure equal access to justice for everyone in your community. Streamline case management workflows to support the investigation cycle, from crime reporting to evidence processing and intelligence analysis. Perform accurate investigation, in less time, with less effort. Gain control of the entire prosecution cycle, from pretrial to trial and sentencing. Focus on core activities and effectively manage your caseload while reducing paperwork and eliminating case delays. Integrate all courts under one tech umbrella and handle cases from initiation to post-disposition. Reduce case backlog, speed up case disposition, improve adjudication while providing a more accessible public service. Mitigate risks by managing all inmate information and processes in a single environment. Bring together prisons, community corrections, courts and other agencies to efficiently provide public safety.
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    Newgen Claims Processing
    Newgen’s Insurance Claims Automation & Management software, built on AI-first low-code platform, streamlines the full claims lifecycle, from first notice of loss to final settlement, through automated workflows, smart routing, and integrated document management. Customers can register and track claims through a web or mobile self-service portal, while the system automatically retrieves policy details, prevents duplicate entries, and routes cases based on workload and expertise. Built-in rules classify claims as fast-track or non–fast track, with flexibility to add assessors, investigators, and other stakeholders. Adjusters gain a unified view for registration, adjudication, document review, and communication. AI-driven insights support fraud detection, highlight missing information, and improve decision accuracy. Real-time dashboards monitor KPIs, SLAs, and escalations for transparent and timely processing.
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    Nirvana

    Nirvana

    Nirvana

    We work with private insurance clients to get your therapy sessions covered, every time. Navigating mental health billing and your health insurance plan shouldn’t feel like wandering in the dark. From eligibility to reimbursement, Nirvana makes the insurance process seamless for you and your therapist, so you can save time, headaches, and get paid faster. Instead of spending hours on the phone with insurance trying to figure out what you’re covered for, get a clear understanding of your coverage as soon as you sign up. From eligibility to reimbursement, Nirvana makes the insurance process seamless for you and your client. Seamlessly monitor the lifecycle of your claims with the ability to track submission, processing, and adjudication. Filter between sessions and date ranges to get an in-depth understanding of reimbursement amounts for your sessions.
    Starting Price: $129 per therapist per month
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    ServiceNetwork

    ServiceNetwork

    ServiceCentral

    ServiceNetwork™ helps unify and simplify contract service for both Service Providers and Authorizers. An application to onboard and manage a provider network, eligible products and services, parts and pricing, and view services in progress. A guided workflow defined by an Authorizer following best practices for receiving, servicing, and reporting back. A brandable portal for consumers to request services, select locations, schedule appointments, and check service status. Consumer engagement and appointment scheduling. Service Provider network connection. Provider and location qualification. Technician guided workflows. Adjudication and resolution. 2000+ Walk-in service centers and mail-in depots in North America. Majority of locations are medium and large retail brands. These service providers are already on our platform and available for quick onboarding. Additional partners may be added through our application, provider portal or integrated through our service provider API.
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    Origin

    Origin

    Origin

    Origin makes hiring easier by offering a graded background check. Origin does not just sell you software to perform a background check and just walk away! That’s not how it works. We start by educating and training our clients on what a background check details. This allows Origin background checks to customize the appropriate screening criteria and employment verification for your workforce. A graded background check simply allows your Origin background screening researcher to adjudicate background check reports, with a "Pass" or "Fail", based on your companies predefined criteria. The OriginONE platform comes pre-integrated with our suite of HR, occupational health, & workforce management applications to make your recruiter’s workflow much easier. No more searching for information between your applicant tracking system, employee onboarding system, and background screening reports.
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    eOxegen

    eOxegen

    eOxegen

    ​eOxegen is an AI-powered claims management system designed to streamline and enhance the efficiency of health insurance operations. Automating claims processing through a Straight Through Process (STP), reduces manual intervention, leading to faster claim settlements and improved accuracy. It incorporates advanced fraud detection capabilities, utilizing AI algorithms to identify and flag potentially fraudulent activities early in the process. Additionally, eOxegen offers features such as provider contracting and empanelment, pre-authorization management and adjudication, and robust reporting with business intelligence analytics dashboards. Its AI-driven workflow automation ensures consistent task completion, minimizes repetitive activities, and enhances overall productivity. By integrating these functionalities, eOxegen empowers insurance companies and third-party administrators to optimize their claims management processes, and reduce operational costs.
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    CourtRoom Program

    CourtRoom Program

    Service Education

    The current version of The CourtRoom Program is listed above. Updates to The CourtRoom Program are listed here. Updates to The Parking Program are listed here. Due to the pandemic, please continue to stay up to date with current directives from the Office of Justice Court Support. Now that The CourtRoom Program is part of the Unified Court System, we will also be following the same Holiday schedule. A listing of Holidays can be found here. We welcome your feedback as well as any future program enhancement suggestions. To send a suggestion please click here. The CourtRoom Program is an electronic docketing system designed to track every case from start to finish. It allows the Court to immediately update the case with current adjournment information, preventing cases from 'falling through the cracks' and assuring timely adjudication and reporting. Over 200 forms and letters are included in the program.
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    TruLab

    TruLab

    TruLab

    We provide a truly end-to-end tracking solution for use in clinical trials. Simply download the software onto your trial managers’ mobile devices and sit back as TruLab’s blockchain technology does the rest. Don’t wait until samples reach a central lab to spot potential problems. Spot data anomalies in real-time as samples work their way through the clinical trial. TruLab allows for constant remote accessioning of samples. 20% of samples are lost or deemed unusable in late-stage trials. Ethically, logistically, and financially, this is unacceptable. Samples are no longer exclusively collected at clinical sites. The new world of collection at residences presents a host of novel sample-tracking problems. TruLab tracks samples wherever they are in the world, from residence to repository.
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    Hi-Tech Series 3000

    Hi-Tech Series 3000

    Hi-Tech Health

    Series 3000 is a cloud-based claims administration solution for businesses within the healthcare industry. No matter what your adjudication, reporting, or plan needs are, this platform reduces time processing claims and increases productivity as it assists with: •Client management •Benefits input •Electronic claim submissions •Claims processing •Real-time status tracking Our built-in database efficiently manages clients and employee benefits. This platform allows users to make real-time updates including: •Claims statuses •Currency conversion •ACH deposits and disbursements •Document printing No matter what happens, our cloud-based software is reliable, and we pride ourselves on 99 percent up time. Series 3000 is HIPAA compliant and ensures secure data management and backup. We upgrade our communications and IBM hardware every two to three years and maintain System Critical Support with all our vendors, keeping our technology up to date.
    Starting Price: $3500 per month