TriZetto QNXT 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.

Accenture offers end-to-end efficiency accelerates customer acquisition, boosts retention & promotes long-term growth for health payer organizations. Read more.

HealthRules Payer’s auto-adjudication feature ensures accurate payment processing for healthcare payers. Learn more about our auto-adjudication feature today.

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

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

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

Insurance Systems Inc.

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

Carecenta, the ultimate in advanced home care management software, is a cloud-based platform that features the next generation of robust workflow management and financial software solutions for home care agencies of all sizes

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

Benefitfocus (NASDAQ: BNFT) unifies the entire benefits industry through innovative technology solutions that bring efficiency, cost savings and simplicity to employee benefits administration.

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

Cerner HealtheIntent is a cloud-based, programmable population health management platform that enables health care systems to aggregate and reconcile data.

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

InsuranceNow is a powerful, proven, and affordable insurance core platform that’s purpose-built for regional and super-regional P&C insurers and MGAs. Learn more.

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

BriteCore is a cloud-native platform for P&C insurers that unlocks business growth, delivers greater productivity and efficiency, and provides a modern customer experience.

ClaimCenter is a trusted claims management software that helps you resolve claims faster, exceed customer expectations, and ignite innovation. Schedule a demo!

Accenture Life and Annuity Software delivers modern software solutions to help clients meet evolving market demands and advance their digital agenda. Read more.

At Socotra, we solve very old insurance problems in entirely new ways. Businesses worldwide experience fast and easy implementations, effortless upgrades, and exceptional speed. The platform offers unparalleled flexibility and the freedom to connect with any internal or external tools and data sources, all in an environment loved by developers and end users alike.

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

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

Our Suite includes full-featured policy, rating, billing, and claims solutions that are essential to P&C insurers. Learn more about the Duck Creek Suite.

Benefitfocus (NASDAQ: BNFT) unifies the entire benefits industry through innovative technology solutions that bring efficiency, cost savings and simplicity to employee benefits administration.

See how the PlanSource benefits management platform can help you save time, reduce benefit costs & maximize employee engagement w/ end-to-end benefits solutions

Digital insurance solution that enables carriers, brokers, and MGAs to design, build and launch insurance products. Learn more.

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

PointClickCare’s cloud-based Senior Living Core Platform provides the tools needed related to medication management, occupancy, finances, service plans, and more.

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

RCM Cloud is an end-to-end revenue cycle management solution that offers fully integrated functionality and Service Level Agreements (SLAs) to truly transform the revenue cycle.

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

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.

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

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

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

Policy for P&C. A comprehensive policy management software that provides full lifecycle processing capabilities for all lines of P&C insurance.

MEDHOST EDIS. MEDHOST Emergency Department Information System can help deliver fewer medical errors, more revenue for hospitals, faster patient throughput, and higher patient satisfaction scores

OneVault - Cloud based software for Clinical Governance and Healthcare Accreditation. Everything from policy and procedure to audits, gap analysis, credentialling and training to management of risk, QMS, patient incidents and quality improvement. No matter how many accreditation standards your healthcare organisation needs to comply with, OneVault can tackle them all in one secure and easy to use system.

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

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

Optimize financial performance with XiFin Revenue Cycle Management (RCM). See how XiFin goes beyond medical billing with its purpose-built platform.

ClaimXperience is a collaborative, claims handling platform that enhances policyholder experience, reduces claims handling costs, and speeds up the claims cycle.

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

Achieve better claimant outcomes with FINEOS Claims Management Software - the leading solution for Life, Accident & Health insurance claims.

With QT9™ QMS, you can centralize quality on one platform that scales with your needs. Get QT9 Quality Management System and get implemented on core quality functionality in less than 30 days!

AdminSEG: a customizable cloud-based system for insurance providers, offering policy management, underwriting, claims, and CRM with real-time access.

QAD Adaptive ERP combines manufacturing ERP software and supply chain capabilities with a modern platform and user experience to help manufacturers better identify and address change in their industry. Cloud-based enterprise resource planning (ERP) system is flexible, dependable and a low-risk solution that can quickly adapt to changes and challenges associated with manufacturing, supply chain and operational management. QAD's ERP software system offers rapid implementation, upgrades at your pace and is fully integrated applications from the QAD Adaptive Applications portfolio with global around-the-clock support and the ability to manage third-party applications.

WebPT values your privacy. Explore our comprehensive Privacy Policy to understand how we handle, protect, and respect your data.

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

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

SpeedBuilder Systems offers software for insurance administration solutions for small-to-medium-sized P&C insurance companies. Call 803-227-0225 for more information.

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

Global provider of intelligent diagnostic informatics solutions and expertise designed to redefine labs across healthcare, life sciences, public health

MavenVista is a one-stop solution for procurement management software and system. We deliver intuitive software solutions to control your procurement process with the experience of industry experts.

Healthcare Workforce Management software to boost engagement and retention, optimize staffing, and reduce labor costs.

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

The fully digital end-to-end insurance claims platform. No-code digital claims management that delights customers and collapses costs.

Get healthcare chatbots, secure texting, and a digital front door that is HIPAA-compliant. Maximize communication between healthcare teams and patients in real-time.

ClickClaims is a Saas Claims Management Solution for P&C Insurance Carriers, IA Firms, Third Party Adminstrators and Specialty Providers.

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

Our all-in-one CMMS healthcare and senior living solutions simplify facility maintenance and operations, so you can connect, prioritize and optimize tasks be...

Solutions to help life sciences organizations drive healthcare forward and get the right treatments to patients, faster.

We make impossible innovation easy, with software to engage employees, stakeholders and customers and drive revolutionary business innovation.

Transform healthcare benefits administration with BenefitAlign's innovative SaaS solutions. Streamline enrollment, increase productivity, and enhance customer satisfaction. Explore our end-to-end technology solutions today

Claims Administration System for Carrier Claims Departments, SIRs and TPAs

#1 Most Innovative Insurance Agency Management System - for MGAs, MGUs, Wholesalers. Underwriting, Policy Management, Issuance, Compliance & Accounting

MEDITECH Expanse

Our web-based agency management system covers home health, pediatric, private duty, and hospice care. In other words, KanTime covers it all.

Serve, Monitor, Manage and Scale your machine learning operations with our enterprise ready MLOps tools. Get a demo or start a trial today. %

Looking for a reliable PACS company and platform? Check out our cloud PACS solution for seamless medical image management. Streamline your workflow and boost practice efficiency today.

Our cutting-edge claims management software is designed to streamline and enhance your insurance operations.

The 3M™ 360 Encompass™ System platform is a collection of applications that work together to help hospitals streamline processes, receive accurate reimbursement, promote compliance and make data-informed decisions.

Product details and reviews of Genelco Insurance Administration Solution (GIAS) by Concentrix Corporation.

Qmatic is a global leader in customer journey management. We manage over two billion customer journeys each year, across more than 65,000 systems worldwide.

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

At TeleTracking, we build solutions to coordinate care and improve workflows so your healthcare system can focus on the most important part - your patients.

Pair the administrative control you want with the security you need through a single, centralized database with PointCentral.

Advance your insurance business with INSIS. The cloud-ready platform INSIS empowers insurers to automate processes and stay agile.

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

Optimize your cannabis business with CROPSIFY's services. Explore now!

Simplify complex business processes with Qntrl, a tailored BPM automation solution for enterprises. Drive efficiency to new heights!

RamQuest is the provider of the Land Title industry's most comprehensive title and settlement solutions.

Intel® Active Management Technology (Intel® AMT) equips IT for comprehensive computer device management, enabling remote monitoring and management utilizing the same infrastructure across platforms.

qmsWrapper is a QMS software that will help you get your ISO 9001 or certificate for your Medical Devices.

CorePlan is drilling management platform for mining, exploration and drilling companies to digitise their drill program operations. Move from pen, paper and spreadsheets to digital plods, drill planning, rig management, safety compliance and more using our cloud based software.

Empower your nursing & care teams to communicate, coordinate, and collaborate more efficiently with our role-based clinical communications app.

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

Discover how ACE®'s Quality Management System can streamline your quality processes. Improve consistency and reduce errors for continuous quality improvement.

QT9 ERP Software Digitally Transforms Manufacturing, Inventory Control, Purchasing, Sales & Accounting. 100% Cloud-Based ERP System. Explore QT9 ERP Today.

Axxess is a home healthcare technology company, providing a complete suite of cloud-based software solutions, empowering healthcare providers with solutions to make lives better.

Axxess is a home healthcare technology company, providing a complete suite of cloud-based software solutions, empowering healthcare providers with solutions to make lives better.

The BlackBerry UEM solution provides cross-platform, end-to-end security to support a wide range of devices for your organization.

Tridium is the developer of Niagara Framework® - a comprehensive software platform for the development and deployment of connected products and device-to-enterprise applications.

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

Corestream makes it easy for companies to connect their employees with voluntary benefits through a customizable and user-friendly platform.

Tricerat has decades of experience in providing printing and scanning software that is easy to implement and even easier to use. Maintain business continuity and enable your staff to print and scan in any VDI environment.

PeopleKeep's benefits administration software allows employers to offer health reimbursement arrangements (HRAs) and employee stipends.

Designed for insurance, ImageRight® offers enterprise content management with intelligent workflows, process automation, and data insights for claims, underwriting, and distribution.

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