HealthRules Payer Alternatives (September 2025)

The TriZetto Facets core administration platform is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals. Find out how Facets positions healthcare payers for growth and change with its flexible platform today.

Explore how GuidingCare®, HealthEdge's advanced care management solution suite, improves care coordination, evidence-based strategies, and population health.

CareAdvance provider® automates providers’ authorization and utilization management processes. Learn more.

Veradigm Payerpath (formerly Allscripts Payerpath) is an end-to-end revenue cycle management (RCM) suite that delivers provider and payer solutions that conn...

TriZetto QNXT Enterprise Core Administration System is an end-to-end claims processing solution supporting multiple lines of business. Find out more about QNXT's suite of services including claims processing, referral and provider network management, group administration and more.

HealthViewX Patient Referral Management Software Platform helps to manage referral cycle, send & receive patient referrals secure & seamless.

Learn about InterQual® AutoReview, our automation solution that leverages the EHR to complete InterQual® medical reviews automatically, instantly, and accurately.

Discover the connected platform that's bridging gaps and aligning interests of healthcare payers, providers, and healthcare consumers.

Valer is the all-specialty, all-payer technology solution designed around your prior authorization and referral management needs. Built Around You.

Improve efficiency, reduce risks, and safeguard revenue with symplr Payer's comprehensive provider enrollment credentialing solutions.

EDI Software for Healthcare HIPAA Suite EDI Software Solutions HIPAA Electronic Transactions healthcare claims imaging total solution payments enrollment. Visit

AvidXchange accounts payable automation software helps middle-market businesses and suppliers boost efficiency, accuracy and speed.

The technological innovations of our cutting-edge healthcare business solutions will help your healthcare organization get paid faster and get paid more.

LaborEdge is new Medical & Healthcare Software that brings hospitals, staffing agencies and clinicians together to add value to the healthcare ecosystem.

InstaMed makes healthcare billing and payments better for everyone. Solutions for contactless, automated and mobile payments, claims, ERA & more.

symplr Provider credentialing software helps create a single source of provider data, shrink turnaround times, and shorten revenue cycles. Request a demo!

Streamline operations, boost performance, and enhance productivity with Integrated healthcare administration solutions IPAs, MSOs, ACOs and more. Contact us today!

Learn how our interoperability EHR & HIE platform provides the solutions to the challenges of health information exchange and interoperability in healthcare.

Drive your practice’s revenue with CareCloud’s revenue cycle management (RCM) solution by blocking cost leakage and automating work flow of your practice.

This platform enables Medicare CCM service providers to automate the workflow, process documentation & increase their utilization rate up to 50% seamlessly.

The premiere homecare management software for the Medicaid LTSS population, connecting providers, payers, and members.

Our patient intake software allows you to reduce wait times, increase profitability and enhance the medical check-in experience with individualized care. Learn more.

HCHB's home care software helps your agency streamline operations, ensure complete, accurate documentation, and reduce billing mistakes.

Transform your ambulatory care practice with a powerful healthcare IT platform and state-of-the-art EHR and Practice Management tools. Discover how today!

Instant payments. Brighter smiles. Retrace helps oral health care providers get paid accurately and instantly with a complete billing and office solution that connects your entire practice.Retrace helps oral health care providers get paid accurately and instantly with a complete billingand office solution that connects yourentire practice. Join Now Validation We’re taking the guesswork out

Maintain financial viability of your medical practice with a successful Revenue Cycle Management process and medical billing services from eClinicalWorks.

Cotiviti is a solutions and analytics company leveraging unparalleled clinical and financial datasets to deliver insight into the healthcare system’s performance.

Waystar’s cloud-based software provides end-to-end revenue cycle management solutions to simplify healthcare payments and accelerate financial results.

Esker's document automation & order management software solutions help your business cut costs and increase efficiencies. Learn more today!

Harmony Healthcare makes legacy records secure, compliant, accessible and interoperable to strengthen care delivery and improve lives.

Healthcare operations reimagined. Medallion's integrated provider network management platform automates credentialing, enrollment and licensing, enabling…

Take your home health practice to the next level with our EHR. Improve workflows, reduce rehospitalizations, and achieve work-life balance

The PayJunction platform simplifies the integration of payment processing for developers and businesses, enabling them to accept payments with no-code. Request a demo to learn more!

Learn how episode analytics can be used to identify and foster value-based care strategies.

Discover how our clinical network solutions help to capture and share clinical information, improve alignment, coordinate care and streamline clinical workflow.

EnrollHub is no longer available.As of 2/1/2022, EnrollHub is no longer available. Payments from plans that received your electronic funds transfer (EFT) information through EnrollHub will not be impacted. In the future, contact payers directly regarding your EFT information and enrollment.If you work with any of the following payers, please reach out to them here:

CareCloud provides leading healthcare solutions such as RCM, cloud-based EHR, medical billing, practice management & telehealth to help you grow your practice.

ClinicTracker is the complete behavioral health EHR solution. Our software makes compliance, prescribing, and billing easier.

Cloverleaf improves healthcare outcomes and operations by connecting organizations and streamlining interoperability—with FHIR and API management support

Compliance software that simplifies compliance and auditing management for hospitals and medical practices.

4medica leads the 'Health Data Quality' category, and the HIT industry with its powerful cloud-based solutions for real-time data management.

Automate your accounts payable to reduce data entry and process invoices faster with Quadient AP by Beanworks, the leader in AP automation software.

Combine tailored health IT solutions with easy-to-use EHR and Billing software to help your practice become more profitable than ever before.

MedeAnalytics offers healthcare data analytics solutions to help payers and providers improve their operational efficiency, financial performance, and patient outcomes.

At NantHealth, we build technology that helps payers and providers work together to ensure patients receive timely, optimal care at the best cost.

Automate your QuickBooks and Xero bookkeeping easier with PayTraQer by SaasAnt. Connect, integrate, and sync sales, fees, expenses, refunds, and taxes from PayPal, Stripe, Square, Authorize.Net, Clover, Squarespace, PinPayments, Braintree, or AmazonPay with QuickBooks and Xero and other e-commerce platforms Amazon, WooCommerce, Ecwid, eBay, Shopify, Walmart, Squarespace, BigCommerce with QuickBooks and Xero effortlessly. Create rules, automatic reconciliation of sales data, customizations, and control over data syncing to ensure accurate, real-time transaction recording for seamless financial management. Start your free trial today!

Myndshft enables prior authorization automation, delivering real-time benefits and prior authorization insights in any EMR. Learn more.

Automate transactions like real-time eligibility checks and claims processing with developer-friendly, JSON-based APIs that support thousands of payers.

Make payments your competitive advantage. Eliminate transaction fees, get paid instantly, and put your AR on autopilot. Let us show you how.

Vroozi's AI-enhanced platform simplifies and accelerates the procure-to-pay process. Experience unmatched ease in finding, ordering, and paying for goods and services, while gaining complete visibility and control over your spend management.

MD Clarity boosts your bottom line by automating payer underpayment detection, patient cost estimates, and contract optimization in one place.

Streamline EHR management with Healthie's suite of tools. Experience advanced electronic health record services.

WRS Health’s cloud-based EHR is specialty-specific and features Practice Management with prescription management in the integrated software.

athenaOne integrates our EHR, revenue cycle management, and patient engagement capabilities systems to provide financial and clinical results for our providers.

Practice management software loved by allied health practitioners. One of the only systems to be ISO 27001 certified for the highest data security and privacy.

Cloud-Based Healthcare Software with Heart. Learn how our EHR & RCM solutions increase care and profits in clinics, hospitals and health systems.

What are the components of a healthcare analytics platform and why are they needed to transform healthcare? A close look at a best-practice system reveals…

ReferralMD is a HIPAA compliant patient scheduling and referral management software platform for healthcare providers

DBSync's Cloud Integration Workflow automates integration across cloud applications, optimizing business processes for enhanced operational efficiency.

Corepoint Integration Engine is an easy-to-use, modular integration engine that delivers cost-effective, simplified healthcare data exchange. Corepoint has been number one in KLAS for fourteen years running.

SaasAnt Transactions Online is a SaaS application that helps you bulk import, export, and delete transactions and lists in QuickBooks Online from various file formats like Excel, CSV, IIF, Text, and PDF. Experience advanced features like live editing, batch transactions, customizations, and automation through email, FTP, SFTP, and Zapier integration. Effortlessly migrate data from Excel to QuickBooks Online, QuickBooks Desktop to Online, QuickBooks Online to Desktop, and various other platforms to QuickBooks, facilitating efficient accounting and bookkeeping.

Turn procurement into a value-adding force with JAGGAER's AI-powered, source-to-pay solutions and supplier collaboration platform.

Midas Healthcare Analytics improves operational & clinical performance with risk management solutions that control cost and turn data into actionable insights.

Advanced Health Insurance Claims Management software for end-to-end processes automation and optimization to enhance operational efficiency. Try now!

Axxess is the fastest growing home health technology company, providing a complete suite of innovative cloud-based software and services, empowering healthcare providers with solutions to make lives better.

Welcome to Adracare – Your one stop shop to innovative virtual healthcare solutions. Join us in shaping the future of virtual care.

EfficientIP SOLIDserver DDI (DNS-DHCP-IPAM) appliances automate infrastructure management, to enhance network reliability and security.

MineralTree's end-to-end accounts payable automation software digitizes and improves your AP process to increase efficiency and reduce fraud risk. Learn more.

PrimeRx pharmacy software management system from Micro Merchant Systems helps guide pharmacies through changing patient behaviors and industry trends.

Ignition automates proposals, billing, payment collection, and workflows to help professional services businesses maximize revenue, cash flow, and efficiency.

Claims and denial management is a challenge in healthcare. Boston WorkStation can log in to disparate systems to complete, submit claims fast and accurately.

Integrate project management, resource planning and budgeting for real‑time decision making. Lead your agency towards optimal efficiency and profitability. Tailor made for agencies of all shapes and sizes. Increase visibility into all parts of project process, automate manual tasks, and improve reporting. Increase agency profitability by up to 30% with all‑in‑one integrations. Easily scalable for business growth. Improve team collaboration, reduce errors, and increase project visibility. Save time on administrative tasks and manage team happiness.

Automate complex transactional workflows with Rossum’s AI document processing solution. Reduce manual tasks, increase accuracy, drive efficiency.

EZClaim's medical billing software helps practices and RCMs alike improve the efficiency of the billing process and become more accurate and profitable.

The #1 choice and the industry standard shop management software that generations of shop owners trust to run their businesses. Supercharge your productivity today!

CareVoyant provides integrated cloud-based software for Home Care, Home Health, Private Duty Nursing, Non-Medical, Personal Care, and HCBS.

Read EDI, create EDI, edit EDI. We provide custom middleware and HIPAA EDI utilities for the healthcare industry, solutions for financial, administrative and clinical electronic transactions. Click here to learn more

Extract data from PDF documents and images in real time. Intelligent Document Processing for your Business Automate data extraction from your business documents with AI. Use it free.

Save time and money with the #1 network solution for automating AP processes. Remove paper, go digital and benefit from AI tools

Discover how to attract, engage and retain more patients, while simplifying operations, balancing workloads, and growing profitability

Unlock the full potential of your data with Clarify Health. Our cutting-edge healthcare analytics software provides actionable insights to improve patient outcomes & reduce costs.

Discover PrimeCare, the comprehensive long-term care pharmacy software and management system. Streamline workflows and optimize your pharmacy's performance today.

SSI's healthcare revenue cycle management solutions help providers streamline workflows, improve efficiencies and revenue, and reduce costs.

PrimeDELIVERY™ solution offers secure, on-time medication deliveries that meet all regulatory requirements.

Sourcing Force is an end-to-end Procurement and Sourcing software that helps organizations streamline and simplify their workflows by digitizing them.

Forcura is the leader in document management and HIPAA-compliant communication for healthcare organizations. Learn how we can help your organization get the most out of your EHR and move forward on the path to seamless EHR interoperability.

Grow your business, not your administrative burden. Fourth gives you flexible, scalable HR and payroll solutions designed for you and your employees.

Need to engage a single patient, a specific group, or patient populations? Do it smarter with intelligent patient communication platform…

Learn how our digital payments solution helps you cut costs, streamline payments, find new revenue sources, and negotiate better terms with any supplier.

The 3M%3Csup%3Esm%3C/sup%3E Healthcare Transformation Suite combines payment-related methodologies, program design, reporting and analytics tools, and consulting services to support payers with the move from fee-for-service to value-based payment.

BridgerPay is the world’s first payment operations platform, built to automate ALL payment flows with a Lego-like interface, empowering ANY business to scale their payments, insights, and revenue with a codeless, unified, and agnostic software.

Swearingen Software offers a radiology information system that is dependable with excellent service. Contact us today for the best system out there.

Integrate flawlessly with Airbnb, Booking.com, Expedia, and many more. Use features such as our channel manager, payment management system, website builder, property management system to automate your business.

Build software that moves beyond rules engines and workflow management to improve and accelerate any business process. No code required.

Tipalti delivers smart payables that elevate modern business. Let’s bring scale, efficiency, and focus to your business through fully automated, end-to-end solutions.

Build software that moves beyond rules engines and workflow management to improve and accelerate any business process. No code required.

R.O. Writer auto shop management software optimizes critical tasks such as service writing, estimating, time tracking, resource scheduling, and more.

At Global Healthcare Exchange (GHX), our mission is to help increase your operational efficiency and drive down costs of doing business. We do this by automating your supply chain (SCM), increasing visibility into information and providing business intelligence tools to help you make smarter, better and faster decisions that impact your bottom line.

The industry standard for managing billing, claims, and policies. More than 500 insurers run on our platform. Contact us to schedule a demo today.