--- title: Oracle Health Insurance Claims Management Reviews meta_title: 'Oracle Health Insurance Claims Management Reviews 2026: Details, Pricing, & Features | G2' meta_description: Filter reviews by the users' company size, role or industry to find out how Oracle Health Insurance Claims Management works for a business like yours. aggregate_rating: rating_value: 4.8 review_count: 8 scale: '5' date_modified: '2026-08-09' parent_category: name: Health Care Operations url: https://www.g2.com/categories/health-care-operations --- # Oracle Health Insurance Claims Management Reviews **Vendor:** Oracle **Category:** [Healthcare Claims Management Software](https://www.g2.com/categories/healthcare-claims-management) **Average Rating:** 4.8/5.0 **Total Reviews:** 8 ## About Oracle Health Insurance Claims Management Oracle Health Insurance Claims Management supports the import, processing, and release of claims for payment. Authorizations can be recorded for the procedures that require permission in advance. Claimed amounts that are a result of an accident can be recovered from third parties ## Oracle Health Insurance Claims Management Reviews ### 1. Oracle HI claim Management review **Rating:** 4.5/5.0 stars **Reviewed by:** Mayur J. | Senior Associate, Enterprise (> 1000 emp.) **Reviewed Date:** October 25, 2024 **What do you like best about Oracle Health Insurance Claims Management?** OHI has exceptional capabilities of Automating key processes like claim adjustment which helps to improve operational efficiency and ensure faster claims handling. **What do you dislike about Oracle Health Insurance Claims Management?** Nothing much to dislike about the oracle product m. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** It's helping to automate claim related process and improve efficiency. Provides better integration services with other modules like billing and enrollemnt. ### 2. Good tool for Advanced Analytics and Reporting **Rating:** 5.0/5.0 stars **Reviewed by:** Saurav N. | Assistant Manager, Enterprise (> 1000 emp.) **Reviewed Date:** June 14, 2024 **What do you like best about Oracle Health Insurance Claims Management?** This tool provides robust capabilities for processing a wide range of claims, including medical, dental, and pharmaceutical while Automating many aspects of the claims process, reducing manual work and improving accuracy. It also offers data insights that helps to identify trends and areas for improvement. **What do you dislike about Oracle Health Insurance Claims Management?** Implementing the system is time-consuming and complex, requiring significant resources and planning. The initial cost of purchasing and implementing the tool is also high. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** As the interface is designed to be user-friendly it is reducing the learning curve for new users. It also helps us in representing the data in a graphical representations as well. ### 3. Best Insurance company **Rating:** 5.0/5.0 stars **Reviewed by:** Umesh S. | Executive EHS, Small-Business (50 or fewer emp.) **Reviewed Date:** May 12, 2024 **What do you like best about Oracle Health Insurance Claims Management?** I like Oracle Health Insurance Claims Management's efficient processing and streamlined workflow. **What do you dislike about Oracle Health Insurance Claims Management?** I don't have any dislikes about Oracle Health Insurance Claims Management; it effectively manages health insurance claims. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** Oracle Health Insurance Claims Management solves the problem of inefficient claims processing, leading to faster claim resolution and improved customer satisfaction, benefiting both insurers and policyholders. ### 4. Real time claims adjudication and automated authorization **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Consumer Services | Enterprise (> 1000 emp.) **Reviewed Date:** November 06, 2024 **What do you like best about Oracle Health Insurance Claims Management?** The best part is automated authorization of claims process **What do you dislike about Oracle Health Insurance Claims Management?** Nothing to dislike as such they provide apprehensive quality service **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** It helps in health claim management in a very efficient way and automated process ### 5. Orcale review **Rating:** 4.0/5.0 stars **Reviewed by:** Verified User in Consumer Services | Mid-Market (51-1000 emp.) **Reviewed Date:** November 26, 2023 **What do you like best about Oracle Health Insurance Claims Management?** The user interface is intuitive and user-friendly. Navigating through the platform is a breeze, allowing users to access vital information about their coverage, claims, and healthcare providers with ease. This simplicity is crucial, especially in an industry known for its intricate details. **What do you dislike about Oracle Health Insurance Claims Management?** Some users may find the documentation requirements for claims submission to be overly complex. The extensive paperwork and specific documentation criteria could potentially create challenges, especially for individuals not familiar with the intricacies of the claims process. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** Traditional claims processing can be time-consuming and prone to errors, leading to delays in reimbursement. ### 6. Oracle Health Insurance claims management system **Rating:** 4.5/5.0 stars **Reviewed by:** Dr Praveen G. | Senior Homeo Consultant, Enterprise (> 1000 emp.) **Reviewed Date:** June 10, 2022 **What do you like best about Oracle Health Insurance Claims Management?** It is very seamless and helps in managing the end-to-end claims management as a whole. Value-based payments, authorizations, total policy administration etc. are a few highlights of this system. **What do you dislike about Oracle Health Insurance Claims Management?** I can say that this system is the one that is good compared to the competitors but it may need to include a data analytics component as part of the suite so that it can analyze, and predict some useful insights for the future. **Recommendations to others considering Oracle Health Insurance Claims Management:** It's a one-stop solution for all the claims administration needs of any organization. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** Total claims administration starting from enrollment, policy administration, and claims management are the key areas that help solve the administrative cost overhead. ### 7. Reliable claims services provider **Rating:** 5.0/5.0 stars **Reviewed by:** Indrajeev k. | Lead System Designer II, Enterprise (> 1000 emp.) **Reviewed Date:** May 24, 2022 **What do you like best about Oracle Health Insurance Claims Management?** The customer service was most impressive. **What do you dislike about Oracle Health Insurance Claims Management?** Turn around times for claims settlement can improve **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** I am trying to solve the problem of submitting a wide variety of health claims like outpatient , dental and inpatient . They have support for all the variety. ### 8. Best in Class **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Health, Wellness and Fitness | Mid-Market (51-1000 emp.) **Reviewed Date:** March 07, 2019 **What do you like best about Oracle Health Insurance Claims Management?** Oracle's back end for health insurance administration is the clear industry leader. **What do you dislike about Oracle Health Insurance Claims Management?** There is not much to dislike. Further integration with member facing technologies would be nice, and I believe they announced these are in the works. **What problems is Oracle Health Insurance Claims Management solving and how is that benefiting you?** Fixing a broken system of outdated, not friendly to use systems. The benefits are ease of use and very powerful tool. ## Oracle Health Insurance Claims Management Discussions - [What is Oracle Health Insurance Claims Management used for?](https://www.g2.com/discussions/what-is-oracle-health-insurance-claims-management-used-for) - 1 comment - [View Oracle Health Insurance Claims Management pricing details and edition comparison](https://www.g2.com/products/oracle-health-insurance-claims-management/reviews?section=pricing&secure%5Bexpires_at%5D=2026-08-12+11%3A07%3A39+-0500&secure%5Bsession_id%5D=ca298c22-1e81-47f1-a690-26ff0237e35c&secure%5Btoken%5D=e4724a8d0520054a63e519a2f7fcfd7758fb7411231a2b96739f63470c9045e5&format=llm_user) ## Oracle Health Insurance Claims Management Features **Efficiency ** - Claims Data Automation - Healthcare Claims Management - Electronic Submissions - Healthcare Claims Management - Clearinghouse Integration - Healthcare Claims Management - Claims Process Workflow - Healthcare Claims Management **Accuracy** - Claims Resubmission - Healthcare Claims Management - Patient Data Security - Healthcare Claims Management - Claims Scrubbing - Healthcare Claims Management ## Top Oracle Health Insurance Claims Management Alternatives - [EHRYourWay](https://www.g2.com/products/ehryourway/reviews) - 4.7/5.0 (332 reviews) - [Tebra (previously Kareo + PatientPop)](https://www.g2.com/products/tebra-previously-kareo-patientpop/reviews) - 4.1/5.0 (255 reviews) - [Waystar](https://www.g2.com/products/waystar/reviews) - 4.4/5.0 (116 reviews)