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Ranked on the record · 10 apps

Best Healthcare Claims Processing And Management Software 2026

Facts read 24 Sep 2026 – 5 Oct 2026

This category includes tools that submit claims, track their progress, adjudicate them, manage denials, exchange EDI data and verify eligibility.

The standings: top 10

NameRecord scoreRuns onFacts read
01 Waystar3.3Web5 Oct 2026
02 Healthcode Claims Management2.3Web24 Sep 2026
03 Pega Smart Claims Management for Healthcare2.2Web24 Sep 2026
04 FinThrive Claims Management2.1Web24 Sep 2026
05 Infinx Claims Management2.1Web24 Sep 2026
06 Oracle Health Insurance Claims Administration2.1Web24 Sep 2026
07 SSI Group Claims Management2.1—24 Sep 2026
08 Wipro Health Insurance Platform2.1Web24 Sep 2026
09 PLEXIS Claims Software2.0—24 Sep 2026
10 TriZetto QicLink2.0—24 Sep 2026

This finder lists newest releases first and shows figures the makers publish, without a score. Compare web access, free plans, starting prices and the claim workflows you need.

7 — Record2.1 Visit
8 Web — Record2.1 Visit
9 — Record2.0 Visit
10 — Record2.0 Visit

Before you choose

Match the claim workflow

Use the comparison fields to review claim submission, status tracking, claims adjudication and denial management. Confirm the functions that fit your billing or payer process.

Check EDI and eligibility needs

EDI exchange and eligibility checking appear as their own comparison fields. Examine each one if your process relies on electronic transactions or coverage checks.

Read the pricing terms

Pricing is shown as a paid model. FinThrive, Oracle Health Insurance Claims Administration, Pega Smart Claims Management for Healthcare and Waystar provide pricing only on request.

Healthcode Claims Management lists a starting price of £9.20/mo. Infinx Claims Management lists a price from $5,000/mo with annual billing. Treat starting figures as the maker's published pricing note.

Confirm web access

The platform field identifies web availability. Check that a browser-based product fits the way your staff access claims tools.

Check for a free plan

Free-plan availability appears where provided. No free plan is listed for Healthcode Claims Management, Pega Smart Claims Management for Healthcare or TriZetto QicLink.

Questions

Which platform supports these claims tools?
The platform field lists web availability. Check it when browser access is part of your requirements.
Which claim capabilities can I compare?
The comparison covers submitting and tracking claims, adjudication, denial management, EDI transactions and eligibility verification.
Are free plans available for these products?
Free-plan availability is shown where provided. Healthcode Claims Management, Pega Smart Claims Management for Healthcare and TriZetto QicLink have no free plan listed.
What does pricing on request mean?
It means the supplied pricing note does not publish a starting figure. Contact the maker for a quote.
Which products publish starting prices?
Healthcode Claims Management lists from £9.20/mo. Infinx Claims Management lists from $5,000/mo with annual billing.