Alternatives to Zelis
Compare Zelis alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Zelis in 2026. Compare features, ratings, user reviews, pricing, and more from Zelis competitors and alternatives in order to make an informed decision for your business.
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Veradigm Payerpath
Veradigm
Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems. -
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PlanXpand
Acero Health Technologies
PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments. -
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Assurance Reimbursement Management
Change Healthcare
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims. -
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Valenz Health
Valenz Health
Our single end-to-end platform of fully integrated health plan solutions delivers value and simplifies the complexity of healthcare for employers, members, providers, and payers. Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support, and services to avoid more serious and costly health events. With Valenz, you can have a healthier member population while also achieving plan and member cost savings, year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today. With a suite of fully configurable solutions integrated into one ecosystem strategy, the Valenz healthcare ecosystem optimization platform offers extensive visualization of cost, quality, and utilization opportunities. -
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PLEXIS Payer Platforms
PLEXIS Healthcare Systems
PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service. -
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QuickCap
MedVision
MedVision Solutions' QuickCap is an administrative and clinical data process management solution that lets users focus on business and not the paperwork. With QuickCap, users have scalable control over their workflow and information to work smarter. QuickCap features a customizable dashboard for ease and gives them automation of their process for speed. QuickCap also streamlines claims work that makes users' work easier. QuickCap also allows users to easily determine profitability for individual providers with analytics. -
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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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Amadeus Digital Care Record
Orion Health
The Amadeus Digital Care Record (DCR) is a comprehensive solution designed to provide healthcare teams with a unified view of patient information at the point of care. By integrating data from disparate healthcare systems into a Health Information Exchange, the platform creates a holistic, real-time profile of each patient. This streamlined approach improves clinical decision-making and efficiency, while reducing clinician burnout by reducing the need for repetitive tasks. Additionally, Amadeus DCR integrates analytics and care coordination tools, supporting better patient outcomes by identifying risks early and ensuring effective care across the continuum. -
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Candor Health
Candor Health
Candor Health is an AI-native healthcare intelligence platform that transforms fragmented provider data into accurate, actionable provider intelligence by ingesting, verifying, reconciling, and scoring information from tens of thousands of sources and billions of claims so healthcare organizations have up-to-date, standardized data on physicians, facilities, specialties, affiliations, insurance acceptance, locations, and related attributes. It continuously monitors and updates provider information in near real time to improve directory accuracy, streamline roster management, and support compliance and network adequacy by providing tools to search, filter, and analyze provider networks with clinical relevance. Candor’s solutions, including Physician 360 and Facility 360, automate data updates, fill gaps in network access, and enable smarter network design while eliminating “ghost providers” and enhancing care navigation. -
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LexisNexis MarketView
LexisNexis
LexisNexis® MarketView™ delivers medical claims-based intelligence to healthcare payers, providers, life sciences companies and health IT organizations across the United States. MarketView delivers actionable insights to remain competitive, allowing businesses to see valuable insights, and visualize ways to transform business. Whether you are a life sciences company, a health plan, a health system, or a health IT vendor, MarketView can help transform key business work streams including marketing, sales, strategic planning, physician relations and outreach, market research, network optimization, recruitment, pricing, contracting, clinical teams and more. Your business needs the most actionable insights to remain competitive. But it’s hard to diagnose the right areas of focus when the picture is unclear. MarketView delivers insights into areas including referral patterns, physician alignment strategies, the quality of clinically integrated networks, patient volumes, etc. -
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Talix
Talix
The Talix platform powers intelligent workflow applications that enable risk-bearing healthcare organizations to succeed in the age of value-based care. Our workflow solutions for payers and providers require intelligent underlying technologies to work in unison and at scale. We’ve engineered the Talix Platform to support the needs of thousands of end-users, anywhere in the world simultaneously. Moreover, our platform architecture enables multiple SaaS application solutions in order to harness the efficiencies derived from being able to process millions of patient charts and encounter data. The Talix Platform is comprised of several technology components, intricately linked, to power software applications at scale for healthcare payers and providers. These components form the building blocks of artificial intelligence (AI). -
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AxisCore
HealthAxis
Gain a competitive advantage with AxisCore™, leveraging state-of-the-art and modularized technology for seamless automation of your health plan administration. Say goodbye to the complexities of a cumbersome core administrative processing system (CAPS) and embrace our fully integrated solution. Meticulously crafted to optimize benefits administration, healthcare claims processing, and overall health plan management, AxisCore™ empowers your organization to thrive in today's dynamic healthcare landscape. -
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DrsMagic
BayViewSoft
DrsMagic comes in two distributions, a Single Station distribution and a Network distribution. Both distributions are released in both Lite and Pro versions. Single Station versions are for installation on a single computer. DrsMagic's industrial strength database and DrsMagic's graphical user interface (GUI) are installed on the same computer. DrsMagic's Administrator has full access to BayViewSoft's multi-user management system allowing an office manager to configure different users with different responsibilities, however only one user can be logged in to a Single Station version at a time. Network versions can be installed on multiple computers and used by numerous users at the same time. DrsMagic's industrial strength database can be installed on a standalone server or on the same computer as the "Primary" DrsMagic GUI.Starting Price: $80 per user per month -
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HealthRules Payer
HealthEdge Software
HealthRules® Payer is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. For more than ten years, health plans implementing HealthRules Payer have been able to quickly address market opportunities and stay in front of their competition. HealthRules Payer is unlike any other core administrative solution because of its use of the patented HealthRules Language™, an English-like vernacular that delivers a revolutionary new approach to configuration, claims processing and transparency of information. HealthRules Payer helps transform health plans looking to grow, innovate and compete beyond any other core system today. -
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CareCloud
CareCloud
Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app. -
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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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HexIQ
HexIQ
The HexIQ software provides fast and easy access to negotiated rate data and tools that help users search, download, and analyze complex healthcare reimbursement rates for any code, payer, provider (NPI), or tax identification number (TIN) of interest so they can leverage transparency in coverage requirements to inform business decisions and negotiations. It ingests hundreds of machine readable files (MRFs) from payers every month, cleans and enhances the data with provider names, addresses, and network relationships, and updates it regularly so users can benchmark their negotiated rates against peers in the same specialty and region without manual Excel manipulation. Advanced search features let users filter by code, specialty, state, place of service, payer, NPI, or TIN and download results in CSV format for further analysis, while built-in analytics and visualization tools show rate distributions, average and mode rates, and contracted provider networks to reveal market insights.Starting Price: $25 per month per code -
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TriNetX
TriNetX
TriNetX is a global health research network that connects healthcare organizations and life sciences companies to drive real-world research and accelerate the development of new therapies. By leveraging a self-service, HIPAA, GDPR, and LGPD-compliant platform, TriNetX enables users to access federated electronic health records, datasets, and consulting partnerships. This empowers the worldwide community to improve protocol design, streamline trial operations, refine safety signals, and enrich real-world evidence generation. The network encompasses over 275 million patients from 150 healthcare organizations across 25 countries, providing a vast and diverse dataset for research. Researchers have utilized the TriNetX network to analyze more than 26,000 protocols and present over 7,000 clinical trial opportunities to its healthcare members, significantly reducing site identification time in clinical trials by 50%. -
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MCH Strategic Data
MCH Strategic Data
From medical device sales to integrated delivery networks to transformative care trends, healthcare is an industry strewn with opportunities, risks, and challenges. It’s more important than ever for businesses selling to the healthcare market to have the right data intelligence and insight to stay competitive. MCH's updated, affordable healthcare data resources deliver just what you need for your next sales push, with the power to search far and wide, and in more detail than ever. With over 2 million contacts, our healthcare database is compiled from leading industry sources. So you can confidently explore corporate ownership, provider specialties and an expanded list of care centers, laboratories and other health organizations. Filter with precision by institution type, professions and specialties across more than 7,000 hospitals nationwide. Search by current number of beds, physicians, and other providers. -
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IntegriChain ICyte
IntegriChain
Life science organizations of all sizes and complexity rely on the ICyte platform to streamline pharma market access and therapy commercialization. ICyte provides biotech and pharma manufacturers with world-class channel and patient data aggregation, contracts and pricing managed services, gross-to-net forecasting and accrual systems and expert launch and pricing transparency solutions. With ICyte, pharmaceutical and biotech companies improve market access by quickly transforming patient, payer, complex transaction, and channel data into actionable insight. ICyte also supports analytics-as-a-service, which allows common models and metrics to be deployed as a centralized service across applications, data, and analytics uses. Key performance indicators (KPIs) specific to Life Sciences companies are built into the platform. Also included are advanced analytics such as forecasting, scenario modeling, and a machine-learning-powered recommendation engine. -
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The combination of our core strengths, our deep industry experience in health, our advanced technology solutions including options for AI, blockchain, and data and analytics, and our reputation for trust and security, enables Watson Health to support our clients' digital transformations. Through a combination of technology solutions and experienced consulting, we're helping organizations become more efficient, resilient and robust institutions that can deliver on their mission to their communities. See Watson Health solutions that help optimize clinical, financial and operational performance. See Watson Health solutions to apply analytics and improve programs for vulnerable populations. See Watson Health solutions to improve clinical trials and generate real-world evidence. See Watson Health solutions that help payers manage performance, members and business networks. Watson Health solutions that help with benefits analytics, engagement and business continuity.
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Doctivity
Doctivity Health
Doctivity provides healthcare business decision-makers with actionable insights into physician performance, referral patterns, referral leakage, and more. Proprietary data analytics and ongoing consultations with healthcare industry veterans deliver insights that decision-makers can use to refine and implement strategies that drive business and grow volume. Doctivity is all about improving healthcare operational efficiencies, increasing provider productivity, and accelerating business development. With visibility into what’s going on, you can take the right action at the right time to drive business improvement, bolster your networks, tune your recruitment strategies, accelerate the ramp-up of new hires, and more. -
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Particle Health
Particle Health
At last, healthcare data is accessible nationwide. But “accessibility” doesn’t mean much when the data is practically unusable—stored by thousands of disparate hospitals, networks, and other sources in a hodgepodge of standards and formats. Particle Health’s modern API platform unifies records from over 270 million patients across the United States. We provide a single, secure access point for the data you need to fuel digital healthcare innovations rapidly and at scale. Quickly prototype solutions, optimize workflows, and explore use cases in a fully functional sandbox environment. Accelerate time to market with implementation guides, an intuitive user interface, and code snippets. Particle Health has spent years building the impossibly complex integrations needed to release historically siloed medical records. Because let’s face it—you’ve got bigger fish to fry. -
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CareJourney
Arcadia
CareJourney is a cloud-based healthcare analytics platform offering deeply comprehensive, clinically-relevant intelligence derived from one of the largest longitudinal claims datasets in the U.S., covering hundreds of millions of beneficiaries across Medicare, Medicaid, Medicare Advantage, and commercial populations and profiling more than 2 million providers. It empowers organizations to assess markets and patient cohorts to uncover opportunities for cost savings and better outcomes, build and grow high-performing networks, make smarter contracting decisions, identify referral patterns and leakage, and benchmark provider performance against peers. It also supports management of at-risk populations through segmentation models, helping organizations understand chronic condition prevalence, care utilization, and cost drivers. -
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Zus
Zus
Zus Health offers a next-generation shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data at the point of care. Their platform is multi-tenant, scalable, and extensible to fit various organizational needs. Built on a HIPAA-compliant FHIR-native data store, it includes detailed provenance and a terminology service, ensuring secure cross-tenant data sharing and access to external data. Zus is SOC2 Type 2 certified, demonstrating a commitment to maintaining robust security measures with patients at the center of their operations. The platform leverages instant connections to external networks, enabling collaborative, real-time care through bidirectional integration with national data networks. This facilitates the seamless ingestion and sharing of patient data for efficient care coordination. Additionally, Zus provides a dedicated API that allows organizations to work directly with modern JSON via FHIR. -
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Lynx.MD
Lynx.MD
Our secure platform performs on-the-fly de-identification, so imaging, doctor’s notes, device data, medical records, labs and more can be quickly shared and analyzed. Reinvented means flipping the access model upside down. Rather than take the data out of the system, we invite med-tech and life science companies into the health provider’s dedicated, secure space. We provide the tools for scientists to analyze the data, while healthcare providers always stay in control. We are accelerating innovation by bringing together a network of partners – from academic healthcare systems, community health centers and specialty practices to med-tech and pharma companies and academics. All benefit from the power of collaboration and the confidence of security and privacy. Healthcare providers maintain full control of who sees every bit of data, at every moment. -
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PayerPrice
PayerPrice
PayerPrice is a healthcare data analytics platform that provides comprehensive insights into negotiated rates between payers and providers across the United States. By aggregating and analyzing data from all 50 states, specialties, and practice sizes, PayerPrice enables healthcare organizations to benchmark commercial rates, optimize managed care contracting, and enhance revenue cycle integrity. The platform offers tools for in- network analysis, rate benchmarking, and payment auditing, supporting stakeholders such as hospitals, providers, contracting consultants, and healthcare innovators in making informed decisions. -
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Flexpa
Flexpa
Flexpa is a healthcare data interoperability tool that gives developers and organizations instant, patient-consented access to comprehensive health records from insurers, electronic health record (EHR) systems, and nationwide health exchanges through a unified API, replacing slow, manual record collection with real-time standardized data retrieval using FHIR (Fast Healthcare Interoperability Resources) standards and a 3-in-1 network that includes CMS-9115 payer APIs, ONC (g) (10) provider APIs, and TEFCA IAS nationwide exchange support. Flexpa handles the entire authentication and authorization process, including digital consent flows, SMART Health Links, IAL2 identity proofing, and conversion-optimized UX, so applications can onboard patients, collect compliant consent, and begin pulling data quickly without building custom integrations. Flexpa’s Records API extracts and enriches complete patient data, including claims history (EOBs, coverage details), clinical records, and etc.Starting Price: $65,000 per year -
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NaviNet Open
NantHealth
As an organization that prioritizes value-based care, your ability to communicate across a flexible, extensible platform is critical. NaviNet Open is one of America’s leading payer-provider collaboration platforms, facilitating provider engagement and generating trustworthy, actionable data throughout the continuum of care delivery. A secure multi-payer platform, NaviNet Open enhances communication, boosts operating efficiency, cuts costs, and improves provider satisfaction. It lets payers and providers exchange vital administrative, financial, and clinical information in real time. For NantHealth, security is a priority. HIPAA compliant and steadfast in our values, our demonstrated commitment has led us to hold EHNAC HNAP accreditation since 2006. NaviNet Open is HITRUST certified, having met key regulations and industry-defined requirements. It appropriately manages risk regarding third-party privacy, security and compliance. -
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MphRx Minerva
MphRx
Value driven care depends on real-time, accurate and reliable data. Leverage the Minerva Healthcare Data Platform to bring together clinical and claims data from disparate systems into a unified FHIR® repository. Natively based on FHIR® and vendor-neutral, Minerva aggregates data across your care delivery network – from multiple systems and formats to power your data exchange, accelerate data analytics and meet Cures Act regulations. Minerva brings ready-to-use data connectors to rapidly ingest data from disparate clinical and claims sources. Leverage available healthcare standards and custom data formats to bring in data in real-time or in batches. Integrate data from your clinical network and your payers to build a unified view of your patient’s data. -
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Bainbridge Health Med O.S.
Bainbridge Health
We provide actionable interventions to pharmacists and safety leaders to improve safety, drive standardization, and scale scarce clinical resources. Our goal is to help our partners unlock the value of their infusion data to improve safety, drive standardization, and scale scarce clinical resources. We bring a combination of technology, a robust clinical services team, and network benchmarking to drive value. Med O.S. data science platform transforms how infusion data can be analyzed, enables new types of insights, and overcomes the limitations of static reporting. Dedicated team of pharmacists and data analysts curates actionable interventions that drive value. Partners get knowledgeable human resources, not just a username and password. Network benchmarking from the leading infusion community in the United States helps disseminate trends, best-practices and informs quality and operational interventions. -
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Anagram
Anagram
Anagram Prosper puts money back in the hands of your patients — at no cost to your practice. Increase your margins, delight your patients, and forget courtesy discounts. We partnered with the best vendors to develop wholesale price lists that better align with the needs of you and your patients. Provide rebates on the same products you already stock. Incentivize your patients, drive more conversions, and collect more revenue. With Anagram Prosper, you can save patients money without offering discounts or lowering your margins. Use our rebate program to drive more sales and make your patients happy. Most patients don’t know about their out-of-network benefits. Anagram Access can pull real-time vision plan eligibility to maximize savings for your patients. With Anagram Access, you can quickly calculate how much your patient owes and how much their vision plan reimburses. -
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CAQH
CAQH
CORE brings the industry together to accelerate automation and develop business processes that streamline healthcare for patients, providers and health plans. Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes. In the ever-evolving landscape of healthcare, continuous improvements in payment and claims processing systems are vital. The nation’s providers and health plans trust CAQH to collect and manage professional information, verify primary sources, and monitor for sanctions. The result, is streamlined administration, greater regulatory compliance, and better provider data management. -
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Netsmart KPI Dashboards
Netsmart
KPI Dashboards™ provides data visualization for clinical, financial and operational data, as well as the ability to create user-defined views and filter aggregated data by program, service type, client access and more. Flexibility and ease of use means performance can be viewed regularly by staff members who can affect these key data points through performance and clinical outcomes. As a result, your organization can make steady, measurable progress toward well-defined goals. Compare your organization’s financial, operational and clinical performance metrics in our healthcare benchmarking tools. Track services and treatments for individuals across care settings to reduce duplicate services and simplify care transitions with secure data exchange. Care coordination solutions connect organizations to a network of providers and support secure data sharing across local health information exchanges (HIEs) and large interoperability frameworks, such as Carequality. -
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Olio
Olio
Simplify case management efforts with post-acute providers and operationalize value-based care. Get real-time feedback and intervene when appropriate for all your PAC network patients. Get immediate support from your acute partners. Improve quality and patient outcomes and form stronger referral partnerships along the way. Have a seat a the table with Olio and succeed in value-based care. Population health leadership have tried to improve PAC performance. They started with evaluating their PAC providers and the industry evolved from there. PAC providers don't have the resources, experience, or knowledge to execute your complex population health strategy. You are asking them to do more with less. Olio helps modernize communication to your PAC network and give your entire team the resources to execute your population health strategy. -
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Infosys HELIX
Infosys
Driving AI - first as a business strategy for payers, providers and PBMs with products and platforms which are built on AI and runs on cloud. A “healthcare digital platform” is the integration of applications and emerging technologies to provide a tailored healthcare solution that drives business outcomes—a significant modern and accelerated approach to disintermediate legacy core administration processing systems (CAPS). To better understand the role of digital platforms and emerging technologies in achieving business objectives, the impact of digital platforms on healthcare payer KPIs, and the relative attractiveness of healthcare platforms, Infosys, in partnership with HFS, reached out to 100 C-suite healthcare payer executives in US. -
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ImagineMedMC
Imagine Software
Manage your members' healthcare and networks with a cloud-based healthcare delivery system. Automate claims processing for managed care organizations. Includes eligibility, referral and authorization processing, provider contracting, benefit administration, auto claims adjudication, capitation (PCP and Specialty), EOB/EFT check processing, and EDI transfers and reporting. Deploy as a cloud solution or an in-house system. Ideal for managed care organizations (MCOs), independent physician organizations (IPAs), third-party administrators (TPAs), preferred provider organizations (PPOs), and self-insured groups. Streamline the complexities of administrating eligibility, referral authorization and claims processing. Features and functions maximize data integrity while reducing data entry. -
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ABOUT
ABOUT
Our suite of solutions streamlines access into and beyond your hospital in minutes. Success in today’s distributed networks of care relies on intelligent access and orchestration solutions across the full continuum. ABOUT streamlines every step of patient transfers into hospitals and beyond, whether skilled nursing, rehab, behavioral health, or home care. As a result, more patients are referred and retained to grow your health system. ABOUT solutions empower health systems to operate as one connected network of care, enabling clinicians to easily transition patients across care settings. Centralized and predictive enablement and management of all aspects of patient transitions, whether into, through, or out of the health system, powered by transfers, decision support, and the integration hub. Care setting specific application features, custom forms, curated networks, and insights to enable access across the continuum of care; from acute and post-acute to behavioral health. -
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E-HAS
Techdynamics
E-HAS is an Online / Offline Hospital Administration and Management Information System for Health Care organizations E-HAS have a capability of data warehousing and business intelligence for consistent growth of organization and hospital system automation to significantly decrease manpower with greater accuracy. With responsive system first time used in any HIS system yet and Mobile / Tablet Versions supported E-HAS is Designed in such a way that it can support any type Hospital (Specialty Or General Hospital) With Online / Offline working capability for distributed Chains of Hospitals and Data mining Capability for Right Decisions. E-HAS is a revolutionary solution with end-to-end features for simplifying hospital management –all at a cost which provides the fastest ROI.Starting Price: $299 one-time payment -
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CareEco
CareEco
The CareEco Engine - a proprietary, data-driven AI platform - scans patient medical records using AMA guidelines to identify care opportunities. CareEco automatically contacts the patient via SMS or email to schedule an appointment directly from their phone. This leads to more booked appointments, improved patient health, better patient experience, and increased practice revenue. CareEco’s automated messaging capability, scheduling portal, and payment gateway lets your patients book (and pay for) more appointments at your practice. That way, your staff can focus on patients — not paperwork. CareEco proactively engages your patients to keep them in your network. Easy scheduling for patients means less friction in accessing healthcare. -
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Majesco ClaimVantage
Majesco
Digital technologies are having a significant impact on insurance, and those keeping pace with this evolution are on track to maintain a competitive advantage. Traditional claim management tools, involving multiple systems, paper files and manual processes, are being replaced with cloud-native enterprise claim management platforms. The Majesco ClaimVantage Claims Management Software for L&H platform streamlines the claims process through the full life cycle of a claim, from intake through payment calculation, integrating multiple systems to improve the flow of information across your business. Improve the customer experience and drive operational effectiveness with accurate and timely claim decisions. Built on the Salesforce Lightning Platform, Majesco ClaimVantage Claims Management Software for L&H enables insurance companies and TPAs to modernize and optimize their claims operations today and into the future. -
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AIDA Healthcare
AIDA Healthcare
AIDA drives value-based care by creating rich sharing channels between providers. These channels are flexible enough to connect with almost any downstream provider, and deep enough to gain insights about where your network is strong and where it needs to grow. Find tailored placement options for all patients including complex cases. Secure communication and data sharing with all downstream providers. Deep analytics that help drive value-based care. Our app has been custom-built for Epic integration and enables you to leverage 3 core features: Eliminate the hassle of user provisioning via SSO, use AIDA as an embedded experience within your Epic interface, and access all patient records directly through the app via APIs. This last feature opens the door to fully standardized and file-less referral packets that can be customized by Care Provider type — eliminating the need for faxing, printing, and file management. -
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Breakthrough
Breakthrough
Breakthrough is a strategic transportation partner empowering shippers with data, technology, and market knowledge to reduce cost, create fair partnerships, and improve transportation network efficiency and sustainability. Breakthrough shippers represent some of the most innovative, expansive, and influential transportation networks in North America. Powered by our clients' data, insights, and experiences, we design and maintain comprehensive network strategies as dynamic as the market you ship in. The value of a Breakthrough partnership is clear. Breakthrough's suite of strategic and operational services are delivered in the FELIX platform, enabling shippers to revolutionize their approach to maintaining contract freight networks and build their competitive advantage all in one spot. -
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Virtuo MIS
MediSolution
By simplifying and streamlining human capital management processes, you can achieve total control of workforce-related costs and be constantly assured of employing your valuable human resources to maximum advantage. You can confidently go about your daily business knowing your financial, statistical and accounts receivable information is complete, accurate, and effortlessly assembled and distributed to authorized stakeholders with minimal intervention. Total control of the entire source-to-settlement process is yours with a comprehensive suite of integrated and ecommerce enabled supply chain management software that significantly reduces work and errors while improving efficiency to make a dramatic impact on the bottom line. -
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Centauri Health Solutions
Centauri Health Solutions
Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need. Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS® and Stars Quality Program Management, Clinical Data Exchange, Eligibility and Enrollment, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health. -
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ContinuumCore
Logibec
ContinuumCore is Continuum Health’s dashboarding platform. When combined with Intellium, ContinuumCore provides full access to a scalable datamart. As needs and data evolve, ContinuumCore also does, ensuring that clients always benefit from fully-optimized data management. ContinuumCore integrates more than 100 connectors into a single data warehouse, and new data connectors are regularly added. It provides a single point of access to all your clinical and financial data while ensuring that the impact on your source systems is limited, planned and controlled. ContinuumCore lets users organize their data by topic for easy use. The solution also provides agnostic data for seamless querying of diverse sources as well as dictionary-based data documentation for precise definitions, easy understanding and fast searches. ContinuumCore uses data normalization to standardize values and data validation to detect problems. It features data improvement tools, processes and report builders. -
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Leverage analytic insight to reduce variation, improve care quality, optimize care coordination and manage financial performance. Whether you’re operating in a fee-for-service or risk-based environment, you can use the unsurpassed data and analytics capabilities and expert guidance of Optum® Performance Analytics to position your organization for success in an ever-evolving health care landscape. Optum Performance Analytics offers enriched clinical and financial longitudinal views of your patients, physicians, facilities and networks. Integrating your diverse clinical and claims data with a growing set of sociodemographic, behavioral and patient-reported data adds greater context and insight. Optum Performance Analytics is built with the flexibility to meet the goals of any health care system. Organizations seeking specific direction can leverage pre-built dashboards and opportunity reports to surface opportunities for enhancing care or reducing costs.
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Vectaury
Vectaury
By unleashing the power of geolocation data, Vectaury maximizes the marketing performance of retailers at store and network level. You have access to decision support tools allowing you to initiate strategic actions at the marketing, communication and network level. Provide an unprecedented understanding of the point of sale through the analysis of its catchment area, customer knowledge and the impact of competition. Measure the real impact of digital and traditional devices on in-store traffic for better optimization of the media mix. Provide a decision support tool to increase the chances of successful establishment of a new point of sale. -
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Inovalon Provider Cloud
Inovalon
Optimize revenue cycle management, care quality management, and workforce management all in one single-sign-on, easy-to-use portal. More than 47,000 provider sites rely on our innovative tools to simplify complicated operations across the patient care journey. Improve the patient financial experience and simplify administrative and clinical complexities with the Inovalon Provider Cloud – all while saying goodbye to siloed workflows. Our SaaS solutions help you strengthen financial and clinical outcomes across the patient journey, from creating front- and back-end revenue cycle processes for better reimbursement to ensuring appropriate staffing levels for optimal care. This is all managed in one comprehensive portal to take your organization to new heights improving revenue, staff equity, and care quality. Enhance your organization’s efficiency, productivity, and overall effectiveness. Discover what the Provider Cloud can do. -
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OneTouch Claims Processing Software
Apex EDI
OneTouch is a tool that allows a user to conveniently transmit claims or statements to Apex, login to the Apex website, or search for claims that have been sent in the past all from of your computer desktop. In order for OneTouch to work, the user must be a registered client with Apex EDI and have a username and password setup. Once a user has a username and password OneTouch can be configured so the user can utilize the tools described. With OneTouch Search you can search your claim and statement files that have been sent to Apex from the convenience of your desktop. The OneTouch search feature allows you to search your statement and claim files for patient names, subscriber IDs, or several other options. After you click the search button you will be logged into your Apex webpage and shown the results of your search. To perform a search first choose what you want to search for by clicking on the magnifying glass dropdown menu.
