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2005 Category Leader Claims Management

2005 KLAS Category Leader Claims Management

2024 BEST IN KLAS

Who is theKLAS Category Leader?

Solutions Not Ranked

Limited Data Products

Score

Ingenix*

79.2

Component [C], Not Primary [NP], Regional [R] or Limited Market Share [MS]

*Does not meet minimum KLAS Konfidence level.

Trend does not include the Best KLAS score

See the latest BEST IN KLAS 2018

2024 Best in KLAS Awards - Global Software
2024 GLOBAL
2024 Best in KLAS Awards - Software and Services
2024 BEST IN KLAS

How do Claims Management solutions compare?


Veradigm Logo
McKesson EC2000 Claims Administrator
Konfidence
50
 
100
 

2

HDX Logo
HDX
 
 

3

The SSI Group Logo
ClickON
 
 

4

Change Healthcare Logo
Per-Se ePremis (NDC)
 
Software 0.0
 

Past Claims Management Awards

2024
Claims Management & Clearinghouse 2024 Claims Management & Clearinghouse
2023
Claims Management & Clearinghouse 2023 Claims Management & Clearinghouse
2022
Revenue Cycle – Claims Management 2022 Revenue Cycle – Claims Management
2021
Revenue Cycle – Claims Management 2021 Revenue Cycle – Claims Management
2020
Revenue Cycle - Claims Management 2020 Revenue Cycle - Claims Management
2019
Revenue Cycle - Claims Management 2019 Revenue Cycle - Claims Management
2018
Revenue Cycle - Claims Management 2018 Revenue Cycle - Claims Management
2017
Claims Management 2017 Claims Management
2015/2016
Claims Management 2016 Claims Management
2014
Revenue Cycle - Claims Management 2014 Revenue Cycle - Claims Management
2013
Revenue Cycle - Claims Management 2013 Revenue Cycle - Claims Management
2012
Revenue Cycle - Claims Management 2012 Revenue Cycle - Claims Management
2011
Revenue Cycle - Claims Management 2011 Revenue Cycle - Claims Management
2010
Revenue Cycle - Claims Management 2010 Revenue Cycle - Claims Management
2009
Revenue Cycle - Claims Management 2009 Revenue Cycle - Claims Management
2008
Revenue Cycle - Claims Management 2008 Revenue Cycle - Claims Management
2007
Revenue Cycle - Claims Management 2007 Revenue Cycle - Claims Management
2006
Claims Management 2006 Claims Management
2005
Claims Management 2005 Claims Management
Related ReportsView All Reports
Decision Insights
KLAS article icon
Claims Management 2023
25 January 23    |   Dustin Cragun and Jaren Day
The financial well-being of healthcare organizations is critical, especially given the macroeconomic pressures they face today. Many are looking at claims management and clearinghouse technology to maximize cash collections and reduce administrative burdens. To better understand what factors are influencing purchase decisions and which vendors are seen as capable of driving success, this report examines 24 recent purchase decisions validated by KLAS between February 2020 and November 2022. For additional context, satisfaction data from current customers is also included. It should be noted that the decisions in this report are not a comprehensive representation of all claims management purchase decisions made in the last several years.
Perception
KLAS article icon
Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare. The merger remains unfinalized, however, as the US Department of Justice blocked the deal in February 2022 due to anticompetition concerns—such a merger would give UnitedHealth Group, Optum’s parent company and the nation’s largest insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and scheduled to go to trial August 1, 2022. This report shares Optum and Change Healthcare customers’ reactions to the merger and their perceptions of its impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from 46 unique organizations; of these respondents, 9% are Optum customers, 56% are Change Healthcare customers, and 35% are customers of both vendors.

Konfidence

Konfidence level
Konfidence Level Description
Products must have at least 30 live organizations participating for software and at least 15 live organizations for professional services. Exception to this is Transcription Services (30).
Products must have at least 20 live organizations participating for software and at least 10 live organizations for professional services. Exception to this is Transcription Services (20).
Products must have at least 15 live organizations participating for software and at least 6 live organizations for professional services. Exception to this is Transcription Services
-
The Konfidence level on this product rating is low. These results are for early trend detection. As more performance data is received, the result is likely to have a wide variance.
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