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Claims Processing Software with EDI (2026) - Page 3

Last updated: April 2026

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76 software options

NextGen Healthcare Practice Management logo

Medical practice management software

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All-in-one PM that automates routine medical processes

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HealthAxis logo

Claims management software with benefits administration

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HealthAxis equips payers, providers, and health organizations with integrated solutions from an advanced claims processing system and TPA services to actionable analytics. We streamline operations and improve client and patient outcomes.

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MediSked Connect logo

Centralize & Manage Information Across Your Provider Agency

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MediSked Connect centralizes and manages information in order to transform service delivery across provider agencies with simple modules for scheduling, billing, individual plans and outcomes, reporting, and documentation.

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Inovalon Provider Cloud logo

Revenue cycle management for healthcare providers and payers

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ABILITY Network's SaaS-based platform supports healthcare providers with revenue cycle management tools, clinical management, Medicare claim processing and more

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SAIBA Global logo

Insurance broking management software

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SAIBA is an insurance broker software solution designed for overseas direct insurance brokers. This software covers all aspects of the insurance business, including customer relationship management, policy administration, claims processing, accounting, reporting, and more. Key features include workflow automation, document management, renewal tracking, regulatory reporting, and multi-channel sales support.

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Smart Data Solutions logo
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Claims management software for the healthcare industry

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Smart Data Solutions is a claims management software designed to help businesses in the healthcare industry record and manage data for a variety of medical documents including explanation of benefits (EOB) statements, vision claims, superbills, pharmacy receipts, and more.

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HEALTHsuite Advantage logo
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Healthcare payer software and services

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A health payer solution designed to facilitate Medicare and Medicaid administration, as well as provide automation across the health plan enterprise

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StreamlineMD logo
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Helping Doctors Prosper.

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StreamlineMD offers cloud-based clinical workflow and revenue cycle management technology and services tailored to meet the specific workflow and business needs of imaging and image-guided procedure specialists.

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maxRTE logo
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The leading insurance verification and discovery software

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maxRTE provides health insurance eligibility checking and discover software that enables healthcare providers to collect more revenue from self-pay patients faster while reducing collection costs.

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V3locity logo
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Global provider of benefits and investment administration

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V3locity is an integrated suite of powerful applications that provide comprehensive business functionality throughout the entire life cycle. It also offers a wide range of enterprise capabilities, making it a truly transformative platform. With its modular design, V3locity allows for flexible and agile deployment strategies while ensuring effortless data accessibility across the entire organization.

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dsosuite logo
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Solution for the acquisition and management of receivables

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iQera guides companies through the acquisition and management of receivables with its SaaS solution known as dsosuite. It helps companies control risk and transform finance, credit, and customer relationship functions with an empathetic approach to improving performance.

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Mavera DSS logo
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Accurate and efficient claims decisions

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Mavera DSS combines advanced AI technology with knowledge to streamline insurance claims decisions making the whole process more accurate, efficient, and compliant. It is an extension to the core system that provides additional capabilities for claims evaluation and business insights.

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QuickCap logo
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Claims processing solution for healthcare organizations

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QuickCap is a cloud-based solution designed to help healthcare firms of all sizes process referrals, billing, cases, patient records, capitation eligibility & more with EDI (electronic data interchange). The platform also enables users to customize workflow processes & clinical data procedures.

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CaseGlide logo
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Claims litigation management solution

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CaseGlide’s claims litigation management solution drives collaboration through an innovative, integrated platform that brings together adjusters, attorneys, and claims leadership, streamlining processes and reducing costs. CaseGlide shortens case cycle times, lowers costs, and delivers analytics.

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PLEXIS Payer Platforms logo
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Benefit administration and claims management software

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PLEXIS Payer Platforms is a benefit administration and claims management software that offers scalable outcomes and matchless configurability

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Scalepoint CORE logo
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We help insurance companies help their customers

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A complete and intuitive core system (PAS), which digitises all policy and claims processes and can easily be customised to your business.

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Genasys logo
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Cloud based insurance platform for brokers

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Genasys is a unified, cloud based insurance platform for insurers, MGAs and brokers moving beyond legacy systems without disruption. Featuring award-winning claims management with enterprise grade control, low code configuration and open APIs for truly connected operations.

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P&C Claims Intake Decisions logo
(0)

Automate and optimize claims decisions

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P&C Claims Intake Decisions is a claims management software designed to help businesses manage their claims, adjuster, and customer interactions. The solution enables managers to manage and track all claim-related activities in one place.

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Conexia logo
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Healthcare operations, billing, & claims management solution

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Conexia helps healthcare organizations manage processes related to employee compensation, administration, data capturing, patient care, and more. The billing module enables enterprises to approve insurance claims, process payments, and generate electronic invoices in real-time.

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Encoda BackOffice logo
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Cloud-based medical billing platform

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Encoda BackOffice is a cloud-based (SaaS) medical billing platform that bridges workflow gaps between practice management systems, clearinghouses and payers.

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CCC Casualty logo
(0)

Casualty claims management system for insurance companies

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CCC Casualty offers a claims management solution that addresses the evaluation needs of injury claims. Utilizing trusted industry data, CCC aims to assist insurers in achieving resolutions for both first and third-party casualty claims.

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TOSHFA logo
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Cloud-based claims processing solution for insurers.

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TOSHFA is a cloud-based claims processing solution designed for insurers and third-party administrators (TPAs) in the health insurance industry. The platform encompasses a health insurance quotation engine, policy administration module, claims management module, hospital network management, and comprehensive 360-degree reporting capabilities. Key features include automated quote generation, multi-level approval processes, policy administration with hierarchical definition, and more.

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AdInsure Claims logo
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End-to-end claims solution for all P&C lines of business

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AdInsure Claims is a comprehensive insurance claims management solution optimizing the claims lifecycle from First Notice of Loss to settlement. It features advanced automation and configurable workflows to streamline operations, reduce cycle times, and integrate reinsurance, legal procedures, and recoveries. AdInsure Claims offers insurers data-driven insights with a 360-degree view of claims, enabling efficient case routing and faster resolution.

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AdInsure logo
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Award-winning standard insurance platform

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AdInsure insurance platform serves as a foundation of award-winning solutions: AdInsure for Non-life, Life, Commercial insurers, and Brokers. AdInsure combines comprehensive features in a single, unified platform and connects insurers with emerging technologies, service providers, and partners.

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Service Hub CRM logo
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Customer relationship management & claims processing system

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Service Hub CRM is a customer relationship management software designed to help businesses of all sizes streamline claims processing, field service management, and billing operations via a unified platform. It enables employees to schedule appointments, communicate with internal and external stakeholders, and track work orders.

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