Our Top Picks

Ahshay! is a feature-rich claims processing solution for start-ups and agencies. This software combines compliance management, billing and invoicing, treatment planning, HIPAA compliance, and assessment notes in one centralized platform. The solution lets users configure their workflows and enhances efficiency in claims processing.

The software's main features include handling both paper-based and electronic claims, providing claims resolution tracking, and offering integrations, reports, and case management.

Ahshay! addresses the needs of different users, including individual nurse case managers, self-insured groups, and insurance providers.

Pros & Cons

Pros

  • User-friendly
  • Easy to train employees to use
  • Contains all the reports necessary for claim processing

Cons

  • Not customizable for individual company needs
  • Imperfect calendar and invoicing functions

What Customers Are Saying

Customers praise Ahshay! for including all the tools necessary to successfully file a complaint claim. Users say they can choose from paper-based or electronic claims and handle processing from remote locations.

Summary

  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes
AUSIS is claims processing software for life and health insurance policy risk assessment, pricing, scoring, and decision-making. This underwriting platform lets insurance businesses offer in-depth underwriting in real-time. With AUSIS, users can reduce risks, costs, and fraud via enhanced efficiency, alternative scoring, and decision power.

Its cross-intelligent functionality identifies missing data and empowers users to make better decisions in underwriting. The software tracks co-pays/deductibles and claims resolution; works with both electronic and paper-based claims, provides case management and offers integrations and reports.

Pros & Cons

Pros

  • Offers 24/7 live support for users
  • Useful for premium predictions
  • Supports electronic and paper-based claims

Cons

  • Doesn't cover casualty insurance
  • Lacks adjuster management

What Customers Are Saying

AUSIS is popular among users as simple software that navigates and quickly processes documents needed for claims processing. Small companies and individuals appreciate AUSIS's affordability, its easy onboarding, and its ability to handle paper-based or electronic claims.

Summary

  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    SaaS
    Windows
    Linux
  • Support Options
    Business Hours
    24/7 Live Support
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
bestPT is a cloud-based practice management software designed for physical therapists. The platform brings together electronic health records (EHR), patient scheduling, and compliant documentation into one suite. It helps physical therapists improve productivity, minimize errors, increase profits, and offer a consistent patient experience.

Its built-in claims processing functionality helps users review claims before processing, check underpaid claims, and manage claim denials. bestPT includes tracking for co-pays/deductibles and claims resolution, creates reports, provides case management, handles both electronic and paper-based claims, and integrates with other programs.

Pros & Cons

Pros

  • Helps keep claims organized
  • Great customer support team
  • Pre-built templates help in quick documentation during the claims processing

Cons

  • Some terms used are confusing
  • System can be overwhelming at first

What Customers Are Saying

Users say bestPT's great customer support responds swiftly whenever issues are encountered. Additionally, the video training guide is comprehensive and gets new users started quickly.

Summary

  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Claimable Logo
Claimable
Claimable is claims processing software designed for users such as insurers, law firms, and adjusters and finance companies. The software comes with powerful tools for timely and efficient processing of electronic claims, providing claims resolution tracking, case management, and co-pay/deductible tracking.

The solution stores claim data in a centralized, secure platform that users can access anytime from anywhere. Features include integrations and reports.

Pros & Cons

Pros

  • Easy to view which tasks are completed
  • Excellent collaborative features
  • Uses labeling and categorizing to make urgent claims stand out

Cons

  • Can't upload pictures in batches
  • System loads slowly

What Customers Are Saying

Users especially like how the system promotes efficiency and completes tasks at lightning speeds while being very user-friendly. If they're confused, customers say, they can refer to Claimable's training materials to answer their inquiries.

Summary

Claimable Logo
Claimable
  • Starting Price
    • Startup: $79/month/user
    • Growth: Starting at $129/month
    • Established: $239/month/user
  • Free Trial/Demo
    Free Trial
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
ClaimAdept Logo
ClaimAdept
ClaimAdept is a claims processing solution with robust tools for effortlessly managing claims, including web-based third-party integrations. It employs a relational database to store all claims data in the system. With this software, users can easily manage claim workflow, claims adjudication, and payment disbursement.

It uses advanced technology to support clients' server-based environments that handle huge volumes of claims and can be customized to meet the specific needs of various clients. ClaimAdept's core features include electronic claims, and it offers SaaS and cloud deployment.

Pros & Cons

Pros

  • Helps maintain an organized workspace
  • Flexible design
  • User-friendly

Cons

  • Not as many features as other claims software
  • Only deals with claims

What Customers Are Saying

Users of ClaimAdept highly recommend the software because it's not complex. The program is also highly customizable, allowing users to modify it to suit their business needs. It integrates well with other software, making the uploading of documents simple and quick, they report.

Summary

ClaimAdept Logo
ClaimAdept
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    None
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Online
  • Case Management
    No
  • Claims Resolution Tracking
    No
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes
FileTrac Logo
FileTrac
FileTrac is web-based claims management software for managing general agents (MGAs), independent adjusters, insurance companies, third-party administrators (TPAs), and businesses of all sizes. This software lets users manage their entire claims processing operations on one central management platform, from assignment to invoicing and payment. FileTrac offers a free demo and tools such as claims resolution tracking, integrations, and case management.

It also includes preformatted documents such as forms, letters, and labels, as well as custom templates for letters and forms. Additional features include reports, co-pay/deductible tracking, and electronic claims.

Pros & Cons

Pros

  • Allows bulk dispatch using the mapping system
  • Can create custom-tailored reports
  • Affordable

Cons

  • Not all documents can be uploaded due to integration issues
  • Expensive compared to other competitors

What Customers Are Saying

Users of FileTrac highly praise this software because the company puts its customers first, prioritizing their complaints and recommendations to constantly innovate and improve. They say the system provides sign-on authentication with security controls to ensure data integrity and peace of mind.

Summary

FileTrac Logo
FileTrac
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Installed - Windows
    Web-Based, Cloud, SaaS
    iPhone / iPad
    Android
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
HealthQx Logo
HealthQx
HealthQx is claims processing software that helps users manage claims operations efficiently. Businesses can enhance their reimbursement plans through an analytics system with budget planning and specific network analysis functionalities.

The software helps users evaluate clinical and cost data via periodic network analysis and claims grouping. Its core features include reports and integrations, and it handles both paper-based and electronic claims. Its innovative technology helps streamline business processes, enhance the customer experience, and reduce medical costs.

Pros & Cons

Pros

  • Allows timely billing
  • Straightforward and easy to use
  • Less expensive than other claims processing software

Cons

  • Poor support services
  • Lacks a mobile application

What Customers Are Saying

Users of HealthQX love the software's user-friendly interface that makes installations and navigation an easy process. Healthcare business say it keeps them updated to changes in regulations. Additionally, customers say the ability to analyze data results in reduced medical costs.

Summary

HealthQx Logo
HealthQx
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Online
  • Case Management
    No
  • Claims Resolution Tracking
    No
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes
HIPAAsuite Logo
HIPAAsuite
HIPAAsuite is a claims management solution that helps users work smarter and more efficiently. This software uses advanced technology to help users manage all aspects of processing claims and claim transactions, including claims resolution tracking.

The software supports secure transfer of electronic data interchange (EDI) files, conducts HIPAA compliance checks, and manages trading partners. It helps users streamline the electronic processing of workflows in a HIPAA-compliant and standardized way. Chief features include integrations, reports, electronic claims, and co-pay/deductible tracking.

Pros & Cons

Pros

  • Has a straightforward documentation and system setup
  • Works hard to customize the software per users' feedback
  • Loads very fast

Cons

  • Lacks proper customization, especially for billing functions

What Customers Are Saying

HIPAAsuite customers say it allows them to view and process over 800 forms required for electronic claims and complete claim transactions. Tracking features show clients the progress of their claims until they receive compensation, they say. Companies and clients find the software user-friendly and easy to set up.

Summary

HIPAAsuite Logo
HIPAAsuite
  • Starting Price
    • License Price:
    • HIPAA Claim Attachment Master: $3,000
    • HIPAA Authorizer: $1,500
    • HIPAA Claim Status Checker: $2,000
    • HIPAA Claim Status Responder: $2,000
    • HIPAA Claim Payment MasterL $2,500
    • HIPAA Claim Master: $2,500
  • Free Trial/Demo
    Free Trial
  • Deployment
    Installed - Windows
  • Support Options
    Business Hours
    Online
  • Case Management
    No
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Incident Management System Logo
Incident Management System
Incident Management System (IMS) is a claims/risk management solution for commercial lines, including general liability, auto, and workers' compensation. The software helps users manage the entire claims process effectively, from reporting to issuing payments and collections, for both electronic and paper-based claims.

IMS integrates with Microsoft Outlook, Microsoft Word, Lotus Notes, and ISO ClaimSearch to facilitate easy email creation, mail merging, and database management. Its core features include co-pay/deductible tracking, claims resolution tracking, reports, and case management.

Pros & Cons

Pros

  • Helps generate reports
  • Easy to learn and use
  • Good value

Cons

  • Uploading attachments from email is slow
  • Saving attachments can be frustrating

What Customers Are Saying

Customers say notable features of Incident Management Systems include the ability to create emails, merge databases, and manage claim cases. Users like the way the software allows them to organize claims by priority to ensure urgent claim cases are completed in a timely manner, which reduces complaints and creates a smooth workflow.

Summary

Incident Management System Logo
Incident Management System
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
JDi Data Logo
JDi Data
JDi Data is claims management software that helps users collect relevant claims data and manage multiple client claims. The platform lets users store vital data linked to claims in a centralized database for adjusters and clients to access through any browser.

It comes with tools that help clients create custom templates and client-specific reports. Users can utilize the software to streamline insurance claims management and increase efficiency, such as co-pay/deductible tracking and claims resolution tracking. JDi Data's main features include electronic claims, integrations, and case management.

Pros & Cons

Pros

  • Supports browser access
  • Helps users export a large amount of data to other software to create graphs
  • Good training videos

Cons

  • Requires a steep learning curve
  • Users recommend additional features to improve loading speed and reliability

What Customers Are Saying

Customers of JDi Data praise the app for allowing them to concentrate on other areas of their business rather than wasting time on manual data entry and checking errors. The software completes processes that would have taken hours in a matter of minutes, saving time and increasing companies' profitability, they report.

Summary

JDi Data Logo
JDi Data
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
MediClaims Logo
MediClaims
MediClaims is a solution that helps businesses streamline claims processing across various healthcare sectors, including dental, disability, and vision.

Healthcare facilities can use its built-in EDI functionality to send and receive data, including provider files, accumulator data, eligibility details, and claims. It works with both paper-based and electronic claims. Core features include integrations, co-pay/deductible tracking, case management, claims resolution tracking, and reports.

Pros & Cons

Pros

  • Supports third-party integrations
  • Very easy to upload and download files
  • Creates simple and clear reports

Cons

  • Deals with healthcare claims processing only
  • Layout can be intimidating for first-time users

What Customers Are Saying

Healthcare businesses appreciate the way MediClaims streamlines their data into one platform, making claims processing very fast and efficient. Healthcare practitioners say it saves them time and allows them to focus on other areas of their businesses by leaving the work of data entry and claims processing to the software.

Summary

MediClaims Logo
MediClaims
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Payline Data Logo
Payline Data
Payline Data offers a transparent, reliable, and innovative approach to payment processing. The solution offers secure payment technology for businesses, and it comes with powerful tools for e-commerce merchants and offers a free demo.

Users can utilize this solution to make stressful transactions easier and process claims in a safe and secure environment. Its mobile apps let users run operations from anywhere and while on the go. The software's key features include integrations, electronic claims, and reports.

Pros & Cons

Pros

  • Free trial for the first month
  • User-friendly interface
  • No cancellation fees

Cons

  • Limited customer support hours
  • Challenging to predict payment processing costs

What Customers Are Saying

Customers appreciate Payline Data's mobile, in-person, and online solutions. They say the software saves them time by letting them store and quickly access all the information and forms they need for filing electronic and paper-based claims.

Summary

Payline Data Logo
Payline Data
  • Starting Price
    • Swiping in Person: $10/month
    • Credit Cards Not Present: $20/month
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Online
  • Case Management
    No
  • Claims Resolution Tracking
    No
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes
PLEXIS Payer Platforms Logo
PLEXIS Payer Platforms
PLEXIS Payer Platforms is a cloud-based and on-premises solution that helps businesses handle claims management and benefits administration. Its self-service healthcare portal lets users create a centralized database for information such as ID cards, claims history, employee eligibility, and provider details.

The software is HIPAA compliant and includes a free demo for new and prospective clients. It provides claims resolution tracking and case management for both electronic and paper-based claims, as well as offering integrations, co-pay/deductible tracking, and reports.

Pros & Cons

Pros

  • Scalable
  • Flexible and highly customizable
  • Helps create clear reports

Cons

  • Takes a long time to process claims
  • Requires high bandwidth

What Customers Are Saying

Users praise PLEXIS Payer Platforms as an app that helps them produce error-free work while streamlining and integrating various areas of their businesses. PLEXIS is extremely customizable, they say, allowing customers to create a system that's tailored to their needs.

Summary

PLEXIS Payer Platforms Logo
PLEXIS Payer Platforms
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Installed - Windows
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
QuickCap Logo
QuickCap
QuickCap is an innovative healthcare processing software that provides claims adjudication, workflow automation and management, and care coordination. Users can employ the solution to manage capitation, referrals, eligibility, premium billing, authorizations, and case management and to process manual claims and EDI.

It empowers healthcare facilities to enhance efficiency and gain a competitive advantage, tracking claims resolution and co-pays/deductibles. QuickCap offers a free trial/free demo and works with both electronic and paper-based claims. The program includes reports and integrations.

Pros & Cons

Pros

  • Has a built-in database
  • User-friendly
  • Helps to verify credentials and eligibility

Cons

  • Lacks video tutorials
  • Can't edit referrals

What Customers Are Saying

Customers say QuickCap's executive-level dashboards help management evaluate and manage teams' output and efficiency and ensure team members are completing their tasks efficiently. Users also praise the tool for helping them stay organized and receive reimbursements on time.

Summary

QuickCap Logo
QuickCap
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Installed - Windows
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Business Hours
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
RiskVille Logo
RiskVille
RiskVille is a scalable cloud-based claims processing software designed for insurance agencies, brokers, insurance companies, and captive managers. It helps users manage routine operations such as policy management, claims processing, risk identification, and customer relationships and offers a free demo.

Businesses can use RiskVille to streamline the processing of both paper-based and electronic claims, enhance customer self-service, optimize business processes, and boost customer satisfaction. Its core features are reports, claims resolution tracking, co-pay/deductible tracking, and case management. The software provides a centralized data storage platform that's accessible anytime, from anywhere.

Pros & Cons

Pros

  • Implements customer requests very quickly
  • 24/7 access
  • Simple design that users can easily navigate

Cons

  • No free version
  • Quite costly

What Customers Are Saying

Riskville helps companies enhance their internal processes and improve customer service, users say. Customers appreciate having a platform that can help them with risk identification and building customer relations. Riskville also increases efficiency and productivity through automated options, compliance tools, and certificate issuance, according to users.

Summary

RiskVille Logo
RiskVille
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Series 3000 Logo
Series 3000
Series 3000 is a cloud-based claims management solution designed for businesses in the healthcare industry. The software is HIPAA compliant and supports secure data management and backup. It also provides disaster recovery functionality.

Series 3000's main features include reports, case management, claims resolution tracking, and co-pay/deductible tracking. It's the ideal tool for businesses that want to streamline electronic claims processing, enhance customer satisfaction, and boost efficiency.

Pros & Cons

Pros

  • Offers customizable solutions
  • Easy to use
  • Supports specific search filtering

Cons

  • Lacks video support
  • Pricing is unclear

What Customers Are Saying

Users say Series 3000 is HIPAA-compliant, guaranteeing their uploaded data is safe and highly secure. Many users recommend the app's great features that enable fast claims processing without compromising on security.

Summary

Series 3000 Logo
Series 3000
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Installed - Windows
    Web-Based, Cloud, SaaS
    iPhone / iPad
    Android
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
TerraClaim Logo
TerraClaim
TerraClaim is cloud-based claims processing software that eliminates the manual processing of claims and boosts adjusters' productivity. It helps insurers make data-driven decisions via detailed claims activity, real-time dashboards, benchmarking performance data, and filter/search functionalities.

Its claims benchmark capability helps users analyze claims performance against competitors, enhance claims outcomes, manage risk reserves, and set better objectives. TerraClaim's key features include case management and reports, and it handles both electronic and paper-based claims. The software helps users improve productivity, proactively prevent fraud, and drive the expected results.

Pros & Cons

Pros

  • Offers a free plan and a free trial
  • Dashboard is easy to navigate
  • Offers users real-time data

Cons

  • Lacks billing and invoicing functions
  • Lacks integrations with third parties

What Customers Are Saying

Adjusters enjoy using TerraClaim because it eliminates the processes involved in manual data entry and billing, thus saving time and energy. Thanks to real-time data that enables them to make informed decisions about claims and thus boost their performance against their competitors, users say TerraClaim is worth the price.

Summary

TerraClaim Logo
TerraClaim
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    No
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes
TherapyNotes.com Logo
TherapyNotes.com
TherapyNotes is a cloud-based EHR and practice management solution for behavioral health professionals. It includes medical billing, a patient portal, and patient scheduling. The software is HIPAA compliant and utilizes a completely encrypted, centralized database.

Therapists and other health specialists can use TherapyNotes to streamline their workflow and organize tasks, including case management and reports, and can track claims resolution and co-pays/deductibles. It works with both paper-based and electronic claims and offers a free trial/free demo and integrations.

Pros & Cons

Pros

  • Offers electronic billing
  • Supportive customer support
  • Receptive to customer feedback

Cons

  • Lacks a mobile app
  • Billing can be flawed

What Customers Are Saying

Users say customer service at TherapyNotes responds quickly and introduces new features at their request. The app's features help customers process many claims in a day, reducing workload and increasing efficiency.

Summary

TherapyNotes.com Logo
TherapyNotes.com
  • Starting Price
    • Solo: $49/month
    • Group: $59/month
    • Enterprise: $59/month
  • Free Trial/Demo
    30-Day Free Trial
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Virtual Claims Adjuster Logo
Virtual Claims Adjuster
Virtual Claims Adjuster is a claims management software used to identify trends, manage electronic and paper-based claims, and automate workflows. The solution allows users to review documents, check claim details, send emails via mobile devices, make notes, access contacts or files, and add missing photos.

With this software, users can collect, manage, and create Lloyd-approved reports, such as custom groupings needed by organizations. Other features include case management, co-pay/deductible tracking, integrations, and claims resolution tracking.

Pros & Cons

Pros

  • Great customer support
  • Organizes the storage and claim administration
  • Customizable to user needs

Cons

  • Outdated user interface

What Customers Are Saying

Users of Virtual Claims Adjuster appreciate the easy availability of all the information they need to successfully submit valid claims quickly. The UI is very user-friendly, including for people with limited computer skills, customers report.

Summary

Virtual Claims Adjuster Logo
Virtual Claims Adjuster
  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    Free Demo
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    24/7 (Live Rep)
    Business Hours
    Online
  • Case Management
    Yes
  • Claims Resolution Tracking
    Yes
  • Co-pay/deductible Tracking
    Yes
  • Electronic Claims
    Yes
Zentist is insurance claims processing software geared toward the dental healthcare sector. Its advanced machine learning (ML) technology helps simplify electronic claims processing, while its weekly reporting and task management functionalities enhance transparency.

The solution eliminates the need to post insurance payments daily, while its data-driven recommendations let users maximize insurance claim reimbursements. Zentist offers a free trial.

Pros & Cons

Pros

  • Automated insurance billing
  • Pays and reconciles dental insurance claims accurately
  • Reporting and task management features enhance transparency

Cons

  • Suited only for the dental healthcare sector
  • Dashboard isn't very robust

What Customers Are Saying

With the help of Zentist, dentists say they have more time to deal with their patients as the software helps them draft better insurance claims. The program backs up their insurance claims with relevant data to prevent rejection, users say.

Summary

  • Starting Price
    • Custom Quote
  • Free Trial/Demo
    6-Month Free Trial
  • Deployment
    Web-Based, Cloud, SaaS
  • Support Options
    Online
  • Case Management
    No
  • Claims Resolution Tracking
    No
  • Co-pay/deductible Tracking
    No
  • Electronic Claims
    Yes

How We Chose the Best Claims Processing Software

Claims processing software is a solution businesses use to automate insurance claims management, collections, and electronic submissions. It allows real-time processing and reporting on revenue generation and administrative activities for insurance companies and clients.

Choosing a claims processing software can be overwhelming considering the number of solutions on the market with varying features and capabilities. This detailed list of the 20 best claims processing software of 2021 can make the search process easier. We considered software features, the types of claims handled, and solutions' reporting capabilities when compiling our list.

Features

The best software offers many useful features for claims processing, including case management, co-pay/deductible tracking, and claims resolution tracking. These features help insurers and their clients minimize fraudulent claims, lower claims management costs, and improve customer experience.

Types of Claims

Ideally, the software should be able to process both paper-based and electronic claims. We focused on claims processing software that lets users handle any claims.

Reports

Detailed reports help the user assess and refine their claims processing practices. We considered software that offers detailed reports and analytics to help users make data-backed decisions and enhance claims processing efficiency.