Total Products under this Category: 165
Last updated: October 08, 2026
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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)
Revenue cycle management services for hospitals and health systems that want to increase cash flow and achieve sustainable financial performance.
A clinically-based claims payment solution for payers that want to create and deploy flexible, automated rules to help improve payment accuracy, reduce appeals, and realize medical and administrative savings.
ChartLogic Billing Service Solutions provides the tools you need to increase efficiency and get your practices paid sooner.
Average Rating: 5.0/5.0
Total Reviews: 1
Rating: 5.0/5.0 stars
— Anna P.
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The Cirius Group has transformed healthcare revenue cycle business operations for over 35 years. Cirius delivers industry leading KPI's by streamlining business office functions with highly customized automation. We remove the manual effort from claims production, remittance, and reimbursement processes, relieving workloads with our software and business services. Continual software innovation, optimized EDI services, and dedicated support helps drive client’s success and sustains their results over the long term. Providers rely on Cirius solutions for consistent results over decades of adding facilities, managing growing claim volumes and adapting to ever-changing payer requirements. Complex billing environments are our specialty; large CBOs, major academic systems and cancer centers all rely on Cirius solutions to help ensure the sustainable cash flow they need. Offering: Contract Management Software Claim Editor and 837 Submission Software Payment Processing Software Cash Reconciliation Software Denial Management Software Revenue Cycle Consulting Cirius Business Services: Fully managed hands-free direct EDI services to all payers. Includes submission, tracking, re-submissions, reconciliation management, and correcting rejections. Available to all providers.
ClearlyClaims is an AI-powered medical billing platform built for independent medical and dental practices. Our platform combines AI coding, denial prediction, automated appeals, and real-time claims tracking to help practices reduce denial rates from the industry average of 9% to under 3% — while cutting billing costs by up to 60% compared to traditional billing companies. Features include AI-powered ICD-10/CPT coding, clearinghouse integration, prior authorization tracking, patient billing portal, and a full HIPAA-compliant claims dashboard. Starting at $299/month with a 14-day free trial.
Clinical intelligence that helps hospitals identify documentation gaps and prevent denials before claims are submitted.
Analyze proposed bills to get visibility into problems and actionable insight before the problems leave the business office.
Comindware Health Insurance Claims Management software provides for effective claims processing and enables elimination of inconvenient and error-prone paper and email-based operations taking all communications, data and processes into a unified working environment.
"Onestop effective solution for claims processing and paperless solution"
Rating: 4.5/5.0 stars
— Verified User in Hospital & Health Care
Crosby Health is a healthcare technology company specializing in automating the clinical appeals process for hospitals, health systems, specialty practices, and revenue cycle management providers. By leveraging advanced clinical artificial intelligence (AI), expert appeal writers, and a robust submission engine, Crosby Health streamlines the management of clinical denials and appeals, significantly reducing administrative burdens and improving financial outcomes for healthcare organizations.
Droidal Insurance Verification AI Agent is an AI powered solution that performs real time insurance eligibility and verification for healthcare providers. It retrieves live payer information, checks coverage and benefits, validates policy details, and updates EHR or billing systems automatically. The agent helps reduce denials, lowers manual work, and improves revenue cycle performance.
DrsMagic is a comprehensive software package for medical clinics.
EbixEnterprise is uniquely structured-in Business Blocks, allowing you to change coverage categories as your book of business changes. And every block is built on the powerful EbixEnterprise Claims LX Foundation, with online enrollment and eligibility management, remote access capabilities, and advanced reporting and business intelligence.
Startech Software's TotalEclipse product is a fully featured single-database Claims Management & Medical Bill Review Software application. Representing the culmination of over three years of development and testing, TotalEclipse™ is designed by real Claims Adjusters, Bill Reviewers, and Administration Managers who use this mission-critical software to do their jobs every day.
