Best Healthcare Claims Management Software - Page 3

How Many Healthcare Claims Management Software Products Does G2 Track?

Total Products under this Category: 165

Category Stats (Oct 2026)

  • Average Rating: 4.34/5 (↑0.02 vs Sep 2026) The average rating of products in this category, based on all submitted ratings
  • Top Trending Product: Inovalon Claims Management Medicare Pro (+14.29%) - Among all products in this category, Inovalon Claims Management Medicare Pro recorded the largest rating increase compared to last month

Last updated: October 08, 2026

How Does G2 Rank Healthcare Claims Management Software Products?

Why You Can Trust G2's Software Rankings:

  • 30 Analysts and Data Experts
  • 2,100+ Authentic Reviews
  • 165+ 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: ModMed, athenaOne, TriZetto Facets, Inovalon Claims Management Pro, Service Center by Office Ally, SPRY, TriZetto QNXT, and EHRYourWay.

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

HST Pathways

HST Pathways is the leading provider of a suite of products that have been thoughtfully and clinically designed for the surgery center industry. Our many software offerings provide ASCs with intuitive solutions that cover the entire patient journey and help to unlock revenue, fuel growth, and deliver better care. Build, grow, and run your facility with solutions your entire team will love. See why more than 1,600 clients are choosing HST Pathways by visiting www.hstpathways.com.

Average Rating: 4.6/5.0

Total Reviews: 11

How Do G2 Users Rate HST Pathways?

  • Has the product been a good partner in doing business?: 9.2/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 9.4/10 (Category avg: 8.4/10)
  • Claims Data Automation - Healthcare Claims Management: 9.4/10 (Category avg: 8.6/10)
  • Patient Data Security - Healthcare Claims Management: 9.4/10 (Category avg: 8.8/10)

Who Is the Company Behind HST Pathways?

  • Seller: HST Pathways
  • Year Founded: 2005
  • HQ Location: Nashville, Tennessee, United States
  • LinkedIn® Page: www.linkedin.com
    287 employees on LinkedIn®

Who Uses This Product?

  • Top Industries: Hospital & Health Care
  • Company Size: 73% Small, 27% Medium

What Do G2 Reviewers Say About HST Pathways?

AI-generated summary from verified user reviews

Pros
  • Users appreciate the ease of navigation in HST Pathways, finding it invaluable for daily tasks and preparation.
  • Users find HST Pathways easy to navigate, enhancing their daily operations with helpful features like preference cards.
  • Users value the easy navigation of HST Pathways, especially the useful preference card feature for case preparation.
  • Users find HST Pathways extremely helpful, especially enjoying the easy navigation and preference card feature for efficiency.
  • Users appreciate the easy navigation of HST Pathways, finding it essential for daily tasks and preparation.
Cons
  • Users express frustration with needing to log in twice before accessing HST Pathways, impacting usability.
  • Users find it frustrating to face limited access with needing to log in twice before using HST Pathways.
  • Users often find it frustrating to face login issues, needing to sign in multiple times before accessing HST.

What Are Recent G2 Reviews of HST Pathways?

PLEXIS Payer Platforms

Founded in 1996 and headquartered in Oregon, PLEXIS serves healthcare payer administrative organizations serving over 50 million people in all 50 states and 15 countries. PLEXIS provides enterprise core administration processing solutions to healthcare payers, specialty groups (dental, vision, radiology, etc.), TPAs, delegated risk groups (IPAs, ACOs, MSOs), international insurers, and government healthcare organizations/program administrators. PLEXIS Payer Platforms feature highly scalable, highly flexible and extremely automated core systems for the administration and management of health insurance and delegated risk operations, including group and individual policy administration, benefit plan administration, healthcare claims administration and auto-adjudication, provider and network management, payment contracts and fee schedules (both for providers and carriers), authorizations, capitation, premium billing and reporting.

Average Rating: 3.8/5.0

Total Reviews: 4

How Do G2 Users Rate PLEXIS Payer Platforms?

  • Has the product been a good partner in doing business?: 8.9/10 (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)

Who Is the Company Behind PLEXIS Payer Platforms?

Who Uses This Product?

  • Company Size: 75% Small, 25% Medium

What Are Recent G2 Reviews of PLEXIS Payer Platforms?

QuickCap

QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items.

Average Rating: 4.5/5.0

Total Reviews: 4

How Do G2 Users Rate QuickCap?

  • Has the product been a good partner in doing business?: 8.3/10 (Category avg: 8.4/10)

Who Is the Company Behind QuickCap?

  • Seller: MedVision
  • Year Founded: 1994
  • HQ Location: Arlington Heights, US
  • Twitter: @_medvision
    370 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    28 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 100% Small

What Are Recent G2 Reviews of QuickCap?

What Are G2 Users Discussing About QuickCap?

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SSI Claims Management

SSI Claims Director is an industry-leading claims management solution proven to streamline processes and decrease denials through unmatched edits and a near-perfect clean claim rate. It guides users seamlessly through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts. With SSI, you can ensure that your claims are processed accurately and swiftly the first time. Our near-perfect first-pass payer acceptance rate is a testament to our highly-tenured edits team that boasts an average tenure of 18 years. Processing millions of institutional, professional, dental, and more transactions annually, we've established thousands of direct payer connections, equating to faster claims processing. And with SSI, you can trust our 100% US-based client support dedicated to ensuring any question or concern is addressed promptly. With SSI, you're always one call away from solutions. Always reachable, always ready. Client Success: “We switched to SSI for its superior functionality and were rewarded with both cost savings and unparalleled ease of use.” – Elayne Perry, Regional One. At The SSI Group, LLC (SSI), our healthcare roots run deep. Founded by healthcare providers 35 years ago, SSI stands out as a national clearinghouse company with unmatched domain expertise in medical claims processing. Our commitment to reducing the friction in the revenue cycle drives us to optimize medical claims transactions through automation thereby reducing the cost to collect.

Average Rating: 4.5/5.0

Total Reviews: 4

How Do G2 Users Rate SSI Claims Management?

  • Clearinghouse Integration - Healthcare Claims Management: 8.3/10 (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: 8.8/10)

Who Is the Company Behind SSI Claims Management?

  • Seller: The SSI Group
  • Year Founded: 1988
  • HQ Location: Mobile, US
  • Twitter: @TheSSIGroup
    660 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    509 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 60% Small, 20% Medium

What Are Recent G2 Reviews of SSI Claims Management?

iSALUS Billing

iSalus Healthcare, an EverCommerce company, is a true all-in-one-solution that enables clinicians to manage, monitor and improve their patients’ health from start to finish and beyond. iSalus offers everything from an award-winning cloud based EHR with comprehensive, patient engagement solutions to practice management software and a Chronic Care Management team that acts as an extension of your practice. They offer a unique approach to each specialty's individual needs to help improve better health outcomes for patients. It is their mission, every day, to make a difference in the health of your patient. iSalus partners with healthcare providers to innovate so that you can focus on what matters most—your patients.

Average Rating: 4.2/5.0

Total Reviews: 3

Who Is the Company Behind iSALUS Billing?

  • Seller: iSalus Healthcare
  • Year Founded: 2000
  • HQ Location: Indianapolis, IN
  • Twitter: @iSalus_Health
    2,441 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    49 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 67% Medium, 33% Small

What Are Recent G2 Reviews of iSALUS Billing?

What Are G2 Users Discussing About iSALUS Billing?

TotalEclipse

Total environment designed to manage the needs of workers' compensation claims.

Average Rating: 4.3/5.0

Total Reviews: 3

Who Is the Company Behind TotalEclipse?

  • Seller: Startech Software
  • Year Founded: 2015
  • HQ Location: Novi, US
  • Twitter: @skybow
    674 Twitter followers
  • LinkedIn® Page: linkedin.com
    40 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 75% Small, 25% Medium

What Are Recent G2 Reviews of TotalEclipse?

What Are G2 Users Discussing About TotalEclipse?

CHS Claims

Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.

Average Rating: 5.0/5.0

Total Reviews: 2

How Do G2 Users Rate CHS Claims?

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

Who Is the Company Behind CHS Claims?

Who Uses This Product?

  • Company Size: 50% Medium, 25% Large

What Are Recent G2 Reviews of CHS Claims?

What Are G2 Users Discussing About CHS Claims?

Conduent Healthcare Claims Management

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.

Average Rating: 3.5/5.0

Total Reviews: 2

How Do G2 Users Rate Conduent Healthcare Claims Management?

  • Has the product been a good partner in doing business?: 5.8/10 (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: 6.7/10 (Category avg: 8.8/10)

Who Is the Company Behind Conduent Healthcare Claims Management?

  • Seller: Conduent
  • Year Founded: 2017
  • HQ Location: Florham Park, New Jersey
  • Twitter: @Conduent
    14,338 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    39,548 employees on LinkedIn®
  • Ownership: NASDAQ: CNDT

Who Uses This Product?

  • Company Size: 50% Large, 50% Medium

What Are Recent G2 Reviews of Conduent Healthcare Claims Management?

What Are G2 Users Discussing About Conduent Healthcare Claims Management?

Eligible

Payment Infrastructure for Healthcare. Eligible is a software suite that increases yield while decreasing cost to collect.

Average Rating: 4.5/5.0

Total Reviews: 2

How Do G2 Users Rate Eligible?

  • Clearinghouse Integration - Healthcare Claims Management: 9.2/10 (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: 10.0/10 (Category avg: 8.8/10)

Who Is the Company Behind Eligible?

  • Seller: Eligible
  • Year Founded: 2011
  • HQ Location: Brooklyn, US
  • LinkedIn® Page: www.linkedin.com
    4 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 50% Large, 50% Small

What Are Recent G2 Reviews of Eligible?

What Are G2 Users Discussing About Eligible?

File-Mate 1500

File-Mate 1500 intuitive, user-friendly interface lets you get started with a minimal learning curve. It breaks the HCFA / CMS 1500 form into logical sections and guides you through each screen, making it easy to complete medical claim form and get paid faster. File-Mate 1500 software automatically populates fields with data such as Name, Address and birth date with its Index feature.

Average Rating: 4.8/5.0

Total Reviews: 2

How Do G2 Users Rate File-Mate 1500?

  • Clearinghouse Integration - Healthcare Claims Management: 9.2/10 (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: 7.5/10 (Category avg: 8.8/10)

Who Is the Company Behind File-Mate 1500?

  • Seller: Form Magic
  • HQ Location: N/A
  • Twitter: @formmagic
    6 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    1 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 100% Small

What Are Recent G2 Reviews of File-Mate 1500?

HEALTHsuite Advantage

For nearly 40 years RAM Technologies has been providing enterprise software solutions for health plans administering government sponsored healthcare with a specific focus on Medicare Advantage (MA) and Special Needs (SNP) programs. We are located in Fort Washington, Pennsylvania (suburb of Philadelphia). HEALTHsuite Advantage is a comprehensive, end-to-end solution for health plans administering MA / SNP programs. This software platform represents the next evolution of Medicare Advantage administration and comes pre-configured to administer 'Original' Medicare, slashing implementation durations, eliminating risk and greatly reducing costs. This innovative offering includes all of the essential core capabilities and complete integration with CMS required by Medicare Advantage organizations. Additionally, Medicare Advantage-in-a-Box, HEALTHsuite Advantage's disruptive approach to implementation, provides the simplest and most cost effective way for new organizations to enter the MA market.

Average Rating: 5.0/5.0

Total Reviews: 2

Who Is the Company Behind HEALTHsuite Advantage?

Who Uses This Product?

  • Company Size: 50% Small, 50% Large

What Are Recent G2 Reviews of HEALTHsuite Advantage?

What Are G2 Users Discussing About HEALTHsuite Advantage?

ImagineBilling

The industry’s first intelligent, multi-specialty medical billing software. Streamlining billing and patient collections for over 46,000 physicians across the country.

Average Rating: 4.8/5.0

Total Reviews: 2

How Do G2 Users Rate ImagineBilling?

  • Has the product been a good partner in doing business?: 10.0/10 (Category avg: 8.4/10)
  • Clearinghouse Integration - Healthcare Claims Management: 6.7/10 (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: 9.2/10 (Category avg: 8.8/10)

Who Is the Company Behind ImagineBilling?

Who Uses This Product?

  • Company Size: 100% Medium

What Are Recent G2 Reviews of ImagineBilling?

What Are G2 Users Discussing About ImagineBilling?

Inovalon Claims Management Starter

Claims Management Starter™ is software for healthcare practices that need a straightforward way to prepare, review, and submit claims. Built for office administrators, billing staff, and practice owners, it helps organizations manage claims across multiple payers, check claims before submission, and keep up with changing payer requirements from a single application. It is designed for ambulatory practices and small post-acute organizations that need essential claims management capabilities without the complexity of enterprise revenue cycle solutions. It is best suited for organizations that need straightforward, multi-payer claims management without the broader capabilities of an enterprise revenue cycle platform. For many practices, claims submission is just one of many administrative responsibilities. Staff often balance patient scheduling, front-office operations, billing, and payer requirements, making it difficult to keep work moving efficiently. By bringing key claims activities together in one place, the software helps simplify day-to-day billing tasks while providing greater visibility into the claims submission process. With more than 2,300 payer connections1, nationwide connectivity, and the ability to submit claims 24 hours a day, 7 days a week, 365 days a year, organizations can keep claims moving without being limited by payer access or office hours. Key capabilities include: Manage claims across multiple payers from a single workspace that consolidates payer information and provides visibility into claims activity. Check claims before submission using built-in payer rules and guided error correction to help identify potential issues before claims are sent. Keep up with changing payer requirements through automated rule updates that reduce the need to manually monitor payer changes. Monitor claims from one dashboard with an at-a-glance view of claim status, helping staff prioritize work and track claims through the submission process. Support small practice workflows with minimal setup and configurable settings for lean administrative and billing teams. By bringing payer management, claims validation, workflow guidance, and centralized visibility into a single application, the software helps organizations reduce administrative complexity and prepare more accurate claims for submission. Customer experience: "I stayed with Claims Management Starter because of the ease of submitting the claims." — Regina Burnham, Behavioral Health Insurance and Administrative Consultant Claims Management Starter 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: 4.5/5.0

Total Reviews: 2

How Do G2 Users Rate Inovalon Claims Management Starter?

  • Patient Data Security - Healthcare Claims Management: 10.0/10 (Category avg: 8.8/10)

Who Is the Company Behind Inovalon Claims Management Starter?

  • 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?

  • Company Size: 100% Small

What Are Recent G2 Reviews of Inovalon Claims Management Starter?

MediSYS

Cloud based platform for electronic medical records. Features include clinical orders tracking and hospital outreach solutions.

Average Rating: 4.3/5.0

Total Reviews: 3

How Do G2 Users Rate MediSYS?

  • 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: 8.8/10)

Who Is the Company Behind MediSYS?

  • Seller: Medisys
  • Year Founded: 1985
  • HQ Location: Montgomery, US
  • Twitter: @MediSYSInc_MD
    105 Twitter followers
  • LinkedIn® Page: www.linkedin.com
    45 employees on LinkedIn®

Who Uses This Product?

  • Company Size: 50% Medium, 50% Small

What Do G2 Reviewers Say About MediSYS?

AI-generated summary from verified user reviews

Pros
  • Users value the ease of use of MediSYS, especially for batch insurance eligibility checks, simplifying their workflow.
  • Users value the efficiency of MediSYS for conducting batch insurance eligibility checks seamlessly.

What Are Recent G2 Reviews of MediSYS?

OmegaBill Dental

OmegaBill Dental allows you to process dental insurance claims and provide billing services for dental practices by allowing you to receive claims electronically from dental offices in different formats.

Average Rating: 3.3/5.0

Total Reviews: 2

Who Is the Company Behind OmegaBill Dental?

Who Uses This Product?

  • Company Size: 100% Small

What Are G2 Users Discussing About OmegaBill Dental?

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