Total Products under this Category: 165
Last updated: October 08, 2026
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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.
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)
E-COMB is a web based solution for generating medical claims complying with the HIPAA transaction and code set standards, regulated by the US Government following the recommendations of American National Standards Institute.
Claim Agent is a claims management software designed to have an intuitive functionality that optimizes workflow, reduces errors, and accelerates cash flow.
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Essentials Pro is Availity’s premier revenue cycle management clearinghouse, enabling some of the nation’s largest and most successful providers, hospitals, and health systems to streamline their workflows, prevent denials, and get paid faster. Integrated with many practice management systems and EHRs, Essentials Pro lets you make the most out of your technology. Whether your goal is to send cleaner claims, prevent denials up front, cut paper processes out of your workflow, or all of the above, Essentials Pro’s end-to-end claims workflow can help you achieve it.
E-TPA is a comprehensive, end-to-end, and highly customizable Enterprise Healthcare Insurance Solution. Our engine will streamline, digitize, and reduce the operational cost of your organization’s processes including underwriting, medical network, approvals, claims, customer service, and finance. Empower your organization with the best-in-class business intelligence tools to identify risks, manage bottlenecks, and make real-time decisions based on meaningful insights. Connect your clients to your services and improve customer satisfaction with the E-TPA Mobile Solution. Our intuitive design and seamless integration will take your clients user experience to the next level.
Upgrade your claims processing by unifying data from all incoming communication channels, performing pre-submission checks to create clean claims, and intelligently routing claims for optimal processing using systems capable of intelligent decisioning.
From coding and billing support to claims management systems, medical lockbox solutions, and integrated data management, Exela offers full claim lifecycle tools that improve patient financial services operations.
EzyMed Online 4 is a fully integrated Medical Practice Management software for General Practices, Radiology and Specialists Centres.EzyMed Online 4 encompasses all functions required for the Medicare Australia's Online Claiming Online process, Department of Veterans Affairs (DVA) Claims and Australian Childhood Immunisation Register (ACIR) claims.
Thrive holistically re-engineers the revenue cycle throughout the patient's journey, from patient access to accurate clinical documentation and coding to proper reimbursement.
Foothold Care Management is a comprehensive, cloud-based software solution designed to enhance care coordination and streamline administrative processes for health homes and care management agencies. By integrating case management, client tracking, treatment planning, and billing functionalities, FCM empowers organizations to deliver efficient and effective care to their communities. Key Features and Functionality: - User-Friendly Interface: Provides an intuitive platform for managing client encounters, core service interactions, and billing statuses, enabling care managers to monitor and address gaps in member care effectively. - Integrated Billing System: Facilitates seamless billing processes by automatically handling health home billing requirements, including claim generation and submission to the Medicaid Analytics Performance Portal Health Home Tracking System . - Comprehensive Reporting and Analytics: Offers robust tools for tracking outcomes, generating reports, and analyzing data to support informed decision-making and demonstrate population health outcomes. - Interoperability: Ensures compatibility with other essential tools, such as referral management systems, to foster effective data sharing and coordination across networks. - Security and Compliance: Maintains high standards of data security, adhering to HIPAA regulations and achieving notable scores in security assessments. Primary Value and Solutions Provided: FCM addresses the complexities of care coordination by offering a centralized platform that simplifies administrative tasks, enhances data accuracy, and improves service delivery. By automating billing processes and providing insightful analytics, FCM enables care management agencies to focus more on client engagement and outcomes, ultimately leading to better health results and operational efficiency. Its interoperability and compliance features ensure that organizations can adapt to evolving healthcare regulations and integrate seamlessly with other systems, positioning them for success in a dynamic healthcare environment.
Average Rating: 3.5/5.0
Total Reviews: 1
Fusion EDI is a cloud based B2B platform that allows you and your business partners to exchange data dynamically. It is entirely compliant with the current worldwide standards and laws to assist the firm in considerably increasing its business efficiency. The Fusion EDI data interchange system allows businesses of any size to execute workflows and procedures that save money. It provides an easy, automatic movement of business information across firms that can reduce these costs. One of the most pressing concerns with EDI Fusion is data security; these measures and standards allow businesses to exchange data internally easily. Archive tracking and audit trail capabilities are two security characteristics of EDI. Fusion EDI Verify insurance eligibility in real-time to avoid losing money on patients with invalid or insufficient insurance coverage. Software receipts for electronic funds transfers are detailed, and insurance payments and balances are automatically posted or reconciled. Fusion EDI provides the speedy and precise interchange of business information that is useful for effective and efficient supply chain management, resulting in a reduced procurement cycle, faster delivery time, cost savings, and other operations. It automates the posting of insurance payments and the receipt of electronic remittance advice (ERA) reports to save time. It Verify insurance eligibility in real-time to avoid losing money on patients with invalid or insufficient insurance coverage. Fusion EDI improves productivity, communication, data transfer accuracy, builds collaborations, and saves expenses. Rapid integration allows you to submit claims and get paid more quickly. It eliminates the need to re-key information, decreases the risk of data entry errors, and accelerates the exchange of business documents with clients and other trading partners.
GoClaim is a comprehensive Medicaid reimbursement management platform specifically designed for educational institutions. Tailored to meet the unique needs of schools, GoClaim simplifies the complex process of billing for Medicaid services, ensuring that schools can maximize their reimbursements while minimizing administrative burdens. With GoClaim, users benefit from an intuitive interface that streamlines the entire billing process—from data collection to submission. The platform automates the generation of claims and ensures compliance with state and federal regulations, reducing the risk of errors and rejections. This means that schools can focus on providing quality services without the stress of navigating complex billing requirements. Key features include real-time tracking of claims, detailed reporting, and user-friendly dashboards that provide insights into reimbursement status. GoClaim also offers seamless integration with existing student information systems, allowing for easy data import and export. This integration ensures that all relevant information is captured accurately and efficiently. By leveraging GoClaim, schools can significantly enhance their revenue cycle management, ensuring timely reimbursements while dedicating more resources to student services. Experience a streamlined approach to Medicaid billing with GoClaim—where efficiency meets reliability in maximizing funding for your educational programs.
EMR that is fully integrated with practice management functionality, and free to offices with one to two providers.
