# Best Core Administrative Processing Systems Software ## How Many Core Administrative Processing Systems Software Products Does G2 Track? **Total Products under this Category:** 44 ### Category Stats (Aug 2026) - **Average Rating:** 4.25/5 (↓0.02 vs Jul 2026) The average rating of products in this category, based on all submitted ratings _Last updated: August 01, 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. ## 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) **Sponsored** ### Modio Health Built by physicians and credentialing experts, Modio Health OneView provides simple, centralized, credentials management for your entire team of healthcare providers. There's no need to hunt for credentialing information anymore; OneView uses public services and primary source verification data to automatically gather provider details like NPI, DEA, license numbers, education, and more. With OneView, keep your team in compliance while your providers focus on clinical care. [Visit website](https://www.g2.com/external_clickthroughs/record?secure%5Bad_program%5D=ppc&secure%5Bad_slot%5D=category_product_list_llm&secure%5Bcategory_id%5D=1472&secure%5Bchosen_at%5D=2026-08-03T21%3A24%3A22Z&secure%5Bdisplayable_resource_id%5D=1472&secure%5Bdisplayable_resource_type%5D=Category&secure%5Bmedium%5D=sponsored&secure%5Bplacement_reason%5D=page_category&secure%5Bplacement_resource_ids%5D%5B%5D=1472&secure%5Bprioritized%5D=false&secure%5Bproduct_id%5D=98902&secure%5Bresource_id%5D=1472&secure%5Bresource_type%5D=Category&secure%5Bsource_type%5D=category_page&secure%5Bsource_url%5D=https%3A%2F%2Fwww.g2.com%2Fcategories%2Fhealthcare-payers-core-administrative-processing-solutions%3Fopen_modal_url%3D%252Fproducts%252Fplexis-payer-platforms%252Fwishlists%253Fhost_path%253D%25252Fcategories%25252Fhealthcare-payers-core-administrative-processing-solutions%2526source%253Dcategory&secure%5Btoken%5D=aa1e08e43d4e5d954baa37e75e477af5956fa9a4cab92bf5f3fb35b381241386&secure%5Burl%5D=https%3A%2F%2Fwww.modiohealth.com%2F&secure%5Burl_type%5D=company_website) ### [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:** 3.8/5.0 **Total Reviews:** 19 #### 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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=236b743f95f8cce03461823974cb82c8c13f303249b0c96a09cdfc3609c0d404&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fzelis&secure%5Burl_type%5D=linkedin_company_website) 2,981 employees on LinkedIn® #### Who Uses This Product? - **Top Industries:** Hospital & Health Care - **Company Size:** 42% Small, 37% Medium #### What Do G2 Reviewers Say About Zelis? _AI-generated summary from verified user reviews_ ##### Pros - Users commend Zelis for its **quick response speed** and knowledgeable representatives, enhancing their support experience significantly. - Users commend the **professionalism and responsiveness** of Zelis staff, enhancing their overall experience and satisfaction. - Users appreciate the **customization options** in Zelis, making setup and payment processing a seamless experience. - Users find Zelis easy to use, especially valuing the **smooth setup process** and efficient payment transmissions. - Users value the **quick and knowledgeable support** from Zelis representatives, enhancing their overall experience with the service. ##### Cons - Users experience **scheduling issues** with Zelis, particularly noting long wait times during the enrollment process. #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=c751901635bc29c890fb44ed655e0381cc163cc1d444ab065870f6275e9aac80&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fevicore%2Fabout&secure%5Burl_type%5D=linkedin_company_website) 2,609 employees on LinkedIn® #### Who Uses This Product? - **Top Industries:** Hospital & Health Care - **Company Size:** 50% Small, 40% Large #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=5d86224c4380c80b43ddc087c81ced7e5966766710cd3353645ccc95a60ae250&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fnanthealth&secure%5Burl_type%5D=linkedin_company_website) 277 employees on LinkedIn® - **Ownership:** OTCMKTS: NHIQ #### Who Uses This Product? - **Top Industries:** Medical Practice, Hospital & Health Care - **Company Size:** 53% Small, 47% Medium #### What Are Recent G2 Reviews of NaviNet Open? **["\Inquiries about claims\"](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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=a6dbb0ac8442ded33b635eca6542f7941fec419cb5366bd57f3de8e0cf52105d&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2F1680%2F&secure%5Burl_type%5D=linkedin_company_website) 362,678 employees on LinkedIn® - **Ownership:** NASDAQ:CTSH #### Who Uses This Product? - **Company Size:** 46% Large, 38% Medium #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=66346d1426c58a08f1b739fd9c8c99688804a6da2a8b46c0a0907b4df009d2ba&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2F74601&secure%5Burl_type%5D=linkedin_company_website) 2,225 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 114% Medium #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=e27e15794136f37ea964b339d8a1dcbd1e5beeea005fe2cee3a61583ee14fafd&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fveradigm%2F&secure%5Burl_type%5D=linkedin_company_website) 1,828 employees on LinkedIn® - **Ownership:** NASDAQ #### Who Uses This Product? - **Company Size:** 50% Small, 25% Large #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=67551a664db711a5b5fad54e09bf89e994d9455864726b554a48d1b39a7bc9d0&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsimple-fractal&secure%5Burl_type%5D=linkedin_company_website) 20 employees on LinkedIn® #### Who Uses This Product? - **Top Industries:** Hospital & Health Care - **Company Size:** 63% Large, 31% Medium #### What Do G2 Reviewers Say About Simple Fractal? _AI-generated summary from verified user reviews_ ##### Pros - Users value the **exceptional automation partnership** with Simple Fractal, enhancing workflow efficiency and driving growth. - Users commend the **automation ease** provided by Simple Fractal, enhancing workflow efficiency and responsiveness in operations. - Users find **bot creation expertise** of Simple Fractal invaluable, enhancing their projects and ensuring impressive outcomes. - Users value **Simple Fractal's commitment** as a strategic partner, significantly enhancing their business growth and success. - Users highlight the **innovative solutions** from Simple Fractal, appreciating their commitment to enhancing operational efficiency and collaboration. ##### Cons - Some users find Simple Fractal's rates **expensive** , but believe the quality justifies the investment and support is helpful. #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=85472577272b55f1831b2ad4cc29e58a9e2cdb1263db3bd36d2d3b722b2df502&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2F31865%2F&secure%5Burl_type%5D=linkedin_company_website) 86 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 75% Small, 25% Medium #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=fe9590651b8274bbedd2cc74628e861a3a0bd6d0dcb83aea0080e601c7526dc8&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fstrategic-hms%2F&secure%5Burl_type%5D=linkedin_company_website) 4 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 50% Large, 50% Medium #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=7eb30815b1ec7f09cf0efa6b09fb00ef00bf2d97ebbb5dbc86fc5d0cd8cc8a69&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Faccenture&secure%5Burl_type%5D=linkedin_company_website) 672,927 employees on LinkedIn® - **Ownership:** NYSE:ACN #### Who Uses This Product? - **Company Size:** 100% Medium #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=33bb65ed7741078d4814bb2e361fbc1f6e6944dda11513f80f7ea2df2a8e4a88&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fchange-healthcare%2F&secure%5Burl_type%5D=linkedin_company_website) 4,636 employees on LinkedIn® - **Ownership:** NASDAQ: CHNG #### Who Uses This Product? - **Company Size:** 100% Large #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=632e80ef947cca483f49311d7b3a1866341a193794d5310e38028ed7993f9263&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fcaqh%2F&secure%5Burl_type%5D=linkedin_company_website) 189 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 100% Small #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=d47632a99b9206d8585a779dcc1350feee3766d3aef87538f6bb471b5dab1855&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fcodoxo%2F&secure%5Burl_type%5D=linkedin_company_website) 82 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 100% Small #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=e27e15794136f37ea964b339d8a1dcbd1e5beeea005fe2cee3a61583ee14fafd&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fveradigm%2F&secure%5Burl_type%5D=linkedin_company_website) 1,828 employees on LinkedIn® - **Ownership:** NASDAQ #### Who Uses This Product? - **Top Industries:** Hospital & Health Care - **Company Size:** 44% Small, 31% Large #### 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) ### [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:** [www.linkedin.com](https://www.g2.com/external_clickthroughs/record?secure%5Bsource_type%5D=product_profile&secure%5Btoken%5D=b5632667a25dc1efb479437da80d3adf47a8d2d7a13a644bd804b209fcd6ee0e&secure%5Burl%5D=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fassured-health%2F&secure%5Burl_type%5D=linkedin_company_website) 85 employees on LinkedIn® #### Who Uses This Product? - **Company Size:** 100% Small #### 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) - ‹ Prev‹ Prev - 1 - [2](/categories/healthcare-payers-core-administrative-processing-solutions?order=g2_score&page=2#product-list) - [3](/categories/healthcare-payers-core-administrative-processing-solutions?order=g2_score&page=3#product-list) - [Next ›Next ›](/categories/healthcare-payers-core-administrative-processing-solutions?order=g2_score&page=2#product-list) Spotlight Categories [Performance Management Software](https://www.g2.com/categories/performance-management) [Survey Software](https://www.g2.com/categories/survey) [Business Process Management Software](https://www.g2.com/categories/business-process-management) [Customer Data Platforms (CDP)](https://www.g2.com/categories/customer-data-platform-cdp) [Security Compliance Software](https://www.g2.com/categories/security-compliance) Similar Categories - [Bundled Pay Management](/categories/bundled-pay-management) - [Clinical Communication and Collaboration](/categories/clinical-communication-and-collaboration) - [Clinical Decision Support](/categories/clinical-decision-support) - [Healthcare Analytics](/categories/healthcare-analytics) - [Healthcare Claims Management](/categories/healthcare-claims-management) - [Healthcare Commercial Intelligence](/categories/healthcare-commercial-intelligence) - [Healthcare Compliance](/categories/healthcare-compliance) - [Health Care Credentialing](/categories/health-care-credentialing) - [Healthcare HR](/categories/healthcare-hr) - [Healthcare Integration Engines](/categories/healthcare-integration-engines) - [Healthcare Payer Care Management Workflow Applications](/categories/healthcare-payer-care-management-workflow-applications) - [Healthcare Risk Management](/categories/healthcare-risk-management) - [Healthcare Supply Chain](/categories/healthcare-supply-chain) - [Medical Billing](/categories/medical-billing) - [Medical Coding](/categories/medical-coding) ![Emma Stein](/assets/transparent-ad5be28fbcd25b7b08d2cebe1d957125437fb5407d75ee717965ad22c8808791.gif "Emma Stein") ES Researched and written by [Emma Stein](https://research.g2.com/insights/author/emma-stein) Updated October 3, 2024 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 Show More