# Best Core Administrative Processing Systems Software

*By [Emma Stein](https://research.g2.com/insights/author/emma-stein)*


Healthcare Payer’s Core Administrative Processing Solutions support and simplify the solutions that healthcare payers use for administrative management and transactions processing.

To qualify for inclusion in the Healthcare Payer’s Core Administrative Processing Solutions category, a product must:

- Evolve and accommodate regulatory changes and innovation in the payment sector
- Extend the capabilities and functionalities of existing processing and provider-facing systems






## G2 Grid® for Core Administrative Processing Systems Software
![G2 Grid® for Core Administrative Processing Systems Software plotting products by satisfaction and market presence](https://www.g2.com/categories/healthcare-payers-core-administrative-processing-solutions/grids.png?focus%5B%5D=124847&focus%5B%5D=20488&focus%5B%5D=60615)
Highlighted products: Zelis, intelliPath ePA, and NaviNet Open.
Underlying data: [Grid® JSON](https://www.g2.com/categories/healthcare-payers-core-administrative-processing-solutions/grids.json?focus%5B%5D=zelis&focus%5B%5D=intellipath-epa&focus%5B%5D=navinet-open)


## How Many Core Administrative Processing Systems Software Products Does G2 Track?
**Total Products under this Category:** 44

### Category Stats (Jul 2026)
- **Average Rating**: 4.27/5 (↑0.01 vs Jun 2026) The average rating of products in this category, based on all submitted ratings
- **Top Trending Product**: Zelis (+1.5%) - Among all products in this category, Zelis recorded the largest rating increase compared to last month
*Last updated: July 14, 2026*


## How Does G2 Rank Core Administrative Processing Systems Software Products?

**Why You Can Trust G2's Software Rankings:**

- 30 Analysts and Data Experts
- 100+ Authentic Reviews
- 44+ 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.


## Which Core Administrative Processing Systems Software Is Best for Your Use Case?

- **Leader:** [Zelis](https://www.g2.com/products/zelis/reviews)
- **Easiest to Use:** [Zelis](https://www.g2.com/products/zelis/reviews)
- **Top Trending:** [intelliPath ePA](https://www.g2.com/products/intellipath-epa/reviews)


---

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---

## What Are the Top-Rated Core Administrative Processing Systems Software Products in 2026?
### 1. [Zelis](https://www.g2.com/products/zelis/reviews)
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:** 4.0/5.0
**Total Reviews:** 18

**Who Is the Company Behind Zelis?**

- **Seller:** [Zelis](https://www.g2.com/sellers/zelis-4372baaa-6f0e-4dc5-985f-68564a568d01)
- **Year Founded:** 2016
- **HQ Location:** Bedminister, NJ
- **Twitter:** @ZelisHealthcare (456 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/zelis (2,981 employees on LinkedIn®)

**Who Uses This Product?**
- **Top Industries:** Hospital & Health Care
- **Company Size:** 39% Mid-Market, 39% Small-Business


#### What Are Zelis's Pros and Cons?

**Pros:**

- Response Speed (2 reviews)
- Staff Professionalism (2 reviews)
- Customization (1 reviews)
- Ease of Use (1 reviews)
- Helpful (1 reviews)

**Cons:**

- Scheduling Issues (1 reviews)


### What Do G2 Reviewers Say About Zelis?
*AI-generated summary from verified user reviews*

**Pros:**

- Users highlight the **quick response speed** of Zelis representatives, enhancing support and customer satisfaction.
- Users commend the **professionalism and support** of Zelis staff, highlighting their responsiveness and knowledgeable assistance.
- Users highly value the **customization options** in Zelis, making account setup and payment processing effortless.
- Users praise the **ease of use** in Zelis, noting smooth setups and seamless transactions without manual effort.
- Users commend Zelis for their **responsive and knowledgeable representatives** , enhancing the overall customer experience significantly.

**Cons:**

- Users find **scheduling issues** can arise during enrollment, but overall benefits of Zelis remain significant.

#### What Are Recent G2 Reviews of Zelis?

**"[Excellent Customer Service—Congenial, Knowledgeable, and Thorough Support](https://www.g2.com/survey_responses/zelis-review-13031860)"**

**Rating:** 5.0/5.0 stars
*— victoria m.*

[Read full review](https://www.g2.com/survey_responses/zelis-review-13031860)

---

**"[Excellent Customer Service](https://www.g2.com/survey_responses/zelis-review-11126864)"**

**Rating:** 5.0/5.0 stars
*— Verified User in Mental Health Care*

[Read full review](https://www.g2.com/survey_responses/zelis-review-11126864)

---


#### What Are G2 Users Discussing About Zelis?

- [What is Zelis used for?](https://www.g2.com/discussions/what-is-zelis-used-for)

### 2. [intelliPath ePA](https://www.g2.com/products/intellipath-epa/reviews)
Clinical Decision Support (CDS) system is a next-generation decision-support solution available to providers today.


**Average Rating:** 3.7/5.0
**Total Reviews:** 10

**Who Is the Company Behind intelliPath ePA?**

- **Seller:** [eviCore](https://www.g2.com/sellers/evicore)
- **Year Founded:** 1992
- **HQ Location:** Bluffton, US
- **Twitter:** @evicorehc (873 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/evicore/about (2,609 employees on LinkedIn®)

**Who Uses This Product?**
- **Top Industries:** Hospital & Health Care
- **Company Size:** 50% Small-Business, 40% Enterprise



#### What Are Recent G2 Reviews of intelliPath ePA?

**"[Great Software](https://www.g2.com/survey_responses/intellipath-epa-review-443719)"**

**Rating:** 4.0/5.0 stars
*— Nathan R.*

[Read full review](https://www.g2.com/survey_responses/intellipath-epa-review-443719)

---

**"[Easy to use](https://www.g2.com/survey_responses/intellipath-epa-review-3134203)"**

**Rating:** 4.0/5.0 stars
*— Verified User in Hospital & Health Care*

[Read full review](https://www.g2.com/survey_responses/intellipath-epa-review-3134203)

---


#### What Are G2 Users Discussing About intelliPath ePA?

- [What is intelliPath ePA used for?](https://www.g2.com/discussions/what-is-intellipath-epa-used-for)

### 3. [NaviNet Open](https://www.g2.com/products/navinet-open/reviews)
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 configure and customize the system.


**Average Rating:** 4.2/5.0
**Total Reviews:** 15

**Who Is the Company Behind NaviNet Open?**

- **Seller:** [NantHealth](https://www.g2.com/sellers/nanthealth)
- **Year Founded:** 2007
- **HQ Location:** Winterville, NC
- **LinkedIn® Page:** https://www.linkedin.com/company/nanthealth (277 employees on LinkedIn®)
- **Ownership:** OTCMKTS: NHIQ

**Who Uses This Product?**
- **Top Industries:** Medical Practice, Hospital & Health Care
- **Company Size:** 53% Small-Business, 47% Mid-Market



#### What Are Recent G2 Reviews of NaviNet Open?

**"[<p>Inquiries about claims</p>](https://www.g2.com/survey_responses/navinet-open-review-5141413)"**

**Rating:** 4.0/5.0 stars
*— Verified User in Medical Practice*

[Read full review](https://www.g2.com/survey_responses/navinet-open-review-5141413)

---

**"[Provider Portal](https://www.g2.com/survey_responses/navinet-open-review-5107217)"**

**Rating:** 4.0/5.0 stars
*— Heather L.*

[Read full review](https://www.g2.com/survey_responses/navinet-open-review-5107217)

---


#### What Are G2 Users Discussing About NaviNet Open?

- [What payers are on NaviNet?](https://www.g2.com/discussions/what-payers-are-on-navinet)
- [What is NaviNet and availity?](https://www.g2.com/discussions/what-is-navinet-and-availity)
- [What is NaviNet used for?](https://www.g2.com/discussions/what-is-navinet-used-for)
- [What opens NaviNet?](https://www.g2.com/discussions/what-opens-navinet)

### 4. [TriZetto QNXT](https://www.g2.com/products/trizetto-qnxt/reviews)
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

**Who Is the Company Behind TriZetto QNXT?**

- **Seller:** [Cognizant](https://www.g2.com/sellers/cognizant)
- **Year Founded:** 1994
- **HQ Location:** Teaneck, NJ
- **Twitter:** @Cognizant (707,793 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/1680/ (362,678 employees on LinkedIn®)
- **Ownership:** NASDAQ:CTSH

**Who Uses This Product?**
- **Company Size:** 46% Enterprise, 38% Mid-Market



#### What Are Recent G2 Reviews of TriZetto QNXT?

**"[Modern interface with sleek look](https://www.g2.com/survey_responses/trizetto-qnxt-review-4428010)"**

**Rating:** 4.0/5.0 stars
*— Verified User in Hospital & Health Care*

[Read full review](https://www.g2.com/survey_responses/trizetto-qnxt-review-4428010)

---

**"[US helathcare care web based total payer solution](https://www.g2.com/survey_responses/trizetto-qnxt-review-8785617)"**

**Rating:** 4.5/5.0 stars
*— Omkar G.*

[Read full review](https://www.g2.com/survey_responses/trizetto-qnxt-review-8785617)

---



### 5. [HealthRules Payer](https://www.g2.com/products/healthrules-payer/reviews)
Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.


**Average Rating:** 4.5/5.0
**Total Reviews:** 6

**Who Is the Company Behind HealthRules Payer?**

- **Seller:** [HealthEdge Software](https://www.g2.com/sellers/healthedge-software)
- **Year Founded:** 2005
- **HQ Location:** Burlington, MA
- **Twitter:** @HealthEdge (896 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/74601 (2,225 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 114% Mid-Market



#### What Are Recent G2 Reviews of HealthRules Payer?

**"[One of the best payor available in market. Personally i always opt for it.](https://www.g2.com/survey_responses/healthrules-payer-review-5424320)"**

**Rating:** 5.0/5.0 stars
*— Amitesh S.*

[Read full review](https://www.g2.com/survey_responses/healthrules-payer-review-5424320)

---

**"[Amazing HealthRules Payor](https://www.g2.com/survey_responses/healthrules-payer-review-5409595)"**

**Rating:** 5.0/5.0 stars
*— Nitin G.*

[Read full review](https://www.g2.com/survey_responses/healthrules-payer-review-5409595)

---


#### What Are G2 Users Discussing About HealthRules Payer?

- [What is HealthRules Payor used for?](https://www.g2.com/discussions/what-is-healthrules-payor-used-for)

### 6. [Veradigm Payerpath](https://www.g2.com/products/veradigm-payerpath/reviews)
Veradigm Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​


**Average Rating:** 4.1/5.0
**Total Reviews:** 12

**Who Is the Company Behind Veradigm Payerpath?**

- **Seller:** [Veradigm](https://www.g2.com/sellers/veradigm)
- **Year Founded:** 1986
- **HQ Location:** Chicago, IL
- **Twitter:** @Veradigm (453 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/veradigm/ (1,828 employees on LinkedIn®)
- **Ownership:** NASDAQ

**Who Uses This Product?**
- **Company Size:** 50% Small-Business, 25% Enterprise



#### What Are Recent G2 Reviews of Veradigm Payerpath?

**"[User friendly, Effective and Quick](https://www.g2.com/survey_responses/veradigm-payerpath-review-9118272)"**

**Rating:** 4.0/5.0 stars
*— Raza A.*

[Read full review](https://www.g2.com/survey_responses/veradigm-payerpath-review-9118272)

---

**"[Unlocking Efficiency and Accuracy](https://www.g2.com/survey_responses/veradigm-payerpath-review-9146716)"**

**Rating:** 4.5/5.0 stars
*— Narinder pal S.*

[Read full review](https://www.g2.com/survey_responses/veradigm-payerpath-review-9146716)

---


#### What Are G2 Users Discussing About Veradigm Payerpath?

- [What is Allscripts PayerPath used for?](https://www.g2.com/discussions/what-is-allscripts-payerpath-used-for)

### 7. [Simple Fractal](https://www.g2.com/products/simple-fractal/reviews)
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 more cost effective since there are no licensing fees from 3rd-party vendors. We use bots to: - Automate repetitive business functions that are tedious, error prone and don't contribute to employee satisfaction - Communicate between disparate systems - Integrate solutions with common business applications - e-mail, Excel, text, etc. - Create dynamic reports that "act" on the business intelligence data (send notifications, tasks, etc.) - and much more...


**Average Rating:** 4.9/5.0
**Total Reviews:** 16

**Who Is the Company Behind Simple Fractal?**

- **Seller:** [Simple Fractal](https://www.g2.com/sellers/simple-fractal)
- **Year Founded:** 2013
- **HQ Location:** New York, US
- **Twitter:** @FractalSimple (4 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/simple-fractal (20 employees on LinkedIn®)

**Who Uses This Product?**
- **Top Industries:** Hospital & Health Care
- **Company Size:** 63% Enterprise, 31% Mid-Market


#### What Are Simple Fractal's Pros and Cons?

**Pros:**

- Automation (2 reviews)
- Automation Ease (2 reviews)
- Innovation (2 reviews)
- Solutions (2 reviews)
- Bot Creation (1 reviews)

**Cons:**

- Expensive (3 reviews)


### What Do G2 Reviewers Say About Simple Fractal?
*AI-generated summary from verified user reviews*

**Pros:**

- Users value the **automation expertise** of Simple Fractal, enhancing workflow efficiency and transforming their operational strategies.
- Users commend the **ease of automation** with Simple Fractal, benefiting from their responsiveness and expert guidance.
- Users value the **innovative solutions** offered by Simple Fractal, enhancing workflow and supporting business growth effectively.
- Users value the **exceptional partnership** with Simple Fractal, appreciating their commitment and strategic contributions to business growth.
- Users commend Simple Fractal for their **expertise in bot creation** , facilitating successful RPA solutions and organizational growth.

**Cons:**

- Users note that Simple Fractal's services are **expensive** , but argue the quality justifies the higher rates.

#### What Are Recent G2 Reviews of Simple Fractal?

**"[Simple Fractal: An Indispensable, Responsive Automation Partner](https://www.g2.com/survey_responses/simple-fractal-review-12405823)"**

**Rating:** 5.0/5.0 stars
*— Christine  L.*

[Read full review](https://www.g2.com/survey_responses/simple-fractal-review-12405823)

---

**"[Reggie Bot Transformed Our Billing—Fast, Accurate, and Excellent Support](https://www.g2.com/survey_responses/simple-fractal-review-12705135)"**

**Rating:** 5.0/5.0 stars
*— Rose H.*

[Read full review](https://www.g2.com/survey_responses/simple-fractal-review-12705135)

---


#### What Are G2 Users Discussing About Simple Fractal?

- [What are fractal functions?](https://www.g2.com/discussions/what-are-fractal-functions)
- [How do you make a simple fractal?](https://www.g2.com/discussions/how-do-you-make-a-simple-fractal)
- [What are fractal characteristics?](https://www.g2.com/discussions/what-are-fractal-characteristics)
- [What is the simplest fractal?](https://www.g2.com/discussions/what-is-the-simplest-fractal)

### 8. [PLEXIS Payer Platforms](https://www.g2.com/products/plexis-payer-platforms/reviews)
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

**Who Is the Company Behind PLEXIS Payer Platforms?**

- **Seller:** [Plexis Healthcare Systems](https://www.g2.com/sellers/plexis-healthcare-systems)
- **Year Founded:** 1996
- **HQ Location:** Medford, US
- **Twitter:** @plexishealth (177 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/31865/ (86 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 75% Small-Business, 25% Mid-Market



#### What Are Recent G2 Reviews of PLEXIS Payer Platforms?

**"[Logical Claims Solutions](https://www.g2.com/survey_responses/plexis-payer-platforms-review-4408456)"**

**Rating:** 4.0/5.0 stars
*— Verified User in Construction*

[Read full review](https://www.g2.com/survey_responses/plexis-payer-platforms-review-4408456)

---

**"[Experiences using Plexis PCM](https://www.g2.com/survey_responses/plexis-payer-platforms-review-4370009)"**

**Rating:** 5.0/5.0 stars
*— Todd G.*

[Read full review](https://www.g2.com/survey_responses/plexis-payer-platforms-review-4370009)

---



### 9. [SHMS Payer Platform](https://www.g2.com/products/shms-payer-platform/reviews)
Strategic Healthcare Management Systems (SHMS) enables health plans of all sizes reduce administrative overhead. SHMS has segment-specific products for healthcare payer organizations (claims/contracting/adjudication, provider networks, enrollment/member management, risk adjustment, etc.) as well as powerful EDI tools to support automated electronic interaction between vendors.


**Average Rating:** 5.0/5.0
**Total Reviews:** 2

**Who Is the Company Behind SHMS Payer Platform?**

- **Seller:** [Strategic Healthcare Management Systems](https://www.g2.com/sellers/strategic-healthcare-management-systems)
- **HQ Location:** Sarasota, US
- **LinkedIn® Page:** https://www.linkedin.com/company/strategic-hms/ (4 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 50% Enterprise, 50% Mid-Market



#### What Are Recent G2 Reviews of SHMS Payer Platform?

**"[High Adaptability and Responsiveness for Pivoting Business Needs](https://www.g2.com/survey_responses/shms-payer-platform-review-8975614)"**

**Rating:** 5.0/5.0 stars
*— Diana M.*

[Read full review](https://www.g2.com/survey_responses/shms-payer-platform-review-8975614)

---

**"[SHMS - The optimal system for MAPD start ups and mid level organizations](https://www.g2.com/survey_responses/shms-payer-platform-review-8984309)"**

**Rating:** 5.0/5.0 stars
*— Scott G.*

[Read full review](https://www.g2.com/survey_responses/shms-payer-platform-review-8984309)

---



### 10. [Accenture Health Experience Platform](https://www.g2.com/products/accenture-health-experience-platform/reviews)
End-to-end efficiency accelerates customer acquisition, boosts retention and promotes long-term growth prospects for health payer organisations.


**Average Rating:** 3.5/5.0
**Total Reviews:** 1

**Who Is the Company Behind Accenture Health Experience Platform?**

- **Seller:** [Accenture](https://www.g2.com/sellers/accenture)
- **Year Founded:** 1989
- **HQ Location:** Dublin, Ireland
- **Twitter:** @Accenture (515,103 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/accenture (672,927 employees on LinkedIn®)
- **Ownership:** NYSE:ACN

**Who Uses This Product?**
- **Company Size:** 100% Mid-Market




#### What Are G2 Users Discussing About Accenture Health Experience Platform?

- [What is Accenture Health Experience Platform used for?](https://www.g2.com/discussions/accenture-health-experience-platform-what-is-accenture-health-experience-platform-used-for)
- [What is Accenture Health Experience Platform used for?](https://www.g2.com/discussions/what-is-accenture-health-experience-platform-used-for)

### 11. [Assurance Reimbursement Management](https://www.g2.com/products/assurance-reimbursement-management/reviews)
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, and accelerate cash flow.


**Average Rating:** 5.0/5.0
**Total Reviews:** 1

**Who Is the Company Behind Assurance Reimbursement Management?**

- **Seller:** [Change Healthcare](https://www.g2.com/sellers/change-healthcare)
- **Year Founded:** 2007
- **HQ Location:** Nashville, US
- **Twitter:** @Change_HC (35,750 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/change-healthcare/ (4,636 employees on LinkedIn®)
- **Ownership:** NASDAQ: CHNG

**Who Uses This Product?**
- **Company Size:** 100% Enterprise



#### What Are Recent G2 Reviews of Assurance Reimbursement Management?

**"[Good for what assurance does](https://www.g2.com/survey_responses/assurance-reimbursement-management-review-10408421)"**

**Rating:** 5.0/5.0 stars
*— John C.*

[Read full review](https://www.g2.com/survey_responses/assurance-reimbursement-management-review-10408421)

---



### 12. [CAQH EnrollHub](https://www.g2.com/products/caqh-enrollhub/reviews)
CAQH, a non-profit alliance, is the leader in creating shared initiatives to streamline the business of healthcare.


**Total Reviews:** 1

**Who Is the Company Behind CAQH EnrollHub?**

- **Seller:** [CAQH](https://www.g2.com/sellers/caqh)
- **Year Founded:** 1998
- **HQ Location:** Washington, District of Columbia, United States
- **Twitter:** @CAQH (1,474 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/caqh/ (189 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 100% Small-Business




#### What Are G2 Users Discussing About CAQH EnrollHub?

- [What is CAQH EnrollHub used for?](https://www.g2.com/discussions/what-is-caqh-enrollhub-used-for)

### 13. [Codoxo](https://www.g2.com/products/codoxo/reviews)
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 analyzing vast amounts of claims data, the platform identifies suspicious activities and provides actionable insights, enabling healthcare payers and agencies to safeguard their financial resources and ensure the delivery of high-quality care. Key Features and Functionality: - Comprehensive Data Analysis: Utilizes self-learning AI to examine claims data, detecting entities that may intentionally or unintentionally contribute to financial waste. - Cross-Claim Connectivity: Builds connections across various claim types, including professional, facility, pharmacy, and dental claims, to deliver holistic insights. - Proactive Provider Education: Shifts payment integrity efforts upstream by providing insights to providers before claims are submitted, reducing denials, appeals, and resubmissions. - Automated Audit Workflows: Streamlines the audit process by automating workflows and digitizing medical record retrieval, enhancing efficiency and compliance. - Integrated Case Management: Offers a unified platform for Special Investigation Units (SIU to detect emerging fraud schemes and manage investigations effectively. Primary Value and Problem Solved: The Forensic AI Platform addresses the critical challenge of financial losses in the healthcare system due to FWA. By enabling early detection and prevention of suspicious activities, it helps organizations achieve significant cost savings—averaging over $60 per member per year—and improves payment accuracy to 99%. Additionally, the platform fosters stronger provider relationships by reducing administrative burdens and minimizing provider abrasion through proactive education and streamlined processes.


**Average Rating:** 4.5/5.0
**Total Reviews:** 1

**Who Is the Company Behind Codoxo?**

- **Seller:** [Codoxo](https://www.g2.com/sellers/codoxo)
- **HQ Location:** Atlanta, US
- **LinkedIn® Page:** https://www.linkedin.com/company/codoxo/ (82 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 100% Small-Business



#### What Are Recent G2 Reviews of Codoxo?

**"[AI assisted platform](https://www.g2.com/survey_responses/codoxo-review-7942782)"**

**Rating:** 4.5/5.0 stars
*— Megha G.*

[Read full review](https://www.g2.com/survey_responses/codoxo-review-7942782)

---



### 14. [Veradigm Revenue Cycle Services](https://www.g2.com/products/veradigm-veradigm-revenue-cycle-services/reviews)
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, efficiency, and value of healthcare delivery—these stakeholders include biopharma, health plans, healthcare providers, network partners, and most importantly, the patients they serve. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. As a result, Veradigm attracts leaders in healthcare, technology, and innovation, seeking to work with us to deliver next-generation insights and solutions to the benefit the healthcare ecosystem with the objective being to improve healthcare quality while lowering the cost of healthcare. The Veradigm Network features proven platforms and solutions along with a dynamic community of companies providing advanced insights, technology, and data-driven solutions, all working together to transform healthcare and advance value, insightfully.


**Average Rating:** 4.1/5.0
**Total Reviews:** 16

**Who Is the Company Behind Veradigm Revenue Cycle Services?**

- **Seller:** [Veradigm](https://www.g2.com/sellers/veradigm)
- **Year Founded:** 1986
- **HQ Location:** Chicago, IL
- **Twitter:** @Veradigm (453 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/veradigm/ (1,828 employees on LinkedIn®)
- **Ownership:** NASDAQ

**Who Uses This Product?**
- **Top Industries:** Hospital & Health Care
- **Company Size:** 44% Small-Business, 31% Enterprise



#### What Are Recent G2 Reviews of Veradigm Revenue Cycle Services?

**"[Veradigm streamlines daily tasks with its user-friendly interface](https://www.g2.com/survey_responses/veradigm-revenue-cycle-services-review-9781552)"**

**Rating:** 4.0/5.0 stars
*— Atharva P.*

[Read full review](https://www.g2.com/survey_responses/veradigm-revenue-cycle-services-review-9781552)

---

**"[Great Partnership](https://www.g2.com/survey_responses/veradigm-revenue-cycle-services-review-10396819)"**

**Rating:** 4.5/5.0 stars
*— Brooke M.*

[Read full review](https://www.g2.com/survey_responses/veradigm-revenue-cycle-services-review-10396819)

---


#### What Are G2 Users Discussing About Veradigm Revenue Cycle Services?

- [What is Allscripts Revenue Cycle Management Services used for?](https://www.g2.com/discussions/what-is-allscripts-revenue-cycle-management-services-used-for)

### 15. [Assured Health](https://www.g2.com/products/assured-health/reviews)
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. NCQA-certified as a Credentials Verification Organization (CVO) and backed by $6M in seed funding led by First Round Capital, Assured serves digital health companies, health systems, provider groups, and health plans nationwide. Organizations, including Houston Methodist, Tono Health, and Blossom Health, run their provider operations on Assured. Where traditional credentialing vendors depend on offshore teams, spreadsheets, and manual data entry, Assured deploys AI agents that verify credentials across 2,000+ primary sources in parallel, auto-generate and submit applications directly to payor portals and state licensing boards, and flag sanctions within 24 hours. The platform handles end-to-end credentialing, multi-state licensing across all 50 states, payor enrollment with automated roster management, and continuous compliance monitoring from a single system. Renewals initiate automatically 60 days before expiration. Integrations with CAQH, NPPES, PECOS, and plug-and-play APIs for your ATS, EMR, or Salesforce mean no rip-and-replace required. Credentialing delays cost healthcare organizations thousands in lost revenue per provider per month. Assured cuts that timeline from 60+ days to 48 hours. Payor enrollments close 30% faster with the highest first-pass approval rates in the industry. Sanctions get caught within 24 hours, not weeks. Teams go live in under 72 hours, see ROI within the first month, and reclaim 60+ hours per week previously buried in admin work. If your providers are sitting in a backlog, you are bleeding revenue. Assured stops the bleed.


**Average Rating:** 4.5/5.0
**Total Reviews:** 1

**Who Is the Company Behind Assured Health?**

- **Seller:** [Assured Health](https://www.g2.com/sellers/assured-health)
- **Year Founded:** 2024
- **HQ Location:** New York, US
- **LinkedIn® Page:** https://www.linkedin.com/company/assured-health/ (85 employees on LinkedIn®)

**Who Uses This Product?**
- **Company Size:** 100% Small-Business



#### What Are Recent G2 Reviews of Assured Health?

**"[Intuitive, Reliable Platform with Clear, Transparent Progress Analytics](https://www.g2.com/survey_responses/assured-health-review-12999474)"**

**Rating:** 4.5/5.0 stars
*— Vadivan M.*

[Read full review](https://www.g2.com/survey_responses/assured-health-review-12999474)

---



### 16. [AxisCore](https://www.g2.com/products/axiscore/reviews)
AxisCore is a comprehensive core administration platform developed by HealthAxis, designed to streamline and enhance the operational efficiency of healthcare organizations. This robust solution integrates various administrative functions into a unified system, facilitating seamless management of healthcare operations. Key Features and Functionality: - Integrated Administrative Modules: AxisCore consolidates essential administrative tasks, including claims processing, member enrollment, provider management, and billing, into a single platform. - Scalability: The platform is designed to accommodate the evolving needs of healthcare organizations, supporting growth and adaptation to changing industry requirements. - Compliance Management: AxisCore ensures adherence to regulatory standards, assisting organizations in maintaining compliance with healthcare regulations. - Data Analytics and Reporting: The system offers advanced analytics and reporting tools, providing insights into operational performance and facilitating informed decision-making. Primary Value and User Solutions: AxisCore addresses the complexities of healthcare administration by offering a centralized solution that enhances operational efficiency, reduces administrative costs, and improves service delivery. By automating routine tasks and providing real-time data insights, the platform empowers healthcare organizations to focus on delivering quality patient care while maintaining compliance and optimizing resource utilization.



**Who Is the Company Behind AxisCore?**

- **Seller:** [HealthAxis](https://www.g2.com/sellers/healthaxis)
- **Year Founded:** 1965
- **HQ Location:** Tampa, Florida, United States
- **Twitter:** @healthaxis (235 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/healthaxis (201 employees on LinkedIn®)






### 17. [Cerner Billing, Claims & Contract Management](https://www.g2.com/products/cerner-billing-claims-contract-management/reviews)
A single platform designed to enable cleaner claims, improve communication and speed up reimbursement



**Who Is the Company Behind Cerner Billing, Claims & Contract Management?**

- **Seller:** [Cerner](https://www.g2.com/sellers/cerner)
- **Year Founded:** 1979
- **HQ Location:** Kansas City, MO
- **LinkedIn® Page:** https://www.linkedin.com/company/2812/ (11,348 employees on LinkedIn®)
- **Ownership:** VIE - Vienna Stock Exchange
- **Total Revenue (USD mm):** $5,505






### 18. [Change Payment Accuracy](https://www.g2.com/products/change-payment-accuracy/reviews)
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.



**Who Is the Company Behind Change Payment Accuracy?**

- **Seller:** [Change Healthcare](https://www.g2.com/sellers/change-healthcare)
- **Year Founded:** 2007
- **HQ Location:** Nashville, US
- **Twitter:** @Change_HC (35,750 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/change-healthcare/ (4,636 employees on LinkedIn®)
- **Ownership:** NASDAQ: CHNG






### 19. [Delegation/Vendor Oversight Management](https://www.g2.com/products/delegation-vendor-oversight-management/reviews)
A comprehensive, AI-powered, cloud-native suite designed to help health plans—such as Medicare, Medicaid, and commercial payers—streamline and secure their oversight of delegated entities. Key Highlights: Modular, Unified Platform: Whether you’re just starting out or scaling up, you can adopt the specific modules you need—Delegate Determination, Repository, Audit & Corrective Action (CAP), Reporting & Monitoring—on a single, integrated platform. Enterprise-Wide Visibility & Automation: Replace fragmented spreadsheets and siloed systems with unified dashboards, automated data ingestion, real-time alerts, and streamlined workflows. CMS and NCQA-Ready Compliance: Built with regulatory requirements in mind, the suite includes CMS-aligned audit templates, universe scrubbing tools, corrective action tracking, and embedded compliance logic to maintain audit readiness. Improved Efficiency & Reduced Risk: Track KPIs, manage audits, delegate portals, appeals/grievances, member interactions, and perform data scrubbing—all with configurable thresholds and AI-powered insights—to lower audit lag, reduce compliance penalties, and optimize operations. Enhanced Accountability & Team Collaboration: The system supports role-based access, task assignments, audit trails, and a central repository—making oversight more transparent, collaborative, and defensible.



**Who Is the Company Behind Delegation/Vendor Oversight Management?**

- **Seller:** [Inovaare](https://www.g2.com/sellers/inovaare)
- **Year Founded:** 2006
- **HQ Location:** Milpitas, US
- **LinkedIn® Page:** https://www.linkedin.com/company/inovaare-corporation/ (250 employees on LinkedIn®)






### 20. [E-HAS](https://www.g2.com/products/e-has/reviews)
E-HAS is an Online / Offline Hospital Administration and Management Information System for Health Care organizations . E-HAS has a capability of data warehousing and business intelligence for consistent growth of organization and hospital system automation to significantly decrease manpower with accuracy.



**Who Is the Company Behind E-HAS?**

- **Seller:** [Techdynamics](https://www.g2.com/sellers/techdynamics)
- **Year Founded:** 2013
- **HQ Location:** Bangalore, IN
- **Twitter:** @techdynamics (30 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/tech-dynamics/ (4 employees on LinkedIn®)






### 21. [ezCAC™](https://www.g2.com/products/ezcac/reviews)
ezCAC is an NLP-based HIPPA compliant computer-assisted coding software. It is designed to bring hospital clinical data and all patient related data together in one intuitive Enterprise Computer-Assisted Coding (CAC) platform.



**Who Is the Company Behind ezCAC™?**

- **Seller:** [ezDI](https://www.g2.com/sellers/ezdi)
- **Year Founded:** 2009
- **HQ Location:** Washington, US
- **Twitter:** @ezDIInc (1,809 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/ezdi-inc/ (41 employees on LinkedIn®)






### 22. [EZ-CAP](https://www.g2.com/products/ez-cap/reviews)
Post Discharge Software is a patient follow up care management solution that helps you connect with recently discharged patients.



**Who Is the Company Behind EZ-CAP?**

- **Seller:** [Citra](https://www.g2.com/sellers/citra)
- **HQ Location:** N/A
- **LinkedIn® Page:** https://www.linkedin.com/company/No-Linkedin-Presence-Added-Intentionally-By-DataOps (1 employees on LinkedIn®)






### 23. [EZ-INFO](https://www.g2.com/products/ez-info/reviews)
Empower your organization to adapt with a user-friendly solution, identifying and mitigating risk. While profitability improves, so will your patients experiences and outcomes.



**Who Is the Company Behind EZ-INFO?**

- **Seller:** [Citra](https://www.g2.com/sellers/citra)
- **HQ Location:** N/A
- **LinkedIn® Page:** https://www.linkedin.com/company/No-Linkedin-Presence-Added-Intentionally-By-DataOps (1 employees on LinkedIn®)






### 24. [Facilitator](https://www.g2.com/products/facilitator/reviews)
HealthWare Systems' proven workflow and integration platform, Facilitator, is built to meet the demands of the healthcare marketplace. Facilitator streamlines pre-arrival workflow, prior authorization, insurance verification, medical necessity checking, financial assistance screening, appeals management, release of information, and more. Automate Workflow Processes & Repetitive Manual Work



**Who Is the Company Behind Facilitator?**

- **Seller:** [HealthWare Systems](https://www.g2.com/sellers/healthware-systems)
- **Year Founded:** 1998
- **HQ Location:** Elgin, US
- **Twitter:** @HealthWareSys (83 Twitter followers)
- **LinkedIn® Page:** https://www.linkedin.com/company/335513/ (20 employees on LinkedIn®)






### 25. [Healthcare Payer Portals](https://www.g2.com/products/healthcare-payer-portals/reviews)
Health Portal Solutions is a provider of custom, integrated web portals that saves Employers and Payers time and money by consolidating insurance data, products, and business processes into a single portal.



**Who Is the Company Behind Healthcare Payer Portals?**

- **Seller:** [Health Portal Solutions](https://www.g2.com/sellers/health-portal-solutions)
- **Year Founded:** 2000
- **HQ Location:** San Antonio, US
- **LinkedIn® Page:** https://www.linkedin.com/company/health-portal-solutions---powered-by-tpabenefits-inc/ (13 employees on LinkedIn®)







## What Is Core Administrative Processing Systems Software?

[Health Care Operations Software](https://www.g2.com/categories/health-care-operations)