Claims Processing Software

Discover the Best Claims Processing Software to Automate and Streamline End-to-End Claims Management 

The insurance claims management process is complex, and one needs to follow quite carefully to ensure that the claims are processed quickly, with complete accountability. Any gap in the documentation, miss-matching quotes, un-authorized facts, or illegible claims form may result in the rejection of claims or a delay in the settlement process. To reduce time and enhance customer delight and outcome, Insurance Companies are today employing the best claims processing software with AI features to automate claims processing. Claims management carried out with the claims processing software is proving to be genuinely transformational.

What is Claims Processing Software?

A claims processing software is a modern application that simplifies, inspects, and manages insurance claims digitally. Insurance claims management software also plays a vital role in automating workflow, ensuring that all data related to claims management and movement are stored in a centralized database. 

The claims management system aims to speed up claims processing tasks and provide satisfying resolutions that improve the customer experience. This is carried out using intelligent and agile tools, helping insurance companies set up terms and conditions with ease, complying with the government rules. 

How can a Robust Claims Processing Software Help to Amplify Claims Management Process?

If you want to expedite your claims processing and settlement, robust claims processing software is a perfect tool to bank upon. It minimizes the claims processing turnaround times to improve customer experience. The software further reduces operational costs and increases efficiency. It enhances claims accuracy by automating the different manual tasks. The system proves effective in making the claims intake simpler by quickly capturing all relevant information that companies need right upfront. It further streamlines case management, automates the payment and calculation process, and provides better claim insights. 

How to Select the Best Claims Processing Software?

Do you want to make your claims processing and management process hassle-free? You are one step closer to accomplishing your task. Unleash the opportunity to visit the Goodfirms site, explore some of the top claims management tools, check out the prominent features, compare prices, and finally make the best deal for your business.

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Rankings updated: Dec 31, 2025
59 Software

List of The Best Claims Management Software

  • MR HealthTech’s health insurance administration system supports and automates health insurance businesses end-to-end, including client set-up, eligibility and enrollment, product, claim and premium billing. Health insurance tool that provides risks management through ... read more about MR HealthTech

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • MD Claim™ is an easy-to-use, fully-integrated app designed to obtain and transmit PHI, billing information and quality data. This mobile app enables providers to take better control of their patients experience by ... read more about MD Claim

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Case Management
    • Claim Resolution Tracking
    • Compliance Management
    • Electronic Claims
    • Forms Management

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    • iPhone/iPad
    • Android
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • KMR Claims Processing Manager is a state-of-the-art, fully integrated, customizable claims processing solution for TPAs, Self Insured and Claims Administrators. Our system includes a comprehensive Medical & Dental Reimbursement module, allows for ... read more about KMR Claims Manager

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Payers eliminate paper and reduce operational expenses with Jopari ProPay. Jopari ProPay brings to healthcare Payers an industry flexible, full spectrum set of payment methods that work in concert with a Payer’s ... read more about Jopari ProPay

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Compliance Management
    • Electronic Claims
    • Forms Management
    • Payor Management

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Intellect Claims is an intelligent and comprehensive claims product for life and annuity. It orchestrates the entire process from notification to settlement and makes it easy for you to focus on the ... read more about Intellect Claims

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Case Management
    • Compliance Management
    • Electronic Claims
    • Forms Management
    • Policy Administration

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • USSI is proud to present its entire line of professional insurance software solutions designed and developed as an all-encompassing turnkey administration offering. USSI's comprehensive software solutions ensure that your insurance company is ... read more about InsurancePlus

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • IMPACT is the core to our suite of Healthcare administration software that supports all facets of health care related data transactions. Our customers use Impact to manage enrollment, provider contracts and re-pricing, ... read more about Impact Managed Care Systems

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • A claims administration solution that transforms a claims payment process into a highly intelligent cost containment solution. Smart processes that think and make the right decisions. A responsible reimbursement system for pricing ... read more about I-CAPS

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Claim Resolution Tracking
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Duck Creek Claims is a comprehensive claims management solution that helps insurers manage the entire claims lifecycle – from first notice of loss to settlement – in a single integrated solution. Whether ... read more about Duck Creek

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Turn all calls, emails or conversations with your customers into tickets. Now you can record and track them. Now you can deliver quick answers. With inblue Request your team will be able ... read more about Inblue Request

    Entry Level Price
    $8 Per Month
    Free Trial
    Available
    Pricing Type
    Flat Rate
    100% in Claims Processing Software

    Features

    • Case Management
    • Claim Resolution Tracking
    • Electronic Claims
    • Paper-Based Claims

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Flat Rate
    Free Version
    • Yes
    Free Trial
    • Available Trial
    Payment Frequency
    • Monthly Payment
    • Annual Subscription
    • Free
    Available Packages
    Standard
    $8 Per Month
  • More comprehensive. More in-depth. Get a complete picture of your healthcare claims in real-time with myClaimStatus. MedX provides a service that solves the problems associated with a lack of useful information on ... read more about MyClaimStatus

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Polygonal builds upon the strength and rich functionality of earlier versions and combines it with the latest Microsoft VB.Net and Business Intelligence technology to provide a comprehensive solution able to respond efficiently ... read more about Polygonal

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Case Management
    • Claim Resolution Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • PowerClaim Estimator is a claims management system and an estimator. It is a browser based program that can be used on PCs, tablets, cell phones, and even Apple devices. Users can assign ... read more about PowerClaim Estimator

    Entry Level Price
    Contact vendor
    Free Trial
    7 Days
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Claim Resolution Tracking
    • Electronic Claims
    • Forms Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • Yes
    Free Trial
    • 7 Days Trial
    Payment Frequency
    • Quote Based
    • Free
  • Prebill Manager™ is a powerful and accurate claim scrubber, automated claim editing, and workflow optimization solution that gives your team the power and flexibility to create custom automated corrective edits that have ... read more about Prebill Manager

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Claim Resolution Tracking
    • Compliance Management
    • Electronic Claims
    • Payor Management

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Risk Manager utilizes Microsoft SQL Server allowing the creation of custom views and queries for reporting purposes. ODBC compliant applications may also be utilized without dependency on ERIC Systems. Risk Manager is ... read more about Risk Manager

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • ScanNStore is a full-featured electronic document storage and retrieval system in a small package. It's the perfect solution for increasing productivity by electronically organizing and managing paper files. ScanNStore lets you and ... read more about ScanNStore

    Entry Level Price
    Contact vendor
    Free Trial
    30 Days
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Compliance Management
    • Electronic Claims

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • Yes
    Free Trial
    • 30 Days Trial
    Payment Frequency
    • Quote Based
    • Free
  • Automate your claims process with Snapsheet’s cloud-native claims management software and services. Snapsheet Cloud’s SaaS solutions operate as a stand-alone platform for end-to-end claims management or as separate modules—from eFNOL, Appraisals, Payments ... read more about Snapsheet Claims

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Claim Resolution Tracking
    • Electronic Claims
    • Forms Management

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Solar Eclipse is the Claims Management software component in the TotalEclipse™ package and can be licensed for independent use. With an interface designed by our in-house claims specialists, Solar Eclipse offers multiple ... read more about Solar Eclipse

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Compliance Management
    • Document Management
    • Fraud Detection
    • Paper-Based Claims
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Windows
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims ... read more about SSI Claims Management

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Claim Resolution Tracking
    • Compliance Management
    • Electronic Claims

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Blogs

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • The next generation warranty management software solution with artificial intelligence and machine learning capabilities for higher customer satisfaction and greater return on investment. Tavant's warranty software offers end-to-end warranty lifecycle management and ... read more about Tavant Warranty

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Case Management
    • Claim Resolution Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    • iPhone/iPad
    • Android
    • Windows
    • Mac
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • With unrivaled speed to market, our solution eliminates legacy software issues, reduces implementation costs by over 60%, and transforms the way you process claims, today, and into the future. Our claim management ... read more about ClaimVantage

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Adjustor Management
    • Case Management
    • Claim Resolution Tracking
    • Co-Pay & Deductible Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • PokitDok's Healthcare Claims Management suite allows you to quickly and easily automate your claims processing so that you can increase clean claim rates, minimize revenue leakage, and drive down unproductive manual procedures. ... read more about PokitDok

    Entry Level Price
    Contact vendor
    Free Trial
    N/A
    Pricing Type
    Contact Vendor
    100% in Claims Processing Software

    Features

    • Case Management
    • Claim Resolution Tracking
    • Compliance Management
    • Document Management
    • Electronic Claims
    • Forms Management
    • Fraud Detection
    • Paper-Based Claims
    • Payor Management
    • Policy Administration
    • Reports

    Key Details

    Licensing & Deployment
    • Cloud Hosted
    • Web-based
    Support
    • Phone
    Knowledge Base
    • Help Guides
    • Video Guides
    • Blogs
    • Webinars

    Packages

    Pricing Type
    • Contact Vendor
    Free Version
    • No
    Payment Frequency
    • Quote Based
  • RxFiler supports 340B claim processing by automating the preparation, validation, and submission of claims to platforms like ESP and Beacon. The utility checks claim data for structural completeness and required fields, helping ... read more about RxFiler

    Entry Level Price
    Contact vendor
    Free Trial
    30 Days
    Pricing Type
    Usage Based
    100% in Claims Processing Software

    Features

    • Claim Resolution Tracking
    • Compliance Management
    • Reports

    Key Details

    Industries
    • Hospital-health-care
    • Pharmaceuticals
    Licensing & Deployment
    • Proprietary
    • Cloud Hosted
    • Web-based
    Support
    • Email
    • Phone
    • Weekdays
    Training
    • Webinar
    • Documentation
    Knowledge Base
    • Web Link

    Packages

    Pricing Type
    • Usage Based
    Preferred Currency
    • USD ($)
    Free Version
    • No
    Free Trial
    • 30 Days Trial
    Payment Frequency
    • Monthly Payment

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