Best Core Administrative Processing Systems Software

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, provid

Clinical Decision Support (CDS) system is a next-generation decision-support solution available to providers today.

NaviNet Open Foundation consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to

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. Tr

Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.

Veradigm Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​

Custom robotic process automation (RPA) solutions specializing in healthcare, finance, retail and professional services. Since our solutions are custom scripted, they are flexible, less fragile and m

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 co

Strategic Healthcare Management Systems (SHMS) enables health plans of all sizes reduce administrative overhead. SHMS has segment-specific products for healthcare payer organizations (claims/contracti

End-to-end efficiency accelerates customer acquisition, boosts retention and promotes long-term growth prospects for health payer organisations.

An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, and accelerate cash flow.

CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare.

Codoxo's Forensic AI Platform is an advanced artificial intelligence solution designed to help healthcare organizations detect and prevent fraud, waste, and abuse (FWA within their payment systems. By

Veradigm founded in 1986, is an integrated data systems and services company that combines data-driven clinical insights with actionable tools to help healthcare stakeholders improve the quality, effi

Assured is the first AI-native provider network management platform built for healthcare organizations that cannot afford to wait months to get providers seeing patients and generating revenue. NC