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Top Rated Claims Processing Software with Electronic data interchange - Page 2

Last updated: May 2026

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78 software options

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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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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TotalMD logo

Full-featured medical billing software

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TotalMD is a cloud-based practice management solution that offers healthcare businesses and medical practitioners with features such as medical billing and electronic health record keeping. The software caters to small and large scale businesses and can also be deployed on-premise.

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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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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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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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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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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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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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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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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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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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PHOTO iD logo

Photo labeling property inspection camera & web application

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PHOTO ID by U Scope is a team collaborative inspection platform that enables users labels images with a single snap, which enables property inspections to be completed either onsite or with its virtual inspection platform to produce professional detailed property inspection reports in real-time.

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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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MediSked Connect logo

Centralize & Manage Information Across Your Provider Agency

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MediSked Connect centralizes and manages information in order to transform service delivery across provider agencies with simple modules for scheduling, billing, individual plans and outcomes, reporting, and documentation.

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HealthAxis logo

Claims management software with benefits administration

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HealthAxis equips payers, providers, and health organizations with integrated solutions from an advanced claims processing system and TPA services to actionable analytics. We streamline operations and improve client and patient outcomes.

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Healthie logo

HIPAA compliant health records for providers

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Healthie is a HIPAA-compliant electronic health record platform for health and wellness providers, including private practices, group practices, and digital health startups. It offers cloud-based charting, scheduling, billing, telehealth, patient engagement tools, and workflow automation. Features include an AI scribe, multi-provider support, insurance management, and integrations with third-party apps like wearable devices and business intelligence tools.

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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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MedEvolve logo

Scheduling & patient management for specialty practitioners

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MedEvolve is a cloud-based practice management solution, which assists specialty physician practices with patient scheduling and workflows. Key features include patient registration, resource optimization, billing, appointment management, insurance claim processing, data export, and reporting.

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SAIBA Global logo

Insurance broking management software

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SAIBA is an insurance broker software solution designed for overseas direct insurance brokers. This software covers all aspects of the insurance business, including customer relationship management, policy administration, claims processing, accounting, reporting, and more. Key features include workflow automation, document management, renewal tracking, regulatory reporting, and multi-channel sales support.

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pVerify logo

Patient eligibility verification for healthcare providers.

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pVerify is a cloud-based solution that helps healthcare organizations verify patient insurance eligibility on a centralized interface. The platform includes APIs and eligibility benefits verification that helps medical professionals verify prior authorization, claims status, and more. pVerify also offers batch eligibility solutions for medical, dental, and vision providers. Key features include real-time APIs, parsed benefits, EMR/PM integration, custom business rules, and more.

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NextGen Enterprise logo

Health records platform for medical practices

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NextGen Enterprise is a comprehensive healthcare information management system designed specifically for mid-size to enterprise medical practices. The platform delivers an integrated clinical and financial solution that provides healthcare organizations with the flexibility they require while offering the convenience and communication capabilities patients expect.

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Intelligent Medical Software logo

Intelligent technology that adapts to your practice.

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Intelligent Medical Software is an electronic medical records (EMR) suite of solutions designed to help healthcare businesses. Key features include chronic care management, health maintenance, clinical flow charts, a care portal, claims scrubbing, e-faxing, and clinical decision support.

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