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Claims Processing Software with EDI (2026)

Last updated: April 2026

Key features of Claims Processing Software

Based on GetApp's analysis of verified user reviews collected between July 2021 and August 2024.

  • HIPAA Compliant: Reviewers emphasize the importance of meeting HIPAA regulations to ensure patient data privacy and security. 98% of reviewers rated this feature as important or highly important.
  • Payment Processing: Users appreciate the ease and speed of processing payments, as well as the ability to handle claims and billing efficiently. 98% of reviewers rated this feature as important or highly important.
  • Billing & Invoicing: Reviewers highlight the straightforward and automated billing and invoicing features that enhance financial management. 93% of reviewers rated this feature as important or highly important.
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76 software options

Encompass+ logo

Cloud-based workflow management tool for network businesses.

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Encompass+ is a SaaS claims processing solution for payor and network businesses. Built on Salesforce, it offers seamless integration with your existing systems, ensuring minimal disruption during implementation and regular updates to stay aligned with the latest security standards.

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FileHandler Enterprise logo

Secure. Scalable. Proven.

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FileHandler Enterprise enables TPAs, insurance carriers, public entities, and self-insured organizations to automate processes and enhance efficiency. Our software keeps you on track with automation and customization, creating a standard claims management process for your business.

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Vision insurance benefit management for eyecare providers

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Anagram, formerly Patch, allows eye care providers to navigate all vision plans in a single software tool delivering eligibility, benefits, and claims for vision plans so that you can focus on patient care instead of vision insurance administration.

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Cloud Claims logo

Incident-oriented, claims-focused RMIS

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Cloud Claims is user-friendly claims processing software that helps self-insured businesses, third-party administrators, and insurers manage claims incurred from various kinds of incidents, as well as subrogation, recovery, and more.

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SimplePractice logo

Appointment scheduling and reminder solution

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SimplePractice is an all-in-one practice management solution that helps businesses simplify administrative tasks, such as scheduling, billing, and documentation, allowing health and wellness professionals to focus on providing excellent client care. The platform offers a robust set of features designed to help practitioners thrive.

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TherapyNotes, LLC logo

Online mental health EMR and practice management software.

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Web-based practice management & electronic health records (EHR) software for behavioral health with thousands of active users, and unlimited customer support.

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Service Center logo

Simplify Medical Billing with Office Ally Service Center

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Service Center Clearinghouse is a cloud-based platform that helps users streamline medical coding and insurance billing using Service Center, the advanced clearinghouse from Office Ally.

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HARMONY Medical logo

Fully integrated HIPPA compliant practice management

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Harmony is a fully integrated HIPPA compliant practice management software with color-coded scheduling, comprehensive insurance and patient billing

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Mercury logo

Claims processing and insurance underwriting software

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Mercury is a claims processing software designed to help businesses streamline property and casualty (P&C) insurance management, policy administration, and insurance underwriting operations. It allows managers to handle field-level validation and document imaging processes, verify insurers’ backgrounds, and configure workflows via a unified platform.

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Plum Insurance logo

Transform employee healthcare experience

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Plum Insurance is a comprehensive employee benefits platform that provides group medical cover for start-ups, SMEs, and corporate organizations.

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ClickClaims logo

Your claims. Our commitment.

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ClickClaims is a cloud-based claims management software ideally suited for small to mid-size property and casualty insurance carriers, third-party administrators, and independent claims adjusting firms, who require advanced technologies that drive a competitive market.

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S Cubed logo

Cloud-based clinic and practice management platform

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S Cubed is a clinic management solution that assists with appointment scheduling, data reporting, and more. Key features include customized treatment plans and guardian portal

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NorthStar logo

Medical billing software and Services for HCPs

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PGM offers a technology-plus-service approach to practice management and medical billing, which maximizes the reimbursement process and streamlines operations. Offers cloud-based practice management and revenue cycle management software to third-party integrations and full-service medical billing.

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Figtree General Insurance Claims logo

Cloud-based insurance claims solution

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Figtree General Insurance Claims software is a cloud-based application designed to help insurance companies manage their claims processes efficiently. The software allows claims adjusters to enter and manage claims data, track claim status, and communicate with customers and other stakeholders.

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Series 3000 logo

Claims administration solutions as individual as you.

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Hi-Tech Health builds claims administration systems for TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, and more. For over 30 years, our developers have enhanced the healthcare marketplace with a fully customizable platform that meets any payer’s needs. It can also meet yours.

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Payline Data logo

Cloud-based payment processing solution

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Payline Data provides flexible and friendly payment processing solutions tailored to suit the needs of businesses. The product offers a variety of features, including a virtual terminal and dashboard, cart integration and payment page, invoicing and recurring billing, and an open-faced API for custom integrations. Payline Data also provides services like interchange optimization, surcharging, and omni-channel payments to help businesses manage their payment processing effectively.

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Terra logo

Streamline your claims operations and improve efficiency

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A world-class property and casualty claims management system that streamlines claims-related operations & makes adjusters’ lives easier.

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FileTrac Evolve logo

Claims management system & adjusting software

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FileTrac Evolve is a cloud-based claims management system for independent adjusters of all sizes, from small businesses to large, multi-branch companies

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Livegenic logo

Cloud-based claims processing tool for the healthcare sector

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Livegenic is a cloud-based claims processing platform that facilitates live video collaboration for insurance claims, customer service, and field services. This solution allows various stakeholders such as claims adjusters, customer service agents, field inspectors, and policyholders to collaborate using live video, photo capture, and audio recordings.

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Info-Tech HRMS logo

Streamline Your HR Matters with our All-in-One Solution.

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Streamline HR with Info-Tech Cloud HR Software! Get centralized access to manage tasks anytime, anywhere. An innovative and secure solution for employers and employees to efficiently handle HR matters. Say goodbye to manual processes and embrace the future of HR management with Info-Tech!

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Mercury Medical logo

Billing management solution for medical clinics

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Mercury One helps small clinics and medical practitioners manage processes related to billing, payments, compliance, and more. The platform comes with a demographic data capture functionality, which enables organizations to collect patient information such as age, gender and income.

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Euclid logo

Medical practice management system to process claims.

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With Euclid RCM, you can effortlessly generate, review, and submit claims with unprecedented ease and efficiency.

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SMS360 logo

Cloud-based compliance and safety management software

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Comprehensive incident tracking: costs, subrogation, claim status, deductibles, inspection fees, insurance carriers.

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Practice Better logo

EHR & Practice Growth Software

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Practice Better is the leading all-in-one practice management software solution transforming how health and wellness professionals run their practices and support their clients.

Try any paid plan free for 14 days.

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Wilbur logo

Cloud-based claims processing software

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Wilbur's cloud-based claims processing solution optimizes handling insurance claims by offering enhanced adaptability, expandability, and efficiency - allowing users to effortlessly monitor advancements from the initial alert to the conclusive settlement. Centralizing individuals, duties, and assignments for each claim within a single location guarantees improved customer satisfaction and accelerated claims resolution.

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