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Claims Processing Software with EDI (2026) - Page 2

Last updated: April 2026

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72 software options

Cloud Claims logo

Incident-oriented, claims-focused RMIS

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Cloud Claims is user-friendly claims processing software that helps self-insured businesses, third-party administrators, and insurers manage claims incurred from various kinds of incidents, as well as subrogation, recovery, and more.

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Livegenic logo

Cloud-based claims processing tool for the healthcare sector

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Livegenic is a cloud-based claims processing platform that facilitates live video collaboration for insurance claims, customer service, and field services. This solution allows various stakeholders such as claims adjusters, customer service agents, field inspectors, and policyholders to collaborate using live video, photo capture, and audio recordings.

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VBASoftware logo

Cloud based benefits administration software

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VBA by Virtual Benefits Administrator is a benefits administration software suitable for medical, dental, and life & disability plans, pharmacy claims, and more

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Insta logo

Hospital management system for healthcare operations

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Insta is a cloud-based hospital management software that offers tools for digitizing and automating workflows, streamlining operations, enhancing patient engagement, and managing patient health records. The platform can be used by speciality clinics, medical centers, day care centers, and hospitals.

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bestPT logo

Physical therapy billing service & practice management

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bestPT enables physical therapy clinics to streamline practice activities, improve billing performance and accelerate visit documentation

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MediClaims logo

Claims management software for healthcare organizations

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MediClaims is a claims management software that helps organizations manage benefits administration for flexible spending accounts (FSA), Health Reimbursement Arrangements (HRA), and Health Savings Accounts (HSA) across several healthcare sectors, including medical, dental, and vision.

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SMS360 logo

Cloud-based compliance and safety management software

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Comprehensive incident tracking: costs, subrogation, claim status, deductibles, inspection fees, insurance carriers.

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Knowliah logo

Legal case management solution for businesses of all sizes

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Knowliah is a legal case management solution for businesses of all sizes, which helps users manage & store critical information on a unified platform. It comes with an automated contextualization engine which lets users quickly locate relevant documents related to a specific case, customer or issue.

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ClickClaims logo

Your claims. Our commitment.

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ClickClaims is a cloud-based claims management software ideally suited for small to mid-size property and casualty insurance carriers, third-party administrators, and independent claims adjusting firms, who require advanced technologies that drive a competitive market.

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Payline Data logo

Cloud-based payment processing solution

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Payline Data provides flexible and friendly payment processing solutions tailored to suit the needs of businesses. The product offers a variety of features, including a virtual terminal and dashboard, cart integration and payment page, invoicing and recurring billing, and an open-faced API for custom integrations. Payline Data also provides services like interchange optimization, surcharging, and omni-channel payments to help businesses manage their payment processing effectively.

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Figtree Worker's Compensation Claims logo

Claims processing platform

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Figtree Worker's Compensation Claims streamlines the claims process from start to finish. It streamlines the claims process by capturing and processing incidents and supporting full-scale claims management functions.

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Wilbur logo

Cloud-based claims processing software

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Wilbur's cloud-based claims processing solution optimizes handling insurance claims by offering enhanced adaptability, expandability, and efficiency - allowing users to effortlessly monitor advancements from the initial alert to the conclusive settlement. Centralizing individuals, duties, and assignments for each claim within a single location guarantees improved customer satisfaction and accelerated claims resolution.

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Encompass+ logo

Cloud-based workflow management tool for network businesses.

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Encompass+ is a SaaS claims processing solution for payor and network businesses. Built on Salesforce, it offers seamless integration with your existing systems, ensuring minimal disruption during implementation and regular updates to stay aligned with the latest security standards.

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Mercury logo

Claims processing and insurance underwriting software

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Mercury is a claims processing software designed to help businesses streamline property and casualty (P&C) insurance management, policy administration, and insurance underwriting operations. It allows managers to handle field-level validation and document imaging processes, verify insurers’ backgrounds, and configure workflows via a unified platform.

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Inovalon Provider Cloud logo

Revenue cycle management for healthcare providers and payers

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ABILITY Network's SaaS-based platform supports healthcare providers with revenue cycle management tools, clinical management, Medicare claim processing and more

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NextGen Healthcare Practice Management logo

Medical practice management software

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All-in-one PM that automates routine medical processes

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Ventiv Claims logo

Make data-driven decisions to improve claim outcomes.

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Ventiv Claims is a claims administration system that is comprised of one or more Claims Management modules and a variety of supporting modules, including Absence Management, Enterprise Legal Management, Workers’ Compensation, Policy Management, Billing Management, Claims Intelligence and more.

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Ahshay logo

Claims processing and patient case management software

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Ahshay is a cloud-based healthcare intelligence platform that delivers both preventive and predictive analytics to help providers gather real-time patient treatment data from multiple sources including clinical and EMR systems.

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Claimocity logo

Practice management software with claims tracking tools

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Claimocity is a practice management software that helps healthcare institutes track claims, manage finances, monitor performance, collect data, and more. The front desk module enables receptionists to manage appointments, handle patient charts, and schedule facilities, doctors, and patients.

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NorthStar logo

Medical billing software and Services for HCPs

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PGM offers a technology-plus-service approach to practice management and medical billing, which maximizes the reimbursement process and streamlines operations. Offers cloud-based practice management and revenue cycle management software to third-party integrations and full-service medical billing.

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Figtree General Insurance Claims logo

Cloud-based insurance claims solution

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Figtree General Insurance Claims software is a cloud-based application designed to help insurance companies manage their claims processes efficiently. The software allows claims adjusters to enter and manage claims data, track claim status, and communicate with customers and other stakeholders.

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Plum Insurance logo

Transform employee healthcare experience

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Plum Insurance is a comprehensive employee benefits platform that provides group medical cover for start-ups, SMEs, and corporate organizations.

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Series 3000 logo

Claims administration solutions as individual as you.

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Hi-Tech Health builds claims administration systems for TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, and more. For over 30 years, our developers have enhanced the healthcare marketplace with a fully customizable platform that meets any payer’s needs. It can also meet yours.

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Terra logo

Streamline your claims operations and improve efficiency

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A world-class property and casualty claims management system that streamlines claims-related operations & makes adjusters’ lives easier.

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Zelis logo

Modernizing the Healthcare Financial Experience

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A connected platform that bridges gaps in the financial system and aligns interests across healthcare insurers, providers, and consumers.

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