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Best Healthcare Claims Management Software

Products Buyer's Guide
6.8
Optum360
★★★★★

Optum360

Optum360 sits at the center of the health care financial exchange. It combines technology, methodology and expertise to help payers and providers collaborate. Its seamless, transparent revenue cycle capabilities strengthen and sustain the payer and provider relationship.

Waste of money! - Administrator in Health, Wellness and Fitness

Ease of use
Support
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8.0
MicroMD PM
★★★★★

MicroMD PM

Delivering on the promise of health information technology, Henry Schein Medical Systems/MicroMD provides simple yet powerful EMR and practice management solutions that facilitate the delivery of superior patient care, automate incentive and quality reporting activities, and streamline operations for today's busy providers.

Solid PM - Arron G.

Ease of use
Support
Ease of Setup
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8.0
PLEXIS Payer Platforms
★★★★★

PLEXIS Payer Platforms

PLEXIS platforms provide core administration (benefit administration) and claims management engines.

Good product - Internal Consultant in Hospital & Health Care

Ease of use
Support
Ease of Setup

Languages supported: English

Platforms: Mac, Win, Linux

Price: $$$$$

Business Size: 1

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7.6
Pega Claims Management
★★★★★

Pega Claims Management

Improve efficiency and effectiveness with a claims management desktop that modernizes your underwriting environment on an enterprise scale.

Strictly Automation - Achal K.

Ease of use
Support
Ease of Setup
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6.2
NextGen Enterprise
★★★★★

NextGen Enterprise

NextGen Healthcare is a leading healthcare software and services company that empowers the transformation of ambulatory care. Our smart, electronic health record solutions help ambulatory practices alleviate the burden of documentation, advance clinical outcomes, connect with other health systems, elevate provider and patient satisfaction, streamline the revenue cycle, and foster healthier communities

Successful asset management with nextgen office. - User in Medical Practice

Ease of use
7.2
Support
5.5
Ease of Setup
6.9

Languages supported: English

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6.6
Quadax Revenue Cycle Management Solutions
★★★★★

Quadax Revenue Cycle Management Solutions

Quadax Revenue Cycle Management Solutions can help you manage efficiency, cash flow, and days in A/R for hospitals and other health care organizations of every size.

Very Good Medical Billing Software - Administrator in Medical Practice

Ease of use
Support
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7.6
athenaCollector
★★★★★

athenaCollector

athenahealth is a leading provider of network-enabled services and mobile applications for medical groups and health systems.

Intuitive backup of moderated patient data is handled with anthena collector. - User in Medical Practice

Ease of use
8.3
Support
7.0
Ease of Setup
9.2
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8.4
Availity
★★★★★

Availity

Availity solves the communication challenges between healthcare stakeholders, creating a more transparent exchange of information between health plans, providers, and technology partners.

Convenient - Alyse K.

Ease of use
8.7
Support
8.1
Ease of Setup
0.0
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8.0
iSALUS Billing and Scheduling
★★★★★

iSALUS Billing and Scheduling

iSALUS Billing and Scheduling Services is a billing and scheduling software that has integrated clearinghouse service that allows you to get your claims paid, as well as submit e-claims, post ERA payments, verify patient insurance eligibility, and more.

It is okay for what it is - Jacque P.

Ease of use
Support
Ease of Setup
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7.6
TruBridge
★★★★★

TruBridge

TruBridge is a service provider focused on providing business office, consulting and managed IT services to community healthcare organizations.

Reliable pay stub viewer - User in Hospital & Health Care

Ease of use
Support
Ease of Setup
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7.0
HSP Payer Suite
★★★★★

HSP Payer Suite

The HSP Payer Suite provides a single-source database, core administrative system, web portals, and open system with web services to quickly automate current and future healthcare regulations and business processing requirements.

User Experience on HSP - Stanley Y.

Ease of use
Support
Ease of Setup
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5.6
LexisNexis MarketView
★★★★★

LexisNexis MarketView

LexisNexis MarketView delivers medical claims-based intelligence to healthcare organizations across the United States.

Useful tool to ensure quality referrals - User in Hospital & Health Care

Ease of use
Support
Ease of Setup
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3.0
Practice Director
★★★★★

Practice Director

This software is designed to help optometrists better manage and analyze their business and clinical operations.

Alot of major glitches! - User in Medical Practice

Ease of use
Support
Ease of Setup
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8.2
RXNT Practice Management
★★★★★

RXNT Practice Management

RXNT's affordable, integrated PM solution combines cloud-based Medical Billing with a digital patient Scheduling system, and is designed to help streamline administrative tasks for both front and back office staff.

Complex UI, yet Cost effective tool - User in Health, Wellness and Fitness

Ease of use
7.8
Support
8.1
Ease of Setup
0.0

Languages supported: English

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7.8
eClinicalWorks RCM
★★★★★

eClinicalWorks RCM

eClinicalWorks Revenue Cycle Management (RCM) Services provides an alternative by allowing our staff of expert billers to handle back-office operations directly through the eClinicalWorks application, securely and accurately. Dashboards provide authorized users with transparency into the process and visibility into your practice's financial performance in real time.

EClinicalWorks is a great software for our office! - Rachel P.

Ease of use
8.3
Support
7.6
Ease of Setup
0.0
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8.4
TriZetto Facets
★★★★★

TriZetto Facets

Facets is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals.

Great claims processing company! - User in Hospital & Health Care

Ease of use
8.2
Support
8.3
Ease of Setup
8.1
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8.0
AdvancedBilling
★★★★★

AdvancedBilling

AdvancedBilling allows you access to crucial patient information and control the patient scheduling process from a single screen as well as manage patient demographics, referral information, insurance coverage, check-in, and more.

Not as Comprehensive as Expected - Administrator in Medical Practice

Ease of use
7.4
Support
7.7
Ease of Setup
0.0
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8.6
TriZetto QNXT
★★★★★

TriZetto QNXT

TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.

A Data Analyst's and Developer's Dream - Bruce W.

Ease of use
8.9
Support
8.5
Ease of Setup
8.7
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6.8
CareCloud
★★★★★

CareCloud

Manage your practice's schedule color-coded Appointments.

Disastrous! - Dannielle I.

Ease of use
7.4
Support
6.5
Ease of Setup
0.0

Languages supported: English

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8.2
Kareo
★★★★★

Kareo

Our affordable, cloud-based solutions free doctors' hands for the important work of patient care.

Great product and service - Nichole B.

Ease of use
8.6
Support
8.1
Ease of Setup
9.1

Languages supported: English

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9.2
Waystar
★★★★★

Waystar

Maximize all sources of revenue, reduce cost and expedite payment with a simplified and unified platform that integrates payment processing across HIS, PM and EMR systems—unlocking unprecedented, actionable insights for improved revenue cycle performance. No matter the size or scope of your organization, we can help you save time and effort so you can get back to helping those who need it most.

Business Manager - Angela B.

Ease of use
9.4
Support
9.2
Ease of Setup
9.3

Languages supported: English

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9.0
Allscripts PayerPath
★★★★★

Allscripts PayerPath

Allscripts Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​

Excellent and effective tool - User in Medical Practice

Ease of use
Support
Ease of Setup
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8.0
Parascript
★★★★★

Parascript

Parascript automates the extraction of meaningful, contextual data from image and document-based information to support transactions, information governance, fraud prevention, and business processes. Parascript software processes any document with any data from any source with its easy-to-use, image-based analysis, classification, data location, and extraction technology.

Parascript has excellent address recognition - Jameson N.

Ease of use
Support
Ease of Setup
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8.0
ABILITY EASE All-Payer
★★★★★

ABILITY EASE All-Payer

ABILITY EASE All-Payer was engineered by leveraging over a decade of experience troubleshooting EDI submission pain points to create a system that reduces first-pass rejections.

An all in one payer solution - User in Mental Health Care

Ease of use
Support
Ease of Setup
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8.0
Lark
★★★★★

Lark

Lark Health is a Silicon Valley startup that is bringing the best in design, A.I, health coaching, and mobile technology to chronic disease management as a platform. Lark's team is an interdisciplinary group of technologists and clinicians from UnitedHealth, Kaiser Permanente, Google, Yahoo, Stanford, Harvard, and MIT who are passionate about expanding our AI to lower chronic disease costs and improve outcomes at scale.

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Ease of use
Support
Ease of Setup

Languages supported: English

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6.0
QuickPractice
★★★★★

QuickPractice

Quick Practice is a medical practice management software that includes electronic billing service, calendar, patient database, and more.

A little behind in the healthcare software world - Desiree M.

Ease of use
Support
Ease of Setup
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5.0
Chart Talk
★★★★★

Chart Talk

Chiropractic EHR hosted in the cloud, patient engagement portal, easy to customize, speech recognition, excellent and timely support.

Not user friendly for multi-clinic companies. - User in Hospital & Health Care

Ease of use
Support
Ease of Setup
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5.0
ClaimScape
★★★★★

ClaimScape

Medical, dental and vision claims, health benefits administration, and claims adjudication software in one solution.

Easy claims and benefits processing - User in Accounting

Ease of use
Support
Ease of Setup
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