Top 10 HealthRules Payer Alternatives & Competitors

Top 10 Alternatives to HealthRules Payer Recently Reviewed By G2 Community

#1

TriZetto Facets
By Cognizant
(17)4.3 out of 5
Facets is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
Reviewers say compared to HealthRules Payer, TriZetto Facets is:
Better at meeting requirements
See all TriZetto Facets reviews
#2

TriZetto QNXT
By Cognizant
(13)4.3 out of 5
TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all TriZetto QNXT reviews
#3

Veradigm Revenue Cycle Services
By Veradigm
(16)4.1 out of 5
Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
Reviewers say compared to HealthRules Payer, Veradigm Revenue Cycle Services is:
Better at meeting requirements
See all Veradigm Revenue Cycle Services reviews
#4

Zelis
By Zelis
(14)3.8 out of 5
Zelis harnesses data-driven insights and human expertise at scale to optimize every step of the healthcare payment cycle.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all Zelis reviews
#5

Simple Fractal
By Simple Fractal
(14)4.9 out of 5
Custom robotic process automation solutions scaled for the middle-market
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
Reviewers say compared to HealthRules Payer, Simple Fractal is:
Better at support
Better at meeting requirements
More usable
See all Simple Fractal reviews
#6

NaviNet Open
By NantHealth
(14)4.3 out of 5
NaviNet Open Foundation consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to configure and customize the system.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all NaviNet Open reviews
#7

Veradigm Payerpath
By Veradigm
(12)4.1 out of 5
Veradigm Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.​
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all Veradigm Payerpath reviews
#8

intelliPath ePA
By eviCore
(10)3.7 out of 5
Clinical Decision Support (CDS) system is a next-generation decision-support solution available to providers today.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all intelliPath ePA reviews
#9

QuickCap
By MedVision
(4)4.5 out of 5
QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all QuickCap reviews
#10

PLEXIS Payer Platforms
By Plexis Healthcare Systems, Inc.
(4)3.8 out of 5
PLEXIS platforms provide core administration (benefit administration) and claims management engines.
Categories in common with HealthRules Payer:
• Healthcare Payers' Core Administrative Processing Solutions
See all PLEXIS Payer Platforms reviews