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Top 107 Healthcare Claims Management Software SaaS Companies in May 2026

As of May 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 $167.7M 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.

Companies
107
Revenue
$1.5B
Funding
$167.7M
Employees
8.3K

Filters

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Top Healthcare Claims Management Software Companies

Showing 10 of 23 companies ranked by annual revenue.

1
Kinetik

Long Island City, New York, United States

Kinetik is a healthcare technology company that has built the nation’s first digitally integrated healthcare transportation platform connecting members, health plans, health systems, and transportation providers. Our interoperable platform allows for seamless delivery of non-emergency medical transportation services, providing full visibility into the life cycle of each trip for health plans and their members while allowing transportation providers to get paid on time. Key benefits include program transparency, improved access to care, an enhanced member experience, ability to auto-generate timely and accurate claims, and reduction of fraud, waste, and abuse (FWA).

Revenue
$10M
Customers
-
Year founded
2017
Funding
$20.1M
Team size
85
Growth
-
2
inMediata

San Juan,, Jalisco, Mexico

Provider of a software designed to solve problems and respond to the needs of customers. The company's software develops web-based services that increase efficiency and helps to reduce costs through real-time adjudication of claims, electronic funds transfers, on-line reconciliation and data mining and informatics, enabling individuals to have ease in their hospital and physician billing services and payment reconciliations.

Revenue
$10M
Customers
-
Year founded
2002
Funding
$12.8M
Team size
136
Growth
26.5%
3
CLARA analytics

Santa Clara, California, United States

AI-powered insurance claim solutions

Revenue
$9.8M
Customers
-
Year founded
2015
Funding
-
Team size
72
Growth
80.42%
4
Scripta

Needham, Massachusetts, United States

Scripta is a venture-backed healthcare IT and data analytics company founded by doctors, specializing in pharmacy benefit cost containment and delivering savings on pharmacy benefit costs for self-insured employers.

Revenue
$9.3M
Customers
-
Year founded
2019
Funding
-
Team size
69
Growth
-
5
Time Control

Pointe-Claire, QC , Canada

Enterprise timesheet software for better healthcare outcomes

Revenue
$8.6M
Customers
280
Year founded
1984
Funding
-
Team size
10
Growth
131.06%
6
efficientC

Pewaukee, Wisconsin, United States

Developer and provider of claims management and reporting software designed for healthcare providers. The company's software-as-a-service platform allows users to get paid fast and navigate the changing landscape of payer reimbursements more effectively, enabling the revenue cycle team in specialty clinics, hospitals and integrated health systems perform traditional A/R services in half the time of a typical healthcare business, improving efficiency and freeing up resources.

Revenue
$8.5M
Customers
-
Year founded
1993
Funding
-
Team size
51
Growth
554.98%
7
Moxe Health

Madison, Wisconsin, United States

Developer of a clinical data integration platform designed to streamline the exchange of clinical data between health plans and provider systems. The company's platform provides interactive network that seamlessly deliver the right information at the right time as well as offers services for risk adjustment, claims denial management, clinical summaries, administrative notifications and care gap management, enabling health systems and health plans to share medical records and key patient insights, automatically and instantly.

Revenue
$8.4M
Customers
40M
Year founded
2011
Funding
$6.2M
Team size
90
Growth
26.5%
8
HealthBridge

Grand Rapids, Michigan, United States

HealthBridge Financial, Inc. offers a solution to bridge the financial needs of patients and healthcare providers. Our fintech solution integrates with healthcare provider applications and connects with capital market partners to offer consumer-protective patient payment plans. HealthBridge enables payment plans that extend out to 24 months+ with 0% interest. And there are no fees, application forms, or denials. Patients can confidently seek care knowing they have payment choices that fit their budget. Providers using HealthBridge can better care for patients’ physical and financial health, while accelerating cashflow – all without recourse. Plus, HealthBridge's innovative solution runs on a proprietary software platform that complements, not replaces, a healthcare provider's EHR functions. HealthBridge was founded in 2017 and is headquartered in Grand Rapids, MI.

Revenue
$8.1M
Customers
-
Year founded
2017
Funding
-
Team size
74
Growth
-
9
Zealie

Irvine, California, United States

Zealie automates many touch points for the Behavioral Health and Substance Abuse Treatment Revenue Cycle Management (RCM) industry. Drastically improving claim reimbursement rates and adjudication speeds with data driven analytics. What We Do Outsourced Billing Services Zealie can handle 100% of your Substance Abuse and Behavioral Health billing for you. Verification of Benefits, Utilization Review, Claim Submission, Claim Statusing, ERA and EFT Enrollment. The Zealie Team is comprised of billing experts, industry professionals, along with our in-house software developers. Our internal synergy allows us to be extremely flexible and adapt to client needs swiftly while never compromising your revenue. Zealie Features Analytics Dashboard The Zealie RCM platform was designed to offer rich analytical insights to your Substance Abuse and Behavioral Health business. Zealie's Dashboard allows you to view real-time Key Performance Indicators, such as Aging Metrics, Census Mix Analysis, and

Revenue
$8.1M
Customers
-
Year founded
2017
Funding
-
Team size
116
Growth
99.7%
10
Assembly Health

Chicago, Illinois, United States

Health care services company specializing in revenue cycle management and back-office support, helping physician practices and long-term care communities

Revenue
$7.9M
Customers
-
Year founded
2018
Funding
-
Team size
72
Growth
-

Inclusion Criteria

- 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