As of May 2026, there are 26 SaaS companies in Health Insurance Software. They have combined revenues of $4B and employ 2.7K people. They have raised $1.2B and serve 511 customers combined.
Health insurance software encompasses a range of applications designed to manage the administrative and operational processes within the health insurance sector. These solutions facilitate the handling of claims, billing, patient data, and compliance with regulatory requirements. By automating core tasks, they enhance operational efficiency and reduce the potential for errors in critical workflows. Typical use cases include streamlining claims processing, automating billing cycles, and ensuring compliance with healthcare regulations. The software is commonly utilized by insurance providers, healthcare organizations, and third-party administrators. Key features often include claims management tools, fraud detection capabilities, analytics for patient data, and integration with other healthcare systems for enhanced data flow.
Sorting: Highest -> Lowest
Showing 10 of 11 companies ranked by annual revenue.
Portsmouth, New Hampshire, United States
Innovative set of tools and software services introducing free market dynamics to repair America?s profoundly dysfunctional health insurance market.
Dubai, United Arab Emirates
Klaim is an InsureTech platform offering a SaaS medical claim management and financing platform all in one
Minneapolis, Minnesota, United States
Provider of a cloud-based benefits quoting exchange platform intended to simplify the process of buying and selling health insurance. The company's platform offers a quoting engine that helps insurance agents to track and manage their clients, enabling consumers to select the best insurance policy from the market.
Old Greenwich, Connecticut, United States
AdminaHealth is a cloud-based provider of a powerful industry-recognized SaaS Billing Suite Platform for the employee benefits and insurance marketplace - automating invoice consolidation, reconciliation, and streamlining payment management. We integrate with leading Enrollment and Benefit Administration systems to ensure accurate premium billing services resulting in significant operational efficiencies. We support all billing types and coverages for small, medium, and enterprise businesses. The AdminaHealth Billing Suite has adopted the NIST Cybersecurity Framework and has earned the elite HITRUST CSF Certification®. Our goal is to continue to develop solutions that will lower benefit costs while maintaining or improving benefit levels. Learn more on our Resources page: https://adminahealth.com/resources/
Cleveland, Ohio, United States
Developer of a cloud based middleware software platform designed to make health benefits easier for employees and administrators. The company's web-based software automates claims collections for insurance industry third-party administrators and helps TPAs streamline their process and increase efficiency while eliminating the need for individuals to send paperwork to claims administrators, enabling third party administrators to save time managing claims and reduce the burden on participants and their employers.
Tel Aviv, Israel
Member-intelligence SaaS solution that helps Health Plans understand, predict and influence their members' behavior
United States
maxRTE helps healthcare providers find insurance for patients. With 1 in 4 Americans having trouble paying medical bills, we strive to have impact for patients, providers, and our community. Our insurance discovery software locates unknown coverage from commercial and exchange plans, Medicare, Medicaid, Tricare, worker’s comp, and Cobra for 15-20% of all self-pay patients. We easily integrate with EHRs and our web-based portal ensures secured access for employees, no matter where they work. Visit maxrte.com to learn more about our software or submit a free test file today.
Otakaari, Finland
Developer of a mobile health platform created to manage employee wellness programmes. The company's healthcare platform connects insurance companies and progressive service providers with its members to facilitate preventive healthcare services, enabling companies to promote and manage wellness programmes.
- Must provide functionalities for managing insurance claims and billing. - Should include automated tools for processing claims and preventing fraud. - Needs to support compliance with relevant healthcare regulations. - Must enable integration with other healthcare software systems. - Should offer analytics features for improved operational insights. - Not just for billing; must also facilitate comprehensive patient data management.
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