Top 10 SHMS Payer Platform Alternatives & Competitors

Top 10 Alternatives to SHMS Payer Platform Recently Reviewed By G2 Community

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Zelis
By Zelis
3.9/5
(17)
Product Description
Zelis harnesses data-driven insights and human expertise at scale to optimize every step of the healthcare payment cycle.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

TriZetto Facets
By Cognizant
4.3/5
(17)
Product Description
Facets is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

Veradigm Revenue Cycle Services
By Veradigm
4.1/5
(16)
Product Description
Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions
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NaviNet Open
By NantHealth
4.3/5
(14)
Product Description
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.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

TriZetto QNXT
By Cognizant
4.3/5
(13)
Product Description
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.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

Veradigm Payerpath
By Veradigm
4.1/5
(12)
Product Description
Veradigm Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

intelliPath ePA
By eviCore
3.7/5
(10)
Product Description
Clinical Decision Support (CDS) system is a next-generation decision-support solution available to providers today.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

HealthRules Payer
By HealthEdge Software
4.5/5
(7)
Product Description
Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

PLEXIS Payer Platforms
By Plexis Healthcare Systems
3.8/5
(4)
Product Description
PLEXIS platforms provide core administration (benefit administration) and claims management engines.
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Categories in common with SHMS Payer Platform:
Healthcare Payers' Core Administrative Processing Solutions

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