Payer Software

Associated Market Segments

Care Management Solutions (Payer)

Stand-alone vendor solutions designed to provide analytics and workflow capabilities to help healthcare payers manage and...

Claims Accuracy & Payment Solutions (Payer)

Vendor software solutions that help ensure accurate payment/reimbursement accuracy for payers through the appropriate...

Customer Relationship Management (CRM)

Systems that manage patients' contact data by contacting, organizing, and managing potential and current clients, much like...

Health Insurance Enrollment/Ecommerce Platforms

Vendor platforms designed to enable and simplify the health insurance shopping and enrollment experience for consumers

Healthcare Price Transparency

Vendor solutions that help health plans understand and track member engagement and that help provide healthcare pricing...

Payer Claims & Administration Platforms

Core claims/ administration systems used by health plans to process and pay (adjudicate) claims, enroll health plan members,...

Payer Quality Analytics

Vendor solutions used by health plans to measure and report performance on quality of care, i.e. fulfilling regulatory...