As of August 2026, Latka tracks 31 healthcare claims management software companies with $1M–$5M in annual revenue. They have combined revenues of $77.7M and employ 745 people. They have raised $15.5M and serve 2.5M customers combined.
Every company below sells healthcare claims management software to other businesses and is ranked by its most recent annual revenue. Revenue, funding, headcount and customer figures come from CEO interviews on the Latka podcast, public company filings, and Latka estimates where a company has not disclosed a number.
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 31 companies ranked by annual revenue.
Milwaukee, Wisconsin, United States
Sift Healthcare provides advanced decision support solutions for managing the increasingly complex healthcare revenue cycle, integrating machine learning and predictive analytics to reduce insurance denials.
United States
Outbound AI is Conversation AI built for healthcare. Founded in 2021, the Seattle-based startup is breaking new ground with cloud technologies that serve as workforce multipliers to drive productivity while improving the daily job experience for human talent. The company’s inaugural offering includes a portfolio of AI-powered virtual agents specially trained to streamline administrative work across the revenue cycle, including claims status, eligibility and benefits verification, prior authorization and more. Outbound AI is led by a passionate team of health and voice tech veterans and backed by several preeminent venture capital firms.
Tampa, Florida, United States
Encoda is a developer of a healthcare technology platform designed to provide automation technologies for medical practices. The company's medical revenue cycle automation tool offers back office staff with features such as revenue collection and management, client billing systems and medical insurance claim handling services.
New York, New York, United States
Developer of a healthcare platform designed to provide cost-effective, convenient and quality care decisions. The company's healthcare platform provides the most accurate and comprehensive data on doctors, plans and costs for digital health, enabling users to track their healthcare journey and healthcare costs.
Edina, Minnesota, United States
Developer of a billing and payments utility platform intended to simplify the process of billing and payment. The company's billing and payments utility platform performs all the functions of membership accounting, payment management, collections and remittance for digital benefits based billing and enables 100% electronic billing transactions in complex billing scenarios, including payer sponsored marketplaces for group and individual populations enabling health and benefits sellers and purchasers to use a better experience.
Woodstock, Georgia, United States
SlicedHealth empowers hospitals, health systems, specialty practices, and surgery centers to uncover hidden underpayments and denials. It provides technology solutions designed to assist healthcare organizations in managing revenue.
Austin, Texas, United States
Subscribili is a healthcare technology company enabling a subscription-based health care system for providers across different healthcare verticals, aiming to help underinsured Americans access essential care.
Oklahoma City, Oklahoma, United States
Con Inc is a Medical billing company specializing in Emergency Department and Urgent Care billing
Latka tracks 31 healthcare claims management software companies with $1M–$5M in annual revenue. Together they generate $77.7M in annual revenue and employ 745 people.
Sift Healthcare is the largest, with $4.9M in annual revenue, founded in 2017.
The average healthcare claims management software company in this list makes $2.5M a year, across 31 companies with reported revenue. They serve 2.5M customers combined.
Ranked by annual revenue, the leaders are Sift Healthcare, Outbound AI, Stream, Encoda and Ribbon Health.
The 31 healthcare claims management software companies with $1M–$5M in annual revenue tracked here have raised $15.5M in disclosed funding between them.
- 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
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