Best Healthcare Claims Management Software

How Many Healthcare Claims Management Software Products Does G2 Track?

Total Products under this Category: 163

Category Stats (Sep 2026)

  • Average Rating: 4.32/5 (↓0.01 vs Aug 2026) The average rating of products in this category, based on all submitted ratings
  • Top Trending Product: HST Pathways (+1.11%) - Among all products in this category, HST Pathways recorded the largest rating increase compared to last month

Last updated: September 15, 2026

How Does G2 Rank Healthcare Claims Management Software Products?

Why You Can Trust G2's Software Rankings:

  • 30 Analysts and Data Experts
  • 1,700+ Authentic Reviews
  • 163+ Products
  • Unbiased Rankings

G2's software rankings are built on verified user reviews, rigorous moderation, and a consistent research methodology maintained by a team of analysts and data experts. Each product is measured using the same transparent criteria, with no paid placement or vendor influence. While reviews reflect real user experiences, which can be subjective, they offer valuable insight into how software performs in the hands of professionals. Together, these inputs power the G2 Score, a standardized way to compare tools within every category.

G2 Grid® for Healthcare Claims Management Software

G2 Grid® for Healthcare Claims Management Software plotting products by satisfaction and market presence

Highlighted products: SPRY, Service Center by Office Ally, Inovalon Claims Management Pro, EHRYourWay, TriZetto Facets, Silna Health, TriZetto QNXT, and RevCycle Engine.

Underlying data: [Grid® JSON](https://www.g2.com/categories/healthcare-claims-management/grids.json?focus%5B%5D=spry-spry&focus%5B%5D=service-center-by-office-ally&focus%5B%5D=inovalon-claims-management-pro&focus%5B%5D=ehryourway&focus%5B%5D=trizetto-facets&focus%5B%5D=silna-health&focus%5B%5D=trizetto-qnxt&focus%5B%5D=revcycle-engine)

SPRY

SPRY: The Fastest-Growing AI-Powered EMR & Billing Platform for Rehab Therapy SPRY isn’t just an EMR—it’s your practice partner. Built specifically for physical therapy clinics, SPRY helps reduce admin costs, increase patient visits, and maximize reimbursements. Its AI-powered, fully integrated platform is designed to enhance efficiency, minimize administrative burdens, improve patient care, and support future-proofing your practice. Why SPRY? Whether you're a clinic owner, physical therapist, clinic manager, billing specialist, or front desk staff, SPRY provides an end-to-end solution that simplifies everything from patient scheduling to automated billing. Our customizable workflows, intuitive interface, and real-time automation empower clinics to operate with confidence and efficiency. Most PT platforms claim to be end-to-end but lack seamless module integration, leaving clinics to deal with inefficiencies and workarounds. With the vision to eliminate these gaps, SPRY provides a truly all-in-one solution that streamlines workflows and ensures everything works effortlessly together. Key Features ✔ AI-Powered Documentation – AI Scribe enables real-time note-taking and seamlessly converts notes into structured SOAP templates. ✔ Automated Billing & Claim Management – Pre-authorization, eligibility verification, claim scrubbing, & Medicare compliance ✔ Real-Time Business Intelligence (BI) Dashboard – Data-driven insights for revenue and performance tracking, with the ability to ask queries in simple language ✔ Seamless Patient Engagement – Online scheduling, digital onboarding, Kiosk check-in & HIPAA-compliant patient portal ✔ Operational Efficiency – AI Fax, automated alerts & co-sign functionality for compliance Powering the Future of Physical Therapy SPRY is backed by industry experts, innovative technology, and deep clinical insights, making it the go-to platform for rehab therapy clinics looking to grow, optimize operations, and improve patient outcomes.

Average Rating: 4.6/5.0

Total Reviews: 93

How Do G2 Users Rate SPRY?

  • Has the product been a good partner in doing business?: 9.7/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 10.0/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 10.0/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 10.0/10 (Category avg: 8.7/10)

Who Is the Company Behind SPRY?

  • Seller: SPRY
  • Year Founded: 2021
  • HQ Location: Wilmington, US
  • LinkedIn® Page: www.linkedin.com
    247 employees on LinkedIn®

Who Uses This Product?

  • Who Uses This: Physical Therapist, Owner
  • Top Industries: Health, Wellness and Fitness, Hospital & Health Care
  • Company Size: 87% Small, 13% Medium

What Do G2 Reviewers Say About SPRY?

AI-generated summary from verified user reviews

Pros
  • Users commend the ease of use of Spry, benefiting from its intuitive features and efficient functionality.
  • Users commend exceptional customer support from Spry, enhancing usability and customization for their practices.
  • Users praise Spry's exceptional efficiency, noting significant time savings in medical documentation and overall user-friendliness.
  • Users commend Spry for its exceptional customer support, which significantly enhances their overall experience and practice efficiency.
  • Users praise the ease and automation of the billing process, significantly enhancing efficiency and minimizing stress.
Cons
  • Users face frequent technical issues with SPRY, including glitches and slow AI performance affecting their productivity.
  • Users experience slow performance with SPRY, finding delays in AI note generation and frequent loading issues.
  • Users report data management issues with SPRY, particularly in tracking claims and kiosk form populating.
  • Users highlight the limited features of SPRY, particularly in tracking and follow-up workflows for claims and authorizations.
  • Users occasionally face software bugs and slow loading times, though support is helpful in resolving issues.

What Are Recent G2 Reviews of SPRY?

Service Center by Office Ally

Service Center by Office Ally is a trusted Revenue Cycle Management and patient payments platform used by more than 80,000 healthcare providers and health services organizations, which process more than 950 million transactions annually. Service Center is a cost-effective solution enabling providers to control their revenue cycle. With a user-friendly interface, Service Center helps providers check and verify patients’ eligibility and benefits, submit, correct, and check the status of their claims online, and receive remittance advice. Accepting standard ANSI formats, data entry and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.

Average Rating: 4.6/5.0

Total Reviews: 45

How Do G2 Users Rate Service Center by Office Ally?

  • Has the product been a good partner in doing business?: 9.6/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 9.2/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.8/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.5/10 (Category avg: 8.7/10)

Who Is the Company Behind Service Center by Office Ally?

  • Seller: Office Ally
  • Company Website:
  • Year Founded: 2000
  • HQ Location: Vancouver, WA
  • Twitter: @Office_Ally
    655 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    329 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Medical Practice, Mental Health Care
  • Company Size: 80% Small, 4% Medium

What Are Recent G2 Reviews of Service Center by Office Ally?

Inovalon Claims Management Pro

Claims Management Pro™ helps healthcare organizations manage claims across all payers from a single platform. Built for revenue cycle teams across hospitals, health systems, physician groups, and billing organizations, it combines claims management, eligibility verification, workflow automation, and reporting to help organizations reduce system hopping, improve claim quality, and keep reimbursement moving. The solution supports a 98%+ first-pass payer acceptance rate1 by helping organizations identify and correct issues before claims are submitted. It is best suited for organizations that need enterprise claims management across Medicare, Medicaid, and commercial payers from a single platform. Managing claims often requires teams to move between multiple payer portals, monitor claim status, respond to audits and appeals, and verify patient eligibility throughout the revenue cycle. Inovalon’s most robust claims solution, Claims Management Pro brings these activities together in one application, giving organizations greater visibility into claims while helping billing teams work more efficiently and address potential issues before they affect payment. The solution is backed by Inovalon's nationwide connectivity and experience processing more than 3.3 billion provider transactions each year.2 Configurable workflows and real-time access to payer information also help organizations adapt the solution to their operational needs. Key capabilities include: Manage all payers from one platform with a customizable dashboard and a single login for Medicare, Medicaid, and commercial insurance. Catch and correct claim issues before submission using a built-in rules engine, custom claim edits, eligibility verification, and guided error correction. Automate claims workflows for audits, appeals, Additional Documentation Request (ADR) tracking, and secondary claims submissions while helping reduce timely filing write-offs. Monitor claims and payment activity through remit analytics, real-time claim status, Electronic Remittance Advice (ERA) access, and reporting that provides insight into denials and reimbursement trends. Customize staff workflows based on claim type and required actions to help teams prioritize work and manage claims more effectively. By centralizing claims management activities in one platform, the solution helps organizations improve claim quality, reduce manual effort, and strengthen revenue cycle performance. Customer experience: "BAYADA experienced an ROI of approximately $250K in the first year." — Bryan Quinn, Manager, Reimbursement Systems Analyst, BAYADA Claims Management Pro is part of Inovalon's revenue cycle management suite, which was top rated by Black Book Research. Based on evaluations from more than 1,300 hospital and health system finance and revenue cycle leaders, the suite earned recognition for its full provider cloud RCM platform breadth and eligibility, benefits verification, and real-time payer rule interpretation capabilities. 1. Inovalon internal reporting, Claims Management Pro, January 2026 2. Internal reporting, Inovalon, January 2026

Average Rating: 4.3/5.0

Total Reviews: 32

How Do G2 Users Rate Inovalon Claims Management Pro?

  • Has the product been a good partner in doing business?: 8.5/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 8.8/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.3/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.0/10 (Category avg: 8.7/10)

Who Is the Company Behind Inovalon Claims Management Pro?

  • Seller: Inovalon
  • Company Website:
  • Year Founded: 1998
  • HQ Location: Bowie, Maryland, United States
  • Twitter: @InovalonInc
    1,521 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    3,336 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Hospital & Health Care
  • Company Size: 41% Small, 38% Medium

What Are Recent G2 Reviews of Inovalon Claims Management Pro?

What Are G2 Users Discussing About Inovalon Claims Management Pro?

EHRYourWay

EHRYourWay is an end-to-end, ONC-certified electronic health record (EHR) solution specifically designed for the unique needs of behavioral health organizations. This comprehensive platform caters to outpatient and inpatient mental health clinics, addiction treatment centers, psychiatric hospitals, and Certified Community Behavioral Health Clinics (CCBHCs). By integrating all necessary functionalities—from patient intake and admissions to scheduling, clinical documentation, billing, and reporting—EHRYourWay eliminates the need for multiple vendors and disjointed systems, providing a seamless experience for users. Targeted primarily at healthcare providers in the behavioral health sector, EHRYourWay addresses the complexities of clinical workflows, compliance, and billing associated with mental health care. The platform is particularly beneficial for organizations that require a high degree of customization in their documentation and operational processes. Unlike rigid EHR systems that impose predefined workflows, EHRYourWay allows organizations to configure the platform according to their specific needs, ensuring that forms, workflows, and rules align with existing practices. This flexibility is essential for maintaining efficiency and minimizing disruption in clinical settings. One of the standout features of EHRYourWay is its robust clinical documentation capabilities. The platform enables users to create fully customized electronic replicas of their existing paper forms, allowing clinical staff to document care in a familiar format. It supports a wide range of behavioral health documentation, including psychiatric evaluations, therapy progress notes, and treatment plans. Additionally, built-in validated assessments, such as the PHQ-9 and GAD-7, automate scoring, while the integrated treatment planning module ensures continuity across patient records, linking assessments, diagnoses, and treatment goals in a comprehensive, audit-ready manner. In terms of billing and revenue cycle management, EHRYourWay streamlines the entire process from eligibility verification to claims submission. Its advanced fee schedule rules engine automates the determination of CPT codes and charge amounts, reducing manual entry and minimizing errors. The platform accommodates complex billing requirements, supporting various payers, including Medicaid, Medicare, and commercial insurers. Furthermore, EHRYourWay is equipped with compliance features, such as SOC 2 and ONC certifications, ensuring that organizations remain audit-ready while adhering to regulatory standards. EHRYourWay also excels in practice management, offering integrated solutions for scheduling, telehealth, patient portals, and intake management without the need for third-party add-ons. With a dedicated team of over 150 developers focused exclusively on behavioral health, EHRYourWay provides specialized support seven days a week, ensuring that users receive assistance tailored to their operational needs. This commitment to understanding the intricacies of behavioral health operations sets EHRYourWay apart as a comprehensive solution for organizations striving to enhance their clinical and administrative workflows.

Average Rating: 4.7/5.0

Total Reviews: 332

How Do G2 Users Rate EHRYourWay?

  • Has the product been a good partner in doing business?: 9.8/10 (Category avg: 8.4/10)

Who Is the Company Behind EHRYourWay?

  • Seller: EHR Your Way
  • Company Website:
  • Year Founded: 2008
  • HQ Location: San Diego, California
  • Twitter: @ehryourway
    168 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    33 employees on LinkedIn®

Who Uses This Product?

  • Who Uses This: Therapist, Office Manager
  • Top Industries: Mental Health Care, Hospital & Health Care
  • Company Size: 55% Small, 43% Medium

What Do G2 Reviewers Say About EHRYourWay?

AI-generated summary from verified user reviews

Pros
  • Users value the ease of use of EHR Your Way, appreciating its intuitive design and streamlined workflows.
  • Users value the responsive customer support from EHRYourWay, enhancing their overall experience with the system.
  • Users value the efficiency of EHRYourWay, enjoying easy appointment management and streamlined workflows for enhanced productivity.
  • Users appreciate the streamlined documentation workflow of EHRYourWay, enhancing efficiency and accuracy in managing client records.
  • Users commend EHRYourWay for its user-friendly navigation, making it convenient for both staff and clients.
Cons
  • Users often face technical issues like bugs and slow performance, hindering daily workflow and productivity.
  • Users are frustrated by the limited customization of forms and templates, hindering their ability to meet specific clinical needs.
  • Users struggle with poor navigation in EHRYourWay, finding it challenging and inefficient during their workflow.
  • Users find EHRYourWay to be not user-friendly, causing frustration for both patients and less tech-savvy coworkers.
  • Users find a steep learning curve with EHRYourWay, requiring time and experience to become comfortable with the system.

What Are Recent G2 Reviews of EHRYourWay?

What Are G2 Users Discussing About EHRYourWay?

TriZetto Facets

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

Average Rating: 4.3/5.0

Total Reviews: 16

How Do G2 Users Rate TriZetto Facets?

  • Clearinghouse Integration - Healthcare Claims Management: 10.0/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 10.0/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 10.0/10 (Category avg: 8.7/10)

Who Is the Company Behind TriZetto Facets?

  • Seller: Cognizant
  • Year Founded: 1994
  • HQ Location: Teaneck, NJ
  • Twitter: @Cognizant
    707,793 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    372,105 employees on LinkedIn®
  • Ownership: NASDAQ:CTSH

Who Uses This Product?

  • Top Industries: Insurance
  • Company Size: 47% Medium, 29% Large

What Are Recent G2 Reviews of TriZetto Facets?

What Are G2 Users Discussing About TriZetto Facets?

Silna Health

Silna Health automates front-end RCM for healthcare providers, so care can start in hours, not weeks. From prior authorizations to benefit checks, insurance monitoring, and discovery, our AI-powered Care Readiness Platform streamlines all front-end insurance workflows across every payor in the country. By combining automation with built-in payor communication, Silna cuts pre-visit administration by 95% and has accelerated care for over 50,000 patients. With Silna, your patients get faster treatment, staff reclaim time, and revenue flows without friction. We manage the full authorization process for your specialty, deliver real-time patient cost estimates, send proactive expiration alerts, and integrate with any EHR.

Average Rating: 4.8/5.0

Total Reviews: 66

How Do G2 Users Rate Silna Health?

  • Has the product been a good partner in doing business?: 9.6/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 8.3/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.1/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.7/10 (Category avg: 8.7/10)

Who Is the Company Behind Silna Health?

  • Seller: Silna Health
  • Company Website:
  • Year Founded: 2023
  • HQ Location: New York, US
  • LinkedIn® Page: www.linkedin.com
    66 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Medical Practice, Mental Health Care
  • Company Size: 70% Small, 24% Medium

What Are Recent G2 Reviews of Silna Health?

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.

Average Rating: 4.3/5.0

Total Reviews: 11

How Do G2 Users Rate TriZetto QNXT?

  • Has the product been a good partner in doing business?: 8.3/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 9.2/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.3/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.4/10 (Category avg: 8.7/10)

Who Is the Company Behind TriZetto QNXT?

  • Seller: Cognizant
  • Year Founded: 1994
  • HQ Location: Teaneck, NJ
  • Twitter: @Cognizant
    707,793 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    372,105 employees on LinkedIn®
  • Ownership: NASDAQ:CTSH

Who Uses This Product?

  • Company Size: 46% Large, 38% Medium

What Are Recent G2 Reviews of TriZetto QNXT?

RevCycle Engine

We help you make right easy by preventing denials, protecting revenue, and eliminating manual claim edits with automation that catches errors before claims go out. Our smart, customizable rules ensure accuracy at the source, so your team spends less time fixing mistakes and more time optimizing revenue. One of our health system customers cut manual claim edits by 82%, freeing staff to focus on revenue—not rework. With RevCycle Engine, you can get results as soon as your first billing cycle. With built-in intelligence, RevCycle Engine automates charge corrections, reducing denials and accelerating cash flow. It also streamlines coding reviews, ensuring your team only works the claims that truly need attention. The result? Faster payments, lower costs, and a more efficient revenue cycle. No more last-minute scrambles, lost revenue, or manual work overload. Imagine a streamlined operation with fewer denials and a higher clean claim rate—right from the start. Let us help you make right easy.

Average Rating: 4.6/5.0

Total Reviews: 34

How Do G2 Users Rate RevCycle Engine?

  • Has the product been a good partner in doing business?: 9.5/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 7.5/10 (Category avg: 8.4/10)
  • Patient Data Security - Healthcare Claims Management: 9.2/10 (Category avg: 8.7/10)

Who Is the Company Behind RevCycle Engine?

  • Seller: Aptarro
  • Company Website:
  • HQ Location: Tallahassee, Florida, United States
  • Twitter: @Alpha_II
    5,482 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    127 employees on LinkedIn®
  • Ownership: Aptarro, Inc.

Who Uses This Product?

  • Top Industries: Hospital & Health Care, Medical Practice
  • Company Size: 51% Medium, 26% Small

What Are Recent G2 Reviews of RevCycle Engine?

Tebra (previously Kareo + PatientPop)

Tebra is an all-in-one EHR and practice management platform designed for independent healthcare practices. The platform includes certified electronic health records, clinical charting, electronic prescribing, lab ordering, scheduling, billing, and claims management, telehealth, and patient engagement tools within a single, integrated system. Rather than relying on disconnected add-ons, Tebra provides native workflows that support care delivery, operations, and patient experience in one platform. The solution is purpose-built to help small and mid-sized practices improve efficiency, reduce administrative complexity, and manage day-to-day operations within one system.

Average Rating: 4.1/5.0

Total Reviews: 256

How Do G2 Users Rate Tebra (previously Kareo + PatientPop)?

  • Has the product been a good partner in doing business?: 8.2/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 8.2/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.3/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 8.6/10 (Category avg: 8.7/10)

Who Is the Company Behind Tebra (previously Kareo + PatientPop)?

  • Seller: Tebra
  • Company Website:
  • HQ Location: Corona del Mar, US
  • Twitter: @TebraOfficial
    11,001 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    1,054 employees on LinkedIn®

Who Uses This Product?

  • Who Uses This: Owner, Office Manager
  • Top Industries: Medical Practice, Hospital & Health Care
  • Company Size: 86% Small, 12% Medium

What Do G2 Reviewers Say About Tebra (previously Kareo + PatientPop)?

AI-generated summary from verified user reviews

Pros
  • Users praise Tebra for its user-friendly interface, enabling efficient task completion and customizable reporting.
  • Users praise Tebra's responsive customer support, highlighting quick resolutions and helpful video chat assistance.
  • Users commend Tebra for its efficiency, enhancing the ease of managing tasks and claims across multiple practices.
  • Users appreciate the user-friendly interface of Tebra, enjoying seamless integration and comprehensive features like notes AI.
  • Users value the customizability of Tebra, appreciating multiple templates and customizable reports for streamlined tasks.
Cons
  • Users find limited features in Tebra, especially in reporting and customization options, impacting their experience negatively.
  • Users experience inadequate reporting with Tebra, often needing to manually compile data and encountering refresh issues.
  • Users find the inefficiency in navigating tabs and lack of timely reports frustrating, slowing down their workflow.
  • Users experience billing issues with Tebra, citing frustrations with workflow, slow claims, and patient coupon discrepancies.
  • Users find the reporting inefficient, often requiring manual data stitching and lacking necessary customizations for their needs.

What Are Recent G2 Reviews of Tebra (previously Kareo + PatientPop)?

What Are G2 Users Discussing About Tebra (previously Kareo + PatientPop)?

athenaOne

athenahealth is providing cloud-based services for electronic health records (EHR), revenue cycle management & medical billing, patient engagement, care coordination, and population health management, as well as Epocrates and other point-of-care mobile apps. Our suite of integrated, network-enabled services works to deliver measurable financial and clinical results for providers. The athenahealth EHR offers a homepage that allows users to review the daily schedule and patient information, manage orders, and view incoming lab results. The billing module can be used in tandem with the EHR or on its own, and features a patented and continuously updated rules engine. Medical practice management tools include visibility into daily responsibilities, custom benchmarking, proactive trends analysis, and more. Patients can utilize a patient portal to review history, pay bills, sign forms, and schedule appointments. Reminders can be delivered via phone, email, or text message; patients can even be alerted when test results are waiting in the patient portal.

Average Rating: 3.4/5.0

Total Reviews: 113

How Do G2 Users Rate athenaOne?

  • Has the product been a good partner in doing business?: 7.1/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 9.2/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.8/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.0/10 (Category avg: 8.7/10)

Who Is the Company Behind athenaOne?

  • Seller: athenahealth
  • Year Founded: 1997
  • HQ Location: Watertown, MA
  • Twitter: @athenahealth
    24,384 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    9,040 employees on LinkedIn®
  • Ownership: NASDAQ: ATHN

Who Uses This Product?

  • Top Industries: Hospital & Health Care, Medical Practice
  • Company Size: 45% Small, 35% Medium

What Do G2 Reviewers Say About athenaOne?

AI-generated summary from verified user reviews

Pros
  • Users appreciate the user-driven evolution and customization of athenaOne, enhancing their workflows and reporting capabilities.
  • Users find athenaOne to be intuitive and easy to navigate, enhancing their overall experience and efficiency.
  • Users value the top-notch API integration of athenaOne, enhancing their practice's efficiency and flexibility.
  • Users commend the exceptional customer service of AthenaOne, finding support to be knowledgeable and genuinely helpful.
  • Users value the user-friendly templates of athenaOne, enhancing efficiency in scheduling and communication with colleagues.
Cons
  • Users find inadequate reporting in athenaOne that complicates tasks and hinders efficient documentation.
  • Users struggle with a high learning curve, finding the interface clunky and time-consuming for documentation tasks.
  • Users express frustration over poor customer support, with slow responses from the athenaOne help desk impacting their experience.
  • Users face significant billing issues, leading to frustration with documentation and overall inefficiency in the system.
  • Users find the reporting process inefficient, struggling with complexity and limited user access to necessary reports.

What Are Recent G2 Reviews of athenaOne?

What Are G2 Users Discussing About athenaOne?

Inovalon Eligibility Verification

Eligibility Verification™ provides real-time eligibility and benefits verification for commercial and government payers. Built for healthcare providers, revenue cycle teams, billing specialists, and admissions and patient access staff, it automates routine eligibility verification tasks while giving organizations fast access to coverage and benefit information from Medicare, Medicaid, commercial health plans, Medicare Advantage, and Medicare supplement plans. Keeping eligibility information current can require teams to check multiple payer sources, monitor coverage changes, and resolve exceptions before claims move forward. Eligibility Verification helps organizations automate these routine activities through recurring batch processing, real-time eligibility inquiries, and configurable workflows that reduce manual effort while helping staff focus on more complex cases. With more than 2,300 payer connections1 and direct Medicare access, the solution gives organizations fast access to current eligibility information across a broad range of payers. Eligibility transaction history also provides a record of prior eligibility responses to support denial management and appeals when needed. Key capabilities include: Verify eligibility and benefits across commercial and government payers with access to coverage details, service type code benefits, co-pays, deductibles, coinsurance, and termination dates. Monitor coverage changes automatically using recurring batch processing, change reports, and bulk eligibility requests that help keep information current. Manage exceptions more efficiently through exception reporting, task reassignment, and Medicare Beneficiary Identifier (MBI) retrieval to resolve missing or invalid MBIs, so work continues without unnecessary delays. Integrate eligibility verification into existing workflows using CAQH CORE-compliant APIs and SFTP-based batch file exchange that connect with Electronic Health Records (EHRs), practice management, billing systems, and other supported data formats. Retain eligibility transaction history to support claims research, denial management, and appeals. By automating routine eligibility verification tasks and providing greater visibility into coverage information, the solution helps teams verify coverage more efficiently, reduce manual verification work, and improve eligibility accuracy before claims are submitted. Customer experience: "Running the batches is a big timesaver. You can run them all at the same time and see everything." — Jill Jacobson, Billing Supervisor, Lakeland Mental Health Center Eligibility Verification is part of Inovalon's revenue cycle management suite, which was top rated by Black Book Research. Based on evaluations from more than 1,300 hospital and health system finance and revenue cycle leaders, the suite earned recognition for its full provider cloud RCM platform breadth and eligibility, benefits verification, and real-time payer rule interpretation capabilities. 1. Internal reporting, Inovalon, July 2026

Average Rating: 4.4/5.0

Total Reviews: 14

How Do G2 Users Rate Inovalon Eligibility Verification?

  • Has the product been a good partner in doing business?: 10.0/10 (Category avg: 8.4/10)

Who Is the Company Behind Inovalon Eligibility Verification?

  • Seller: Inovalon
  • Company Website:
  • Year Founded: 1998
  • HQ Location: Bowie, Maryland, United States
  • Twitter: @InovalonInc
    1,521 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    3,336 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Hospital & Health Care
  • Company Size: 50% Medium, 29% Large

What Are Recent G2 Reviews of Inovalon Eligibility Verification?

What Are G2 Users Discussing About Inovalon Eligibility Verification?

SAS Fraud, Anti-Money Laundering & Security Intelligence

What is SAS Fraud, Anti-Money Laundering & Security Intelligence? Software solutions in the SAS Fraud, Anti-Money Laundering and Security Intelligence suite deliver fast, on-target insights through AI and analytics so organizations can address their fraud, improper payments, financial crimes, public safety and investigational challenges more productively.

Average Rating: 4.2/5.0

Total Reviews: 75

How Do G2 Users Rate SAS Fraud, Anti-Money Laundering & Security Intelligence?

  • Has the product been a good partner in doing business?: 8.2/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 8.3/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 7.5/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 8.3/10 (Category avg: 8.7/10)

Who Is the Company Behind SAS Fraud, Anti-Money Laundering & Security Intelligence?

  • Seller: SAS Institute Inc.
  • Company Website:
  • Year Founded: 1976
  • HQ Location: Cary, NC
  • Twitter: @SASsoftware
    60,863 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    15,122 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Banking, Financial Services
  • Company Size: 49% Large, 32% Medium

What Do G2 Reviewers Say About SAS Fraud, Anti-Money Laundering & Security Intelligence?

AI-generated summary from verified user reviews

Pros
  • Users appreciate the ease of use of SAS Fraud, enjoying seamless data integration and a user-friendly experience.
  • Users appreciate the comprehensive and adaptable fraud prevention capabilities of SAS, enhancing their decision-making process effectively.
  • Users value the efficiency of SAS Fraud, enhancing fraud detection through advanced analytics and real-time insights.
  • Users value the advanced analytics of SAS Fraud, enhancing efficiency in fraud detection and risk management.
  • Users appreciate the immediate response to fraud patterns, enabling effective analysis and decision-making in security intelligence.
Cons
  • Users find the learning difficulty of SAS Fraud, Anti-Money Laundering & Security Intelligence challenging, especially without prior experience.
  • Users face significant difficulties with complex configuration and a non-intuitive interface, requiring extensive training and adaptation.
  • Users often struggle with the steep learning curve of SAS Fraud, finding the interface and configurations challenging to navigate.
  • Users find the product expensive and challenging due to high training needs and complexity for smaller organizations.
  • Users find the limited features frustrating, as integration and support issues hinder their overall experience with SAS Fraud.

What Are Recent G2 Reviews of SAS Fraud, Anti-Money Laundering & Security Intelligence?

What Are G2 Users Discussing About SAS Fraud, Anti-Money Laundering & Security Intelligence?

Zelis

Zelis is modernizing the business of healthcare by building something remarkable: a connected platform that bridges gaps in the financial system and aligns interests across healthcare insurers, providers, and consumers. Our platform is transforming the financial experience for more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of providers and members. We see across the financial experience to identify, optimize, and solve problems holistically with technology built by healthcare experts — driving real, measurable results for our clients.

Average Rating: 3.8/5.0

Total Reviews: 19

How Do G2 Users Rate Zelis?

  • Has the product been a good partner in doing business?: 6.7/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 6.1/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 6.1/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 5.6/10 (Category avg: 8.7/10)

Who Is the Company Behind Zelis?

  • Seller: Zelis
  • Year Founded: 2016
  • HQ Location: Bedminister, NJ
  • Twitter: @ZelisHealthcare
    456 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    3,068 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Hospital & Health Care
  • Company Size: 42% Small, 37% Medium

What Do G2 Reviewers Say About Zelis?

AI-generated summary from verified user reviews

Pros
  • Users value the quick response time of Zelis representatives, noting their support and knowledgeable assistance.
  • Users commend the professionalism and responsiveness of Zelis staff, enhancing their overall experience and support.
  • Users value the easy customization process in Zelis, especially appreciating the smooth setup and efficient file transmission.
  • Users find Zelis easy to use, with smoother setup and integration for efficient payment processing.
  • Users appreciate the quick and knowledgeable support from Zelis representatives, enhancing their overall experience and satisfaction.
Cons
  • Users face scheduling issues due to long wait times during enrollment, which can complicate the process.

What Are Recent G2 Reviews of Zelis?

What Are G2 Users Discussing About Zelis?

Essentials

From the first phone call with a new patient through final claim reconciliation and payment, you need a simpler way to collect, submit, and track the administrative, clinical, and financial data that make healthcare possible. Availity Essentials is the place to connect with your payers—at no cost to providers. Availity works with hundreds of payers nationwide to give providers a one-stop-portal where they can check eligibility, submit claims, collect patient payments and track ERAs, and even sign up for EFT. Your Essentials account gets you access to all this and more, with one password. You can also update your provider profiles, manage quality-of-care paperwork, and get detailed reporting about your office’s standard HIPAA and other payer transactions.

Average Rating: 4.0/5.0

Total Reviews: 42

How Do G2 Users Rate Essentials?

  • Has the product been a good partner in doing business?: 7.2/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 8.8/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 8.6/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.3/10 (Category avg: 8.7/10)

Who Is the Company Behind Essentials?

  • Seller: Availity
  • Year Founded: 2001
  • HQ Location: Jacksonville, FL
  • Twitter: @Availity
    2,154 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    1,845 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Medical Practice, Hospital & Health Care
  • Company Size: 62% Small, 24% Medium

What Are Recent G2 Reviews of Essentials?

What Are G2 Users Discussing About Essentials?

Waystar

Waystar provides market-leading technology that simplifies and unifies the revenue cycle. Their cloud-based platform streamlines workflows and improves financials for healthcare providers of all kinds and brings more transparency to the patient financial experience. Waystar has been ranked Best in KLAS for the Claims & Clearinghouse segment every year since 2010, earned #1 rankings in Black Book™ surveys since 2012 and received the Frost & Sullivan North America Customer Value Leadership Award for ambulatory RCM services in 2019. The Waystar platform is used by more than 500,000 providers, 1,000 health systems and hospitals and 5,000 health plans and integrates with all major HIS and PM systems. For more information, visit waystar.com or follow @waystar on Twitter.

Average Rating: 4.4/5.0

Total Reviews: 116

How Do G2 Users Rate Waystar?

  • Has the product been a good partner in doing business?: 8.0/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 9.1/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 9.2/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.3/10 (Category avg: 8.7/10)

Who Is the Company Behind Waystar?

  • Seller: Waystar
  • HQ Location: Louisville, Kentucky
  • Twitter: @Waystar
    2,039 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    1,803 employees on LinkedIn®

Who Uses This Product?

  • Who Uses This: Office Manager, Billing Manager
  • Top Industries: Hospital & Health Care, Medical Practice
  • Company Size: 61% Small, 32% Medium

What Are Recent G2 Reviews of Waystar?

What Are G2 Users Discussing About Waystar?

Emma Stein
ES
Researched and written by Emma Stein
Updated October 3, 2024