A+ = 95.0+
A = 91.0-94.9
A- = 88.0-90.9
B+ = 85.0-87.9
B = 81.0-84.9
B- = 78.0-80.9
A = 91.0-94.9
A- = 88.0-90.9
B+ = 85.0-87.9
B = 81.0-84.9
B- = 78.0-80.9
C+ = 75.0-77.9
C = 71.0-74.9
C- = 68.0-70.9
D+ = 65.0-67.9
D = 61.0-64.9
D- = 58.0-60.9
F = <58.0
C = 71.0-74.9
C- = 68.0-70.9
D+ = 65.0-67.9
D = 61.0-64.9
D- = 58.0-60.9
F = <58.0
Based on KLAS' Decision Insights data, the market energy indicator reflects the frequency with which a vendor is seriously considered and replaced compared to what would be expected based on the number of vendors in the market and the number of purchase decisions recorded.
Market average: 86.5
Software average: 80.6
Overall performance score (100-point scale) |
Trend (2024-2025) |
# of unique orgs |
Culture
|
Loyalty
|
Operations
|
Product
|
Relationship
|
Value
|
||
|
Waystar
Claims Management 
|
91.8 |
+6%
|
36
|
A
|
A+
|
A-
|
A
|
B+
|
A-
|
|
| |
|
|
|
|
||||||
|
Availity
Essentials Pro
|
90.6 |
+4%
|
28
|
A
|
A
|
A-
|
A-
|
A-
|
A-
|
|
| |
|
|
|
|
||||||
|
Quadax
Xpeditor
|
89.4 |
+4%
|
50
|
A-
|
A
|
B+
|
A-
|
A-
|
A-
|
|
| |
|
|
|
|
||||||
|
Experian Health
ClaimSource
|
88.4 |
-1%
|
36
|
B+
|
A-
|
B+
|
A-
|
B+
|
B+
|
|
| |
|
|
|
|
||||||
|
FinThrive
Claims Manager
|
88.0 |
+2%
|
29
|
B+
|
A
|
B+
|
B+
|
B
|
B+
|
|
| |
|
|
|
|
||||||
|
The SSI Group
SSI Claims Management
|
83.4 |
-6%
|
18
|
B
|
B
|
B+
|
B
|
B-
|
B+
|
|
0.0 |
100.0 |
|||||||||
91.8
36
culture
A
loyalty
A+
operations
A-
product
A
relationship
B+
value
A-
90.6
28
culture
A
loyalty
A
operations
A-
product
A-
relationship
A-
value
A-
89.4
50
culture
A-
loyalty
A
operations
B+
product
A-
relationship
A-
value
A-
88.4
36
culture
B+
loyalty
A-
operations
B+
product
A-
relationship
B+
value
B+
88
29
culture
B+
loyalty
A
operations
B+
product
B+
relationship
B
value
B+
culture
B
loyalty
B
operations
B+
product
B
relationship
B-
value
B+
Additional Performance Insights
Additional Performance Insights
Ranked solutions for which at least 95% of respondents answered yes.
Keeps all promises?
Waystar
Claims Management
Claims Management
n=32 97%
Availity
Essentials Pro
Essentials Pro
n=24 96%
Part of long-term plans?
Availity
Essentials Pro
Essentials Pro
n=27 100%
Waystar
Claims Management
Claims Management
n=32 100%
FinThrive
Claims Manager
Claims Manager
n=28 97%
Experian Health
ClaimSource
ClaimSource
n=34 95%
Would you buy again?
Waystar
Claims Management
Claims Management
n=34 100%
Quadax
Xpeditor
Xpeditor
n=48 96%
Keeps all promises?
Waystar
Claims Management
Claims Management
n=32 97%
Availity
Essentials Pro
Essentials Pro
n=24 96%
Part of Long Term Plans?
Availity
Essentials Pro
Essentials Pro
n=27 100%
Waystar
Claims Management
Claims Management
n=32 100%
FinThrive
Claims Manager
Claims Manager
n=28 97%
Experian Health
ClaimSource
ClaimSource
n=34 95%
Would you buy again?
Waystar
Claims Management
Claims Management
n=34 100%
Quadax
Xpeditor
Xpeditor
n=48 96%
Solutions Not Ranked
Ordered alphabetically
L C
|
Overall performance score (100-point scale) |
# of unique orgs |
Culture
|
Loyalty
|
Operations
|
Product
|
Relationship
|
Value
|
|
|
athenahealth
athenaEDI L C |
91.6 |
6
|
A
|
A+
|
A-
|
A-
|
A+
|
B
|
| |
|
|
|
|
||||
|
Cognizant
TriZetto Provider Solutions Clearinghouse C |
92.8 |
32
|
A
|
A
|
A
|
A
|
A-
|
B+
|
| |
|
|
|
|
||||
|
Office Ally
Clearinghouse C |
71.4 |
28
|
C
|
C
|
C
|
C
|
D
|
D+
|
| |
|
|
|
|
||||
|
Optum
Assurance Reimbursement Management L |
76.7 |
14
|
C
|
C+
|
B
|
B-
|
C+
|
C
|
| |
|
|
|
|
||||
|
TruBridge
Claims Management C |
86 |
15
|
B+
|
B+
|
B+
|
B+
|
B
|
B
|
| |
|
|
|
|
||||
|
Veradigm
Payerpath Clearinghouse L |
65.8 |
6
|
C-
|
D
|
C-
|
C-
|
D
|
D
|
L C
&nbps;
athenahealth
athenaEDI L C
athenaEDI L C
91.6
6
6
culture
A
loyalty
A+
operations
A-
product
A-
relationship
A+
value
B
Cognizant
TriZetto Provider Solutions Clearinghouse C
TriZetto Provider Solutions Clearinghouse C
92.8
32
32
culture
A
loyalty
A
operations
A
product
A
relationship
A-
value
B+
Office Ally
Clearinghouse C
Clearinghouse C
71.4
28
28
culture
C
loyalty
C
operations
C
product
C
relationship
D
value
D+
Optum
Assurance Reimbursement Management L
Assurance Reimbursement Management L
76.7
14
14
culture
C
loyalty
C+
operations
B
product
B-
relationship
C+
value
C
TruBridge
Claims Management C
Claims Management C
86
15
15
culture
B+
loyalty
B+
operations
B+
product
B+
relationship
B
value
B
Veradigm
Payerpath Clearinghouse L
Payerpath Clearinghouse L
65.8
6
6
culture
C-
loyalty
D
operations
C-
product
C-
relationship
D
value
D
