Best Healthcare Payer Care Management Workflow Applications - Page 2
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Compare the Top Healthcare Payer Care Management Workflow Applications as of April 2026 - Page 2
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AirStrip ONE EMR
AirStrip Technologies
With AirStrip ONE and Tricefy, you get access to medical images, patient data and waveforms in one centralized location with a feature-rich viewer. Fill out the form below to see how AirStrip and Tricefy can improve care and decision-making within your organization. Interoperable technology is the driving principle behind the AirStrip ONE® digital healthcare platform. Featuring strong cybersecurity protections, AirStrip ONE® is used by care teams on mobile devices, laptops and desktops to monitor patients throughout the care delivery system. At AirStrip we take your privacy very seriously. AirStrip® makes transformational and lasting improvements in worldwide healthcare delivery by creating innovative technology for clinicians to collaborate and care for their patients. AirStrip provides a complete, vendor and data source-agnostic, enterprise-wide mobile interoperability platform that advances care collaboration and serves as a catalyst for health system innovation. -
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Medinous
Medinous
Medinous is a fully integrated web enabled Hospital Management System for large & mid-size hospitals and clinics, specially crafted for streamlined operations, superior patient care, enhanced administration & control and improved profitability. Our goal is to completely automate and integrate your Hospital’s entire process flow covering Clinical areas, Support functions, Finance, Supply Chain, Administrative and Billing functions. For ease of use, we facilitate quick integrations with PACS, Lab/Medical equipment, Drug databases and Payer connections. -
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Quanta V4.0
Birlamedisoft
A complete hospital management software using mobile apps. Mobile applications for Doctors, Nurses, CEO, CFO, Patients, Pharmacy. Do every hospital operation on the touch of your mobile phones and tablets. It's a challenge doctors have to deal with every day. How to give patients the attention they deserve in the limited time allotted for each visit. Visits are becoming more difficult and complex — in part because some easier cases are going to walk-in clinics — yet schedules have grown increasingly tighter as practices have struggled with the realities of reimbursement. -
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The hospital management system can provide an automated way of managing any hospital activities rather than a traditional system. Moreover, this system can operate regular hospital activities like IPD, OPD, billing, test, bed management, account sector, HR management, etc. accurately and efficiently. Also, it helps to generate the daily, weekly, monthly, half-yearly, and yearly reports of sales, revenue, patients, lab test, bed management, etc. as your requirement easily. To see these reports, you need to click on some options. The most important thing is that an admin can observe everyone through the software. An internal messaging platform helps employees to communicate with each other as well. All in all, clinic management software helps you to be with trends, and it also gives you the chance to run your business administration digitally and very efficiently.
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Avicenna Pathlab
Alhazen Technologies
We have developed a cloud-based software that does not only focus on the IT functions of a healthcare institutions, but delivers an end-to-end, holistic solution that empowers all stakeholders. It eases every day operations of all healthcare institutions, giving enhanced administrative control and helps ensure superior care delivery with increased patient satisfaction. State of the art, fully integrated, hospital information management system to optimise patient care. A cloud based, powerful and easy to use Path-Lab Management System integrated with latest technology tools. A system designed to meet end-to-end operational requirements to provide comprehensive pharmacy services. A system designed to increase your profitability and empowers you by giving complete control over clinic operations. Choose to be a part of Practo’s network and increase your revenue and patient experience by minimizing your cost. -
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Writer Information Hospital Management
Writer Information
Hospital Information Management Software is an offering by Writer Information. This is a system automation that facilitates improved efficiencies and tackles challenges faced during patient care, and simultaneously reducing the expenses. The software can effortlessly exchange health information electronically and assists you to provide higher quality and safer care for your patients, creating tangible enhancements for your organization. Writer Information offers this solution which is automated, thereby enabling medical facilities to overcome most of the pressing challenges ailing the healthcare industry today by attaining operational efficiencies, adopting superior electronic medical record (EMR) technologies, delivering maximum patient care while boosting revenues with revamped services and offerings. We offer integrated multi-facility, scalable and multi-lingual platform that can be configured to meet all the relevant communication and information needs. -
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Softway Medical HOSPITAL MANAGER
Softway Medical
Multi-establishment and multi-activity (MCO, SSR, PSY, HAD), the hospital manager solution constitutes the solid basis of a complete and transversal information system dedicated to health establishments. It is also broken down into business modules to meet the specific needs of each. hospital manager responds to the organizational and strategic challenges of all health establishments: pooling of structures and resources to manage multi-establishments, population basins and “good practice” repositories. Exchange of information between inter-hospital and extra-hospital structures as well as city medicine. Quality and timeliness of support via a comprehensive general medical summary, consolidated and multi-institutional. Monitoring and continuous measurement tools for the availability rate (monthly reporting) including application response time measurements. -
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Health Catalyst
Health Catalyst
Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations, committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Climb out of the data void and pursue innovation. Only a healthcare-exclusive approach to data and analytics will empower you on your journey to massive, measurable improvements. Health Catalyst will help you elevate your organization to peak performance. Don’t rely on isolated analytic attempts to improve performance with no impact. Take revenue, cost, and quality to the next level with AI and data science at the core of your strategy and operations. Apply AI on the front end to help analysts and leaders achieve the measurable transformation that is spread, scaled, and sustained. Expand the use of self-service AI into your mainstream analytics. With one click, Healthcare.AI is up and running in your existing business intelligence tools and applications. -
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Clarify Health
Clarify
Distilling fractured health data into actionable insights. Clarify Health’s analytics platform cuts through the fog. We help you thrive in a post-pandemic world by delivering precise insights into provider performance, patient journeys, and therapy adoption. Leverage our advanced analytics software to confidently improve physician performance, match patients to the right care, and navigate value-based arrangements. Access insights to accelerate product launch and growth, demonstrate real-world impact, and enable outcomes-based commercial agreements. Identify top physicians and facilities more accurately, deliver a more personalized experience to members, and maximize value-based engagements. Timely insights through thousands of predictive models that organize data into real-time analyses to drive demonstrable ROI. Driven by big data. Powered by innovative technology. Turning health data into impact. -
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Paragon Denali
Altera Digital Health
Providing compassionate, quality care to rural and critical access communities is a mission of the utmost importance. As the sole provider in your community, your patients look to you at all stages of their lives, and your care teams need to be ready—with the right information to make decisions and the tools to make a difference. Paragon is an integrated acute and ambulatory electronic health record (EHR) ideal for rural and community hospitals and single IDNs. It delivers clinical information and decision support tools at the point of care—improving clinician satisfaction. Paragon provides workflow intelligence guides to help the clinician easily locate relevant patient information, presenting the right information at the right time for greater efficiency and improved care delivery. We have a proven track record of helping Paragon users stay ahead of regulatory mandates, healthcare reform, pay for performance, ACOs and other realities of today’s changing healthcare environment. -
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Experian Health
Experian Health
Patient access is the starting point for your entire revenue cycle process. Ensuring correct patient information on the front end reduces the errors that cause rework in the back office. 10 to 20 percent of a health system's revenue is forced to remediate denied medical claims and 30 to 50 percent of those occur during patient access. By adopting an automated, data-driven workflow—not only are you reducing the errors that lead to claim denials, you’re also improving access to care for your patients through capabilities like online scheduling options that are available 24/7. Access is further improved by reducing the friction around patient billing by leveraging real-time eligibility verification to deliver accurate patient estimates at registration. Increase staff efficiencies by improving registration accuracy. Correct discrepancies and errors in real time to avoid costly denials and rework. -
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Connecting healthcare organizations and streamlining interoperability to improve outcomes and operations. Infor Cloverleaf® Integration Suite software streamlines the exchange of clinical data to help improve healthcare outcomes and business operations. The software allows healthcare organizations to efficiently solve complex interoperability challenges securely and at scale, while using the latest standards (including HL7® FHIR®). Cloverleaf provides the clinical integration foundation for healthcare providers, HIEs, ACOs, laboratories, and application and medical device makers (ISVs and OEMs). The platform also supports virtualization for private and public cloud implementations, and leverages leading fail-over and availability mechanisms. Cloverleaf scales to meet the needs of healthcare organizations, regardless of size—while supporting multiple options for centralized and distributed interoperability architectures.
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XSOLIS CORTEX
XSOLIS
A new category of utilization management software, CORTEX provides a 360° approach to addressing the intricacies of utilization management and revenue cycle processes. Powered by real-time predictive analytics and machine learning engine, CORTEX ensures that the right cases are handled at the right time, by the right staff or by exception. CORTEX incorporates precision medicine upon a foundation of evidence-based medicine. Machine learning models operate in real-time to better assess your patient population. Our analytics have been deployed in hospitals and health plans across the nation. With clear inpatient cases, CORTEX does the heavy lifting by automating inpatient determinations on cases that meet your unique threshold. For difficult cases, CORTEX offers your staff the insight they need to make a strong determination. This approach offers incredible value to payers and providers alike. -
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Trella Health Mosaic
Trella Health
Mosaic provides unparalleled visibility into market-wide performance metrics across provider types, so you can evaluate risk before you take it on, optimize relationships, and thrive in today’s value-based care landscape. When it comes to building and maintaining a winning network, you’re only as strong as an underperforming partner. Discover what’s needed to address gaps and seize opportunities. Achieve specific goals, such as adding provider types or creating a preferred provider group. Collaborate with providers to improve quality, utilization, and cost. Reduce total cost of care while improving patient outcomes. -
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Abacus Insights Platform
Abacus Insights
The fully managed platform leverages best-in-class cloud technologies modernizes the healthcare data ecosystem, ensures interoperability, lowers the total cost of ownership and delivers scale and flexibility. Abacus Insights’ concierge data management services and customer-centric focus minimize change management, allowing you to focus on building rich analytic capabilities that accomplish your business objectives. The platform’s Unified Data Foundation securely improves healthcare data quality through standardization that enables a seamless distribution of on-demand data to end-users. Industry-leading healthcare experts to assist in improving how your data is managed. Accelerates the development of enterprise data warehouse, operational data stores, data marts and data lakes and gives you peace of mind with experts to help business users. -
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Axxess Home Health
Axxess
Increase your organization’s cash flow by processing claims from Medicare, Medicaid and all other commercial payers. Automated processing of all payer claims in real time from anywhere at anytime ensures your claims get processed and get paid faster. Automatically submit and track your claims from anywhere at any time with real-time claims status updates. You are assigned a dedicated account manager that is a certified health care claims manager. You even have their mobile phone number. Diversify your revenue sources and improve your cash flow with our automated, anytime, anywhere claims processing with complete visibility to all your electronic funds transfers (EFT) and payment projections. Process, track and fix claims in real-time to capture all your revenue while eliminating costly time-consuming processes. Automate Medicare eligibility verification and claims processing. -
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AyusLab LIMS
ISIRI Technologies
AyusLab is a cloud-based LIMS software that has been designed to foster diagnostic business via better customer engagement, quality assurance, and faster service. This LIMS solution has been tailored to provide quality service and increase revenue. Being a LIMS platform, it follows a ‘patient-centric’ approach that helps you to retain loyal customers while accelerating your business. Apart from that, with the help of its in-built business intelligence, you can plan, analyze, as well as improve your lab-based operations on a daily basis. With AyusLab LIMS, you can quickly view and analyze your business performance in real time. Moreover, you will also get an in-depth insight into your finances, billing, and receipts. Furthermore, it enables you to keep a tab on your quality control, inventory, audit, NABL compliance, and others. -
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Acuity Advanced Care
Chordline Health
Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support. -
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symplr Provider
symplr
symplr Provider credentialing software helps create a single source of provider data, shrinks turnaround times, and shortens revenue cycles, all while prioritizing patient safety. symplr Provider credentialing software makes data gathering, secure access, reporting, and ongoing compliance less burdensome for providers, credentialing staff, and internal approval committees. Our customers report a 20% reduction in credentialing timelines, including a 50% reduction in committee review meetings. Collect, verify, store, and share provider lifecycle data and documents in one automated, user-friendly hub, resulting in time savings and cost containment. With a built-in payer enrollment module, you can enroll providers with payers and easily track applications step-by-step, to get reimbursed faster. Leverage automation to gather data from hundreds of primary sources and auto-check for expired/suspended licenses, NPDB, DEA, SAM, and more. -
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TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
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LGI RPA
Boston Software Systems
LGI RPA (formerly Boston WorkStation) helps hospitals and health systems bridge the gaps left by system vendors who don't deliver on interoperability claims, leaving providers and staff struggling to complete time-consuming manual workflows. It’s a flexible, client-to-client implementation, designed to work the way you do, aligning to existing workflows and business constraints. It’s time to take a look at the processes — and bottlenecks — in place and think about how to automate them. LGI RPA (formerly Boston WorkStation) is a digital ally that works 24/7/365, alongside human employees, completing tasks, ensuring accuracy, and eliminating the workflow issues faced by manual data entry. It’s not just an automation engine, it's a workflow improvement tool, that identifies errors before they occur. -
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GuidingCare
HealthEdge Software
The GuidingCare solution suite provides easy-to-use, next-generation data integration and workflow management tools that help you operationalize an evidence-based, person-centered Care Management strategy for your populations. Its sophisticated data analytics, workflow management, care coordination, and reporting capabilities enable your organization to better serve targeted populations and maintain compliance every step of the way. With GuidingCare, you can streamline coordination across the care spectrum, seamlessly manage clinical and behavioral health needs, automate care and service planning, and identify and target your high-risk populations, providing whole-person care. Drive superior outcomes in a value-based, patient-centric and fully-integrated ecosystem. -
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Foothold Care Management
Foothold Technology
Get an overview of your clients with a user-friendly interface that includes encounters, core service encounters, segments, claims, and billable statuses. Care Managers can easily track progress when addressing gaps in member care. Link these files directly to care plans for efficient tracking and reporting. Send claims and documentation data directly to the MAPP HHTS, with a best-in-class MAPP sync and ongoing customer support. Generate claims and CMA statements efficiently, with Health Home billing requirements handled automatically by the system. Void and resubmit claims if HML rate codes change. Use built-in HML logic to complete HMLs with the necessary number of core services, face-to-face encounters, and other requirements. Attend roundtables with other customers to discuss our product roadmap and emerging Health Home requirements. We regularly check in with our customers to address their individual needs. -
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I.C.E. Apple
AES Technologies
In the era of supporting paperless information management systems, I.C.E. Apple™ is known to be a key software for hospital management information systems which is believed by several hundreds of our clients. It is observed from the customers that patient care, productivity, and profitability have been enhanced after use. We’ll help you create EMR and EHR solutions, practice and laboratory management software, hospital-wide asset tracking systems, point of care (POC) and population health management (PHM) tools, AI-powered data ecosystems, and applications supporting remote patient monitoring. We work on the latest frameworks and technologies to deliver you user-friendly, scalable, secure, and new business solutions as per your needs. We have a dedicated team of developers who are well-versed in delivering high-end business solutions on several frameworks and technologies. -
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Madaket
Madaket Health
Get hours back in your day and millions back in your pocket with our automated solutions. Access the key players—providers, payers, and partners—and the real-time, accurate data you need to never miss a beat in care delivery. We handle all the complex connections across thousands of payers. All you need to know is fast and easy enrollments to any payer starts here. The cloud has never looked this good. Central command to manage, store, and share provider data in real-time—connected everywhere it needs to be. Provider verification made simple. You request it, our platform processes it fast. -
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Midmark CareFlow
Midmark Medical
Our decades of RTLS expertise, which stems from our roots as Versus Technology, will always be unmatched. Backed by the the strength of Midmark Corporation, our expertise in easy-to-use solutions empowers a better care experience. Discover how efficient you are, how safe your facility is and how engaged your staff are with RTLS solutions that allow staff to focus on what matters most: patient care. Automatic call cancellation to give nurses time back to deliver a better care experience. A wearable duress button that drives a critical response to address workplace violence. Healthcare equipment tracking that supports staff in providing safe equipment for timely patient care. Healthy workflows designed to support both patient and staff satisfaction. -
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Ensuring the high performance in hospital management, the software provides support to the whole chain of care and benefits all sectors by reducing costs and standardizing processes. Reduces the absenteeism rates in appointments and tests by optimizing the scheduling flow. Decreases the likelihood of medical errors with easy and quick access to the patients' information and history. Automates processes, ensuring greater efficiency in managing workflow and resource administration. Ensures the correct purchasing cycle, eliminating the waste of products, equipment, drugs or services. Enables the access of information in different devices, offering mobility when caring for the patient. Facilitates the extract conciliation of plans and decreases the disallowance index.
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Remedi
Remedi Electronic Commerce
Collaboration and communication across your business network is vital to enabling a company to operate more efficiently, competitively, and cost-effectively. Remedi business integration solutions improve B2B connectivity and the ability for all parties to exchange and integrate electronic business transactions, messages, and files through inter-company business processes. In today’s connected world, digital transformation is supported by having complimentary information systems communicate with one another. Remedi system integration solutions improve internal systems connectivity by facilitating the exchange and integration of organizational transactions, messages, and files through intra-company data transformation and business processes that connect systems and data collection devices. -
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Many health plans and PBMs operate on several different systems. These silos of information can limit quality of care and present significant process and compliance challenges. MHK CareProminence was designed to bring together vital information and all functionalities across the member healthcare journey into a single system. The only platform that combines pharmacy and medical, MHK CareProminence was purposely built to improve member care by closing care gaps while ensuring continual compliance with ever-changing regulations. Clients benefit from the most rigorous system in the industry and significantly reduce manual effort. With MHK CareProminence customers maximize efficiency with automated workflows, ensure compliance adherence, increase quality scores, improve provider and member engagement, and optimize the healthcare experience for its members.
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unisonMD
unisonMD
unisonMD makes it easier and faster for your doctors and billers to manage hospital charges. Our customers experience measurable improvements in financial results, care coordination efficiency, productivity, and provider and staff satisfaction. unisonMD helps optimize the revenue cycle for hospital and other out-of-office patient encounters. Our customers tell us they realize better financial results, increased staff productivity and high user satisfaction. HIPAA compliant messaging saves users time, and keeps protected health information secure.
