Top 107 Healthcare Claims Management Software SaaS Companies in May 2026

Escondido, California, United States

Sidis Health is an Enterprise SaaS 2.0+AI cloud platform that enables autism service companies to scale using enterprise process automation and workflow management enabled by artificial intelligence and complete clinical and operational integration. This allows the organization to rapidly grow revenue-generating locations and services while significantly reducing the related operational costs and increasing cash flow velocity on claims. The organization shifts from supporting all services manually using software to monitoring the software for exceptions and targeting resources at those areas until the AI learns how to continue automated handling of those exceptions. Care quality is able to be tracked at the metadata level by fully integrating each organization's unique curriculum and treatment plans into Sidis Health, vastly increasing transparency into treatment progress and the ability to continue receiving re-authorizations from insurance payers and utilizing the data collected t

Denver, Colorado, United States

Provider of a medical billing and coding platform to healthcare providers and hospitals. The company offers cloud electronic medical records, claim processing, revenue cycle, document and practice management software.

San Francisco, California, United States

Modern medical billing

Savannah, Georgia, United States

Revenue cycle management company that helps dental practices streamline their insurance and patient billing process to get paid faster

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.

San Francisco, California, United States

AI-Powered Medical Document Review for Workers' Comp

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.