Top 22 Healthcare Claims Management Software Companies With $5M–$10M Revenue (August 2026)

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.

Santa Clara, California, United States

AI-powered insurance claim solutions

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.

Pointe-Claire, QC, Canada

Enterprise timesheet software for better healthcare outcomes

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.

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.

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.

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

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

Austin, Texas, United States

Medical billing software