Top Claims Processing Software - 2025
Updated on: 03rd May 2025
1. Virtual Claims Adjuster
THE CLAIMS PROCESS RE-IMAGINED
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Reports
Platforms
- Cloud Hosted
- Web-based
2. BriteCore
Software for Modern Insurers
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
3. ClaimBook
A powerful cloud-based Revenue Cycle Management solution from ABI Health
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Electronic Claims
Platforms
- Cloud Hosted
- Web-based
4. PayorLink
Employee Health Platform
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Electronic Claims
- Forms Management
Platforms
- Cloud Hosted
- Web-based
5. Polygonal
The Multi-Dimensional insurance system
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
6. PowerClaim Estimator
Software for the Property Industry.
Claims Processing Software
7 Days
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Electronic Claims
- Forms Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- Windows
7. Prebill Manager
Results-driven revenue cycle software and services including claim editing and submission.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Compliance Management
- Electronic Claims
- Payor Management
Platforms
- Cloud Hosted
- Windows
8. Risk Manager
Affordable software for workers' compensation, property & casualty claims administration
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Windows
9. ScanNStore
Full-featured electronic document storage and retrieval system in a small package.
Claims Processing Software
30 Days
N/A
Other Category
- Claims Processing Software
Features
- Compliance Management
- Electronic Claims
Platforms
- Cloud Hosted
- Windows
10. Snapsheet Claims
Harness the full power of digital
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Claim Resolution Tracking
- Electronic Claims
- Forms Management
Platforms
- Cloud Hosted
- Web-based
11. Solar Eclipse
Claims Management & Medical Bill Review Software Solutions
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Fraud Detection
- Paper-Based Claims
- Reports
Platforms
- Cloud Hosted
- Windows
12. SSI Claims Management
Secure a firm foundation for revenue cycle growth.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Compliance Management
- Electronic Claims
Platforms
- Cloud Hosted
- Web-based
13. InsureEdge
Complete Technology Suite for Insurers.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
- Insurance Agency Software
Features
- Booking Management
- Claims Management
- Commission Management
- Contact Management
- Document Management
- Insurance Rating
- Life & Health
- Policy Management
- Property & Casualty
- Quote Management
- Track Profits
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Web-based
- iPhone/iPad
- Android
- Windows
- Mac
- Linux
14. HIPAAsuite
EXPERTS IN EDI HEALTHCARE TRANSACTIONS
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
- Medical Transcription Software
Features
- Abbreviation Expansion
- Audio File Management
- Audio Transmission
- Customizable Macros
- Voice Capture
- Voice Recognition
- Co-Pay & Deductible Tracking
- Electronic Claims
Platforms
- Cloud Hosted
- Web-based
- Windows
15. Meditab IMS
The All-in-One EHR, Practice Management, and Billing Software
Claims Processing Software
Available
$199
Other Category
- Chiropractic Software
- Claims Processing Software
- Electronic Medical Records Software
- e-Prescribing Software
- Healthcare CRM Software
- Hospital Management Software
- Medical Billing Software
- Medical Inventory Software
- Medical Lab Software
- Medical Practice Management Software
- Medical Scheduling Software
- Medical Transcription Software
- Mental Health Software
- Telemedicine Software
Features
- Accounting Integration
- Appointment Scheduling
- Claims Management
- Medical Billing
- Patient Records
- Physician Management
- Appointment Scheduling
- Charting
- Compliance Tracking
- E-Prescriptions
- Meaningful Use Certified
- Medical Billing
- Patient Engagement
- Patient Portal
- Patient Records
- Appointment Reminders
- Appointment Scheduling
- Billing
- Chat/Messaging
- E-Prescribing
- EHR Integration
- Multi-Provider Practice
- Practice Management
- Provider Scheduling
- Video Conferencing
- Claims Management
- Document Administration
- EMR / EHR
- Integration
- Medical Billing
- Patient Management
- Patient Scheduling
- Reports & Analytics
- Abbreviation Expansion
- Archiving & Retention
- Audio File Management
- Audio Transmission
- Customizable Macros
- Transcription Reporting
- Voice Capture
- Charting
- Compliance Tracking
- E-Prescriptions
- EMR/EHR
- Medical Billing
- Patient Portal
- Patient Record
- Scheduling & Reminders
- Alerts/Reminders
- Appointment Scheduling
- Claims Management
- Medical Billing
- Patient Portal
- Patient Records
- SOAP Notes
- Appointment Scheduling
- Billing Quotes/Estimates
- Claims Management
- Codes & Charge Entry
- Compliance Tracking
- Eligibility Checks
- Invoice History
- Patient Statements
- Loyalty Program
- Practice Management
- Remittance Advice
- Audit Trials
- Booking Management
- Data Security
- Instruments Integration
- Patient Management
- Workflow Management
- Clinical Alerts
- Drug Reference Database
- Electronic Prior Authorization
- EPCS
- Formulary Management
- Medication History
- Patient Safety
- Pharmacy Options
- Prescription Management
- Refill Management
- Alerts/Notifications
- Campaign Management
- Patient Communications
- Patient Management
- Physician Management
- Reports
- Appointment Scheduling
- Billing & Invoicing
- Facility Scheduling
- Faculty/Staff Management
- Multi-Location
- No-Show Tracking
- On Call Scheduling
- Patient Records Management
- Physician Management
- Recurring Appointments
- Self Service Portal
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
- Barcode/Ticket Scanning
- Expiration Date Management
- Purchasing & Receiving
- Reorder Management
- Reporting/Analytics
- Supply Management
- Usage Tracking
- Vendor Management
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
- Windows
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16. Quadax
Maximize Reimbursement
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
- Medical Billing Software
Features
- Appointment Scheduling
- Billing Quotes/Estimates
- Claims Management
- Compliance Tracking
- Eligibility Checks
- Claim Resolution Tracking
- Compliance Management
- Reports
Platforms
- Cloud Hosted
- Web-based
17. Radix
Custom Debt Collection Software Solutions
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
- Debt Collection Software
Features
- Agency Management
- Automated Notices
- Commission Management
- Contact Management
- Dashboard
- Payment Plans
- Security
- Forms Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
18. Insta
Run, Grow & Transform Your Healthcare Business
Claims Processing Software
N/A
$40
Other Category
- Claims Processing Software
- Electronic Medical Records Software
- e-Prescribing Software
- Hospital Management Software
- Medical Billing Software
- Medical Practice Management Software
- Medical Scheduling Software
Features
- Accounting Integration
- Appointment Scheduling
- Bed Management
- Claims Management
- In-Patient Management
- Medical Billing
- OT Scheduling
- Out-Patient Management
- Patient Records
- Physician Management
- Ward Management
- Appointment Scheduling
- Charting
- E-Prescriptions
- Claims Management
- Document Administration
- EMR / EHR
- Integration
- Inventory Management
- Medical Billing
- Patient Management
- Patient Scheduling
- Loyalty Program
- Reports & Analytics
- Appointment Scheduling
- Billing Quotes/Estimates
- Claims Management
- Codes & Charge Entry
- Eligibility Checks
- Invoice History
- Patient Statements
- Payment Processing
- Practice Management
- Remittance Advice
- Drug Reference Database
- Electronic Prior Authorization
- Formulary Management
- Medication History
- Prescription Management
- Refill Management
- Appointment Scheduling
- Booking Management
- Drag & Drop
- Facility Scheduling
- Multi-Location
- No-Show Tracking
- Patient Records Management
- Physician Management
- Recurring Appointments
- Self Service Portal
- Case Management
- Co-Pay & Deductible Tracking
- Compliance Management
- Electronic Claims
- Paper-Based Claims
Platforms
- Cloud Hosted
- Web-based
- Windows
19. PLEXIS Payer Platforms
The road to better business begins here
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- Windows
20. QuickCap
Empowering your healthcare business with top-notch comprehensive healthcare solutions
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Reports
Platforms
- Cloud Hosted
- Web-based
- Windows
21. CLAIMExpert
Empowering Your Adjusters and Improving Your Bottom Line
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
22. ClaimLogik
Connect everyone in your property claim.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
23. ClaimPilot
Claims management made easy.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
24. Claims AI Cloud
Fast Track Claims with AI
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Claim Resolution Tracking
- Electronic Claims
- Paper-Based Claims
Platforms
- Cloud Hosted
- Web-based
25. ClaimRuler
A new and smarter way to process and settle claims
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Compliance Management
- Payor Management
- Policy Administration
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
26. ClaimScape
Taking Claims and Benefits Software to New Heights
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Electronic Claims
- Forms Management
- Fraud Detection
- Payor Management
Platforms
- Cloud Hosted
- Web-based
27. ClaimsControl
Your Insurance Claims Collaboration Platform
Claims Processing Software
Available
Free
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Reports
Platforms
- Cloud Hosted
- Web-based
28. ClaimSuite
Claimsuite is a web based system for claims management anywhere and anytime.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Co-Pay & Deductible Tracking
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
29. Tavant Warranty
Next-Gen Warranty Management
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
- Windows
- Mac
30. ClaimVantage
Transform your Claim Management
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
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31. PokitDok
Integrate electronic healthcare claims into your workflow with ease
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
32. Impact Managed Care Systems
Automated Healthcare Data Management Software
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Windows
33. Advanced Insurance System
P&C Insurance Platform Providers
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Document Management
- Forms Management
- Fraud Detection
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
34. Alyce
Workers’ Compensation, Auto, General Liability, and Property Claims Management Software.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Document Management
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
35. Innoveo Skye
Imagine. Design. Create.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
36. BizFlow
Business Process Automation
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
- Windows
- Mac
37. Payapps
PREPARE, SUBMIT, ASSESS. JOB DONE.
Claims Processing Software
Available
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Compliance Management
- Electronic Claims
- Forms Management
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
38. CaseBlocks
Manage all your claims on the Caseblocks Cloud
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Fraud Detection
- Paper-Based Claims
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
39. Mitchell WorkCenter
Comprehensive, web-based claims management system for auto insurers to simplify claims processing
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
Platforms
- Cloud Hosted
- Web-based
40. Payline Data
Payment Processing You Can Trust
Claims Processing Software
Available
$10
Other Category
- Claims Processing Software
Features
- Document Management
- Electronic Claims
- Reports
Platforms
- Cloud Hosted
- Web-based
41. MyClaimStatus
More at your fingertips.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
42. Inblue Request
Ticketing and online support software.
Claims Processing Software
Available
$8
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Electronic Claims
- Paper-Based Claims
Platforms
- Cloud Hosted
- Web-based
43. Duck Creek
Enabling faster, better claims handling that results in happier, more loyal customers
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
44. I-CAPS
HIGHLY INTELLIGENT CLAIMS PROCESS
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Claim Resolution Tracking
- Reports
Platforms
- Cloud Hosted
- Windows
45. InsurancePlus
The leader in insurance administration software solutions
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
- Windows
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46. Intellect Claims
Intellect Claims. Simplify payout.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Compliance Management
- Electronic Claims
- Forms Management
- Policy Administration
Platforms
- Cloud Hosted
- Web-based
47. Jopari ProPay
Streamline Payment Processing
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Compliance Management
- Electronic Claims
- Forms Management
- Payor Management
Platforms
- Cloud Hosted
- Web-based
48. KMR Claims Manager
Yes, it's possible. Manage your claims lifecycle more efficiently.
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based
49. MD Claim
Electronic Claims Submission MADE SIMPLE
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Case Management
- Claim Resolution Tracking
- Compliance Management
- Electronic Claims
- Forms Management
Platforms
- Cloud Hosted
- Web-based
- iPhone/iPad
- Android
50. MR HealthTech
Core Insurance System
Claims Processing Software
N/A
N/A
Other Category
- Claims Processing Software
Features
- Adjustor Management
- Case Management
- Claim Resolution Tracking
- Co-Pay & Deductible Tracking
- Compliance Management
- Document Management
- Electronic Claims
- Forms Management
- Fraud Detection
- Paper-Based Claims
- Payor Management
- Policy Administration
- Reports
Platforms
- Cloud Hosted
- Web-based