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As of August 2026, there are 107 SaaS companies in Healthcare Claims Management Software. They have combined revenues of $1.5B and employ 8.3K people. They have raised $197.3M and serve 47.9M customers combined.
Healthcare Claims Management Software is designed to streamline the processing and management of medical claims between healthcare providers and insurance companies. This category of software helps healthcare organizations automate workflows, reduce errors, and ensure timely reimbursements by providing tools for eligibility verification, claims submission, appeals management, and payment tracking. Typical features of healthcare claims management software include electronic claims submission, dashboards for tracking claim status, automated alerts for potential denials, and analytics to monitor financial performance. The primary users of this software are healthcare providers, billing departments, and revenue cycle management teams, all seeking to improve efficiency and reduce the administrative burden associated with claims processing.
Sorting: Highest -> Lowest
Showing 10 of 107 companies ranked by annual revenue.
Seven Fields, Pennsylvania, United States
Optimize RCM specializes in revenue cycle management (RCM) transformation, leveraging cutting-edge automation, process re-engineering, and labor outsourcing to help healthcare organizations streamline workflows, enhance efficiency, and maximize revenue while maintaining compliance with industry standards.
- Must provide tools for automating the submission of healthcare claims - Should facilitate tracking of claim status and payment resolution - Must include functionalities for managing claim denials and appeals - Should offer analytical insights to support financial metrics and operational improvements - Not just focused on billing; must also support end-to-end claims processing workflows
We specialize in medical billing services and medical coding services, ensuring accurate claim submissions, faster reimbursements, and compliance with healthcare regulations. Our expert team streamlines revenue cycle management, reduces denials, and maximizes profitability for healthcare providers.
Plainview, New York, United States
CertifyOS is a provider intelligence platform that delivers insights and drives performance for clinicians, teams, and organizations throughout the U.S. healthcare system. It is an API-driven platform that unlocks insights and powers performance for healthcare providers.
Pittsburgh, Pennsylvania, United States
Medbill is a leading DME billing company offering comprehensive and customized DME Billing services and software solutions to streamline your revenue cycle.
Wayne, Pennsylvania, United States
Developer of a healthcare data and analytics platform intended to simplify and enhance the lifecycle of discoveries from clinical and claims data. The company's cloud-based platform features on-demand access to highly customizable query and reports templates to profile and rank providers based on their quantitative performance metrics, enabling healthcare providers and life science organizations to model and measure episodes of care.
San Francisco, California, United States
Candid Health is a revenue cycle automation platform designed to empower healthcare providers with tools to automate billing processes, increase net collections, and enhance cash flow.
Seattle, Washington, United States
Concord Technologies is a leading provider of secure document exchange, intelligent document processing, and interoperability solutions to healthcare providers, payers, and other highly regulated businesses. For over twenty years, billions of sensitive records containing valuable patient information have been reliably, accurately, and securely sent and received across Concord’s digital health network. Today, the company processes over five billion pages of protected data annually. The company is also recognized for its best-in-class development of new artificial intelligence technologies, including Concord’s Practical AI™ approach to solving the most pervasive administrative challenges in the healthcare industry, and for its industry-leading applications that help its customers grow and manage their business.
Radnor, Pennsylvania, United States
Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from member experience to payment integrity, plan performance, and provider quality. Valenz elevates expectations to a new level of efficiency, effectiveness, and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com.
West Des Moines, Iowa, United States
ClaimDOC is a national medical claim auditing and member advocacy company driven to help employers deliver successful and sustainable medical plans for their employees. It leverages next-generation technology combined with a human touch for transparent medical claim pricing.
