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Claims Processing Software

Claims Processing software automates insurance claims management, electronic submissions, and collections. Insurance claim tools offer a full feature suite of efficient claims processing management tools along with integrated accounting and customer relationship management (CRM) solutions. Claims management software offers real-time processing and reporting on the administrative and revenue generation activities for insurance industry firms, employee health plans and benefit managers. They cater to a variety of product sectors including life, health, automotive, COBRA, workers compensation, employer liability and others. Claims Processing software is related to Insurance Policy software and Medical Billing software. Browse all claims processing software solutions in our directory to find the best tool for your organization in Canada.

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Cloud Claims is clean, mobile-optimized, and in the cloud. Ideal for P&C, workers comp, auto, and GL claims management. Learn more about Cloud Claims
Cloud Claims is a claims-focused RMIS that handles all commercial and person P&C lines including workers' compensation, auto, PL, GL, and more. User-friendly and aesthetically clean on desktop or mobile browsers, Cloud Claims accurately and easily manages the entire claims lifecycle — from first report of incident through payments and collections. Its rich features include dashboards, reports, document management, reserves, payments, notes, diary, global search, and subrogation/recovery. Learn more about Cloud Claims

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Comprehensive benefit administration system and claims processing software solution designed for Medicaid and Medicare health plans. Learn more about HEALTHsuite Advantage
HEALTHsuite Advantage is a comprehensive benefit administration system and claims processing software solution designed for health plans administering Managed Medicaid and / or Medicare Advantage benefits. This rules-based auto adjudication software solution was designed to automate all aspects of enrollment / eligibility, benefit administration, provider contracting / reimbursement, premium billing, medical management, care management, claims adjudication, customer service, reporting and more. Learn more about HEALTHsuite Advantage

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Cloud-based solution to manage claims, capitation, eligibility, referrals, authorizations, case management and communication. Learn more about QuickCap
QuickCap is an advanced platform designed for IPAs, PHOs, MSOs, TPAs and Risk Based Organizations managing Medicare, Medicaid and Commercial LOBs. It is EDI 5010 compliant in claims, capitation, eligibility, referrals, authorizations, premium billing, case management and related auto routing and workflow processes. QuickCap is a seamless, highly efficient, cost effective, and comprehensive product set today. For more information, please call or contact us through our website. Learn more about QuickCap

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Simplify medical coding and insurance billing with Service Center by Office Ally. Learn more about Service Center
Simplify medical coding and insurance billing with Service Center by Office Ally. Streamline claims processing, ensure accuracy, protect sensitive data, boost efficiency, and improve financial performance. Focus on patient care while Service Center handles the complexities. Learn more about Service Center

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Hi-Tech Health’s customizable claims administration systems serve TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, etc. Learn more about Series 3000
Hi-Tech Health builds claims administration systems that serve TPAs, Carriers, Provider Sponsored Plans, Medicare Advantage, and more. For over 30 years, our customizable workhorse platform has increased efficiencies in processing claims, meeting any payer’s needs. It can also be implemented swiftly without outside consultants. Whether you’re a start-up or well-established organization, we can help. Whatever your adjudication, reporting, or plan needs are, we build our software around you. Learn more about Series 3000

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
SimplePractice is a HIPAA compliant practice management software. Join 200,000+ thriving health & wellness professionals.
SimplePractice is a top-rated EHR software and all-in-one practice management solution trusted by more than 200,000 health and wellness providers. While using this practice management software, practitioners are able to access everything they need from appointment scheduling, billing, and payments to HIPAA-compliant Telehealth, insurance claim filing, and more. Sign up for a free, 30-day trial today to try it out for yourself. Learn more about SimplePractice

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
NextGen Healthcare provides ambulatory practices with award-winning solutions along with dedicated support & professional services.
NextGen Healthcare is a leading healthcare software and services company that empowers the transformation of ambulatory care. Our smart, electronic health record solutions - NextGen Office (1-10 physicians) and NextGen Enterprise (10+ physicians) - help ambulatory practices alleviate the burden of documentation, advance clinical outcomes, connect with other health systems, elevate provider and patient satisfaction, streamline the revenue cycle, and foster healthier communities. NextGen Office is bringing that cutting-edge technology to your workflows with NextGen Office Ambient Assist. When providers use NextGen Office Ambient Assist, integrated ambient listening technology securely converts the spoken, natural patient-provider conversation into a structured SOAP note that can be reviewed and edited by providers and automatically integrated into the patient's chart in NextGen Office. Learn more about NextGen Office

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Trusted by over 100,000 mental health professionals, TherapyNotes software helps therapists manage their practices more efficiently.
Trusted by over 100,000 mental health professionals, TherapyNotes helps behavioral health therapists manage their practices more efficiently through an easy-to-use, secure platform for notes, billing, scheduling, and more. TherapyNotes simplifies administrative work, giving practitioners more time and energy to focus on providing effective care for their clients. Learn more about TherapyNotes, LLC

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
DrChrono cloud-based mobile EHR with PM includes live claims feed, real time eligibility checks, custom templates and appt reminders.
DrChrono’s all-in-one cloud-based mobile EHR comes with speech-to-text and custom templates/forms to chart effectively. With DrChrono's practice management and medical billing software you get a live claims feed for billing and payment processing, HCFA/Superbill generation, and e-fax integration. Real-time eligibility checks help you check patients’ information, and you can send custom appointment reminders through email, SMS, or phone. For students please visit DrChrono University. Learn more about DrChrono

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Medical practice management solution that helps businesses with insurance billing, CMS 1500 forms filling, payment tracking, and more.
Speedy Claims is possibly the easiest to use software available anywhere for billing your patients and insurance companies whether by paper or electronically. An easy to use point and click interface showing the actual CMS 1500 form on the screen makes filling out a claim simple and coupled with our error checking scrubber makes it accurate and powerful. Try us free for 30 days! Learn more about Speedy Claims

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
The Healthcare OS that lets you work, your way
The Healthcare OS that lets you work, your way - Boost your Client's outcomes, efficiency, and productivity by customizing any tool or workflow to fit your needs. Learn more about Carepatron

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Ready to simplify healthcare payments? See why 500K+ providers use 1 platform to automate claims, prevent denials + speed reimbursement
Ready to simplify healthcare payments? 500K+ providers already have with a single platform that’s proven to automate cleaner claims, prevent denials, and speed reimbursement — all in 1 place. With an average first-pass clean claims rate of 98.5+%, Waystar’s Claim Manager uses AI + RPA to predict the best times to status and appeal claims; creates searchable e-versions of EOBs; automates Medicare workflows; and reconciles, splits, and posts 95+% of payer payments. Discover a better way forward. Learn more about Waystar

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Streamline HR management with our all-in-one, 360 HR software. Manage HR matters effortlessly in the office or on the go with ease.
Experience the Future of HR Management with Info-Tech! As a global award-winning software company, we specialize in streamlining HR and payroll processes to enhance efficiency, automation, and business growth. Need software to seamlessly integrate into other processes? Secured Cloud service for your business' data storage? Our platform and expert team are dedicated to supporting your digital transformation journey. Elevate your HR management and drive business success with Info-Tech! Learn more about Info-Tech HRMS

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Canada Local product
Why Practice Better? - Elevate your client experience - Grow beyond 1-1 - Automate admin tasks - Be part of a movement
An all-in-one practice management and EHR solution built to fuel the success of health & wellness professionals and their clients. Trusted by thousands of practitioners across the globe, our platform simplifies how wellness professionals operate their businesses with a comprehensive set of features that manage booking, billing, telehealth, charting, client engagement, online programs/courses, and more. Learn more about Practice Better

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Healthie is an all-in-one practice management platform and EHR designed for health and wellness providers and their clients.
Healthie is an all-in-one practice management platform and EHR designed for health and wellness providers and their clients. From scheduling, billing to patient engagement, Healthie provides you every tool you need to grow your practice. Healthie is HIPAA, SOC-2, PIPEDA, GDPR, ONC-Certified, and PCI-Certified. The platform offers integrations with various third-party applications such as Stripe, Fullscript, Zoom and more. Sign up today for your 14-day free trial. Learn more about Healthie

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Enterprise Risk Management (ERM) featuring claims, incidents, contracts, insurance, compliance, and assets with Analytics and Workflow.
Servicing corporations, government, & non-profits around the world with claim workflow automation, dashboard analytics, custom reports, notifications, reminders, document management, & claim portals. Tracks All Claim Types, Incidents, & Events. Featuring subrogation, litigation, costs, expenses, payments, and reserves. Supports multiple languages and currencies. Offered fully hosted or on-premise. Professional support & training. Learn more about A1 Tracker

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Construction estimating solution that helps businesses calculate depreciation, manage projects, and access local pricing research.
Construction estimating solution that helps businesses calculate depreciation, manage projects, and access local pricing research. Learn more about Xactimate

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Intelligent Medical Software (IMS) by Meditab, is an award-winning, all-in-one EHR, practice management, and billing platform.
IMS caters to every step of the patient care delivery process, from patient engagement to telehealth, practice analytics, automated check-in, care coordination, reporting, and more. Its multi-specialty features, modules, and templates were built from the ground up to adapt to the exact needs of over 40 specialties. Learn more about Intelligent Medical Software

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Anagram delivers eligibility, benefits, and claims for vision insurance patients, in-network and out-of-network, in one simple platform
Anagram is an all in one vision insurance software platform that helps healthcare providers and patients access in-network out-of-network benefits in minutes and submit claims online. No more dealing with insurance companies by phone or submitting claims by paper. Anagram allows eye care providers to navigate all vision plans in a single software tool delivering eligibility, benefits, and claims for vision plans so that you can focus on patient care instead of vision insurance administration. Learn more about Anagram

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
This fully-customizable online app allows storage & management of information about claims, patients, staff and claim processing stages
Preconfigured web-based database application that allows the storage and management of information about claims, patients, staff (e.g. claims processor, manager), claim processing stages and dispute areas. The system is fully customizable: you can manage your data the way you want to and modify the application any time you need to reflect each and every detail important in your business. TeamDesk provides unlimited records, unlimited storage, unlimited support, stable rates and free trial. Learn more about TeamDesk

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
All-Payer Real-time Patient Insurance Verification Solution including Patient Transparency Estimator and Insurance Coverage Discovery.
pVerify provides a leading SaaS platform focused on Patient Healthcare Insurance Eligibility and Benefits Verification via API, SFTP Batch Processing, and Secure Cloud Portal access methods, including ancillary RCM tools like Patient Estimator and Insurance Discovery. pVerify’s Suite of Solutions streamlines front-end insurance eligibility and benefits verification and maximizes back-end Claims and Billing cycle, increasing efficiency and optimizing revenue. Learn more about pVerify

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Software that saves time, resources, and hassle for providers by streamlining reimbursement, care quality, and staffing.
Inovalon is a leading provider of cloud-based SaaS solutions empowering data-driven healthcare. The Inovalon ONE® Platform combines national-scale connectivity, real-time primary source data access, and advanced analytics to enable improved outcomes and economics across healthcare. Inovalon software solutions are designed to save time, resources, and administrative hassle for providers by streamlining reimbursement, care quality, and staffing. We help strengthen revenue cycle management with automation that maximizes payer reimbursement and patient collection. Our applications enable advanced data analysis and streamlined documentation to boost care quality and enhance the patient experience, while also helping organizations manage their workforce with amazing staff scheduling. For more information, visit www.inovalon.com. Learn more about Inovalon Provider Cloud

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Esker is a global cloud platform built to unlock strategic value for Finance, Procurement and Customer Service professionals.
Esker is a global cloud platform built to unlock strategic value for Finance, Procurement and Customer Service professionals, and strengthen collaboration between companies by automating the cash conversion cycle. Esker’s mission is to build a foundation that promotes positive-sum growth, increased productivity, improved employee engagement, and greater trust between organizations. By developing AI-driven technologies and automating the source-to-pay and order-to-cash cycles, Esker frees up Finance, Procurement and Customer Service professionals from time-consuming tasks, helps them be more efficient, and enables them to develop new skills. At the same time, Esker improves relationships between customers and suppliers, while allowing them to maintain their ERP independence. Esker’s cloud platform integrates with existing ERP environments, giving businesses the flexibility to connect with any system without having to change the way they work. Learn more about Esker

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Collaborative software for facilities, maintenance and services. Urbest connects supervisors, people on the field and users with needs.
Urbest is a collaborative software between managers, service providers, and tenants that helps teams to organise communication, monitoring, management, and evaluation of maintenance and service tasks. Urbest saves 30 to 90 minutes per day through easy access to information, task automation, and automatic reminders. Urbest is : - 200+ hours saved per year per person; - 250,000 people served; - 5.5 million m2. Learn more about Urbest

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims
Cloud-native and low-code, Nuxeo's content services platform helps you build scalable, intelligent content applications.
The Hyland Nuxeo Platform is a cloud-native, cloud-first, scalable solution which utilizes automation technologies to improve efficiencies, increase accuracy, and provide robust capabilities. With it’s low-code technology, organizations can easily implement Hyland’s Nuxeo Platform with easy-to-customize features allowing organizations to develop the creative workflow their business needs. Their employees can then easily create, tag, organize, and share dynamic content, including rich media and 3 Learn more about Nuxeo

Features

  • Case Management Software
  • Payment Processing Software
  • Claims Tracking
  • Self Service Portal
  • Compliance Management
  • Workflow Management Software
  • Reporting & Statistics
  • Reminders
  • Billing & Invoicing
  • Electronic Claims