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Top 45 Utilization Management Software SaaS Companies in May 2026

As of May 2026, there are 45 SaaS companies in Utilization Management Software. They have combined revenues of $1.8B and employ 14K people. They have raised $1.3B and serve 1.1K customers combined.

Utilization Management Software (UMS) is designed to streamline the review and approval processes for healthcare services, ensuring that treatment choices are necessary, appropriate, and efficient. Primarily used by healthcare providers, payers, and case management teams, UMS helps prioritize care based on clinical urgency, manage approvals and communications, and analyze utilization patterns to prevent overuse or underuse of healthcare services. Typical features of UMS include automated authorization workflows, real-time case tracking, data analytics for utilization patterns, and integrated communication tools for liaising with members and providers. The software plays a critical role in enhancing patient care while improving operational efficiency, making it an essential tool for healthcare organizations looking to optimize resource utilization and manage costs effectively. The common user personas include healthcare administrators, case managers, and clinical staff who require real-time data and insights to make informed decisions. UMS is fundamental for organizations focused on ensuring quality care delivery while simultaneously managing costs and compliance with healthcare regulations.

Companies
45
Revenue
$1.8B
Funding
$1.3B
Employees
14K

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Top Utilization Management Software Companies

Showing 10 of 7 companies ranked by annual revenue.

1
Medical Tracking Solutions

Jacksonville, Florida, United States

Medical Tracking Solutions, Inc. was established by an experienced team of industry professionals with expertise in the areas of medical device sales, distribution, logistics, loaner kit processing, and software development. The MTS team’s own intimate understanding of the medical industry's challenges and the critical need for solving the many problems associated with field inventory, multi-level bill of material tracking, and mobile inventory, is what prompted the development of MTS’s first product, iTraycer. iTraycer iTraycer is a comprehensive inventory management system that assists medical device and biologic companies, and their distributors, in better managing the challenges of field inventory. iTraycer does this through a customized SaaS Web Suite, a GMP compliant Receiver Manager, and an intuitive Mobile Application. The iTraycer solution gives real time visibility of each field inventory transaction improving sales efficiency and engagement, increasing operational efficiencies while reducing costs with improved cash flow. This can result in a 2% to 4% improvement in operating income.

Revenue
$880K
Customers
-
Year founded
2009
Funding
-
Team size
8
Growth
-
2
HONEYPOTZ, INC.

Dover, Delaware, United States

Platform for Confidential Computing and Federated Machine Learning, DevOps automation. Honeypotz has been accepted into the acceleration program https://fastercapital.com looking to raise $3Mln

Revenue
$660K
Customers
-
Year founded
2016
Funding
-
Team size
6
Growth
-
3
TREEAGE SOFTWARE, LLC

Williamstown, Massachusetts, United States

TreeAge Pro is the leading visual tool for creating and analyzing decision trees and Markov models across Business, Legal and Healthcare industries. TreeAge Pro has been commercially supported for over 30 years and is led by a team of scientists, engineers and product support staff committed to your success. Powerful, Flexible Decision-Making with TreeAge Pro.

Revenue
$550K
Customers
-
Year founded
-
Funding
-
Team size
5
Growth
-
4
SIRIUS Software Inc

Québec, Quebec, Canada

We offer various software solutions that will help you manage your projects, timesheets, business processes, assignments and your resources. Achievements and knowhow of our resources allow us to be prominent in several sectors of activities. Many customers who use our management solutions find that they help them to serve and contribute to the achievement of their goals.

Revenue
$440K
Customers
-
Year founded
1997
Funding
-
Team size
4
Growth
-
5
Avedon Health Systems

Clearwater, Florida, United States

Avedon Medical Management Solutions The AveCare Software platform enables collaborative care through integrated solutions for: Case Management Disease Management Utilization Management Patient Advocacy With a seamless integration of Care Management functions and streamlined workload management capability, our AveCare Care Management Software enables Health Plans, Third Party Administrators (TPAs), Independent Review Organizations (IROs), Physician Networks and other Healthcare Delivery Organizations to optimize clinical and financial resources while improving patient outcomes.

Revenue
$440K
Customers
-
Year founded
2007
Funding
-
Team size
4
Growth
-
6
WiserTogether, Inc.

Washington, District of Columbia, United States

WiserTogether’s personalized healthcare treatment comparison software enables consumers to choose the right treatment – most effective in outcome, most personally suitable, and most cost-effective and affordable. The result is improved health and improved costs for consumers, their employers, payers and providers. The company serves over 3 million people through their employers and health plans. For more information about WiserTogether, please visit our website at www.wisertogether.com.

Revenue
$330K
Customers
-
Year founded
2008
Funding
-
Team size
3
Growth
-
7
BlueNote Software, LLC

Keller, Texas, United States

BlueNote Communicator Lights is our flagship product. It is a glanceable intercom app that translates all the real-time dynamics of a practice into an intuitive method to keep a practice aware of emergent needs without logins or ongoing costs.

Revenue
$220K
Customers
-
Year founded
2004
Funding
-
Team size
2
Growth
-

Inclusion Criteria

- Must facilitate the review process for healthcare service authorizations. - Should provide real-time analytics on patient utilization data. - Must support automated workflows for handling authorization requests. - Should enhance communication between providers and patients regarding care needs. - Must assist with identifying overutilization or underutilization of services. - Not just focused on billing; must also evaluate clinical necessity and appropriateness.