Top Health Insurance Software Companies. Best Systems & Solutions

Top Health Insurance Software Companies. Best Systems & Solutions

May 2022

Health insurance software is dedicated to handle and simplify business and current operations for medical professionals. Because these products work with customer data, they are subject to scrutiny and market compliance. Here’s a list of current leaders in the field. Get inspired and create your own solution!

Here, you’ll find a long list of health insurance software systems. You can also read an article on InsurTech companies to watch.

What is medical insurance software?

To qualify for the term, a health insurance platform should:

  • be designed to target specific health insurance industry problems
  • gather and process customer data
  • maintain compliance standards

It’s also good that health insurance software solutions have these features:

  • automated claim resolutions (to match claims against an InsurTech’s policy)
  • software architecture allowing omnichannel distribution for market reach
  • a “single source of truth” to reduce fraudulent claims

This is where AI for insurance companies helps. It can give your platform a level of precision needed to serve the customers, but also to know which of them are for real. Health insurance software solutions with artificial intelligence have a certain edge over similar products without it.

Benefits of a good insurance platform

Architects of a health insurance enrollment software should remember to include key functions. Automated claims pricing, authorization approvals with configurable rules, optimization of value-based payments, faster enrollments with digital ID cards, accurate billing with automated payments, and much more. These are the keys to success on this market.

Benefits come from understanding of what helps health insurance software companies and what ultimately serves their customers. Insurance software development should start by recognizing needs. Then you can think about features.

The list below is full of health insurance software companies with great products. If you want to create your own, think about your unique competitive advantage. Maybe narrowing the product scope could work? Or focusing on a niche? Either way, there are companies out there who can help you create health insurance software product.

1

Alan

250+ Employees
Paris, France
Est. 2016
We are Alan, health insurance that keeps it simple.
Specialities
  • Health Insurance
  • User Experience
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2

Cegedim Healthcare Insurance Management

250+ Employees
Boulogne Billancourt, France
Est. 1969
A solution that meets these needs and supports global operations with multi-lingual, multi-currency and multi-branding capabilities, shortens time-to-market, drives innovation through product agility and responds quickly to regulatory changes.
Specialities
  • Insurance Solutions
  • Health Technology
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3

iNube Software Solutions

250+ Employees
Bangalore, India
Est. 2010
iNube’s customer- centric digital insurance solutions address the major concerns of every member of the insurance ecosystem, across every facet of the insurance value chain, enriching customer engagement across various channels with quick and easy touch points, along with technological streamlining of core processes and preventing fraud.
Specialities
  • Life Insurance
  • Property and Casualty
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4

Salesforce Industries Health

250+ Employees
San Francisco, United States
Est. 1999
Employee benefit plans are here to stay. Help your customers make them easier to select and afford.
Specialities
  • Customer Relationship Management
  • Enterprise Cloud Computing
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5

Solartis Platform

250+ Employees
Manhattan Beach, United States
Est. 2004
A web based online quoting and straight through policy processing system for P and C and Life/Health insurance companies.
Specialities
  • Policy Administration Platform
  • Outsourcing
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6

BrokerEngage

50-249 Employees
Albuquerque, United States
Est. 2012
Benefitalign is a comprehensive cloud-based SAAS solution that enables Healthplans, Brokers, State governments and Exchanges – Private & State to adopt innovative business models for consumer-centric health plan and benefits administration.
Specialities
  • Cloud-based SAAS Solution
  • Business Models for Consumer
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7

Huli

50-249 Employees
San Jose, United States
Est. 2012
Huli is a healthcare technology company that offers SaaS products and applications for individual healthcare professionals, hospital networks, insurance companies, or other health professional networks.
Specialities
  • healthcare technology
  • hospital networks
  • insurance companies
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8

SimplyInsured

50-249 Employees
San Francisco, United States
Est. 2012
SimplyInsured is a simple online health insurance for small businesses.
Specialities
  • Health Insurance
  • Online Platform
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9

Verisk FAST

50-249 Employees
Iselin, United States
Est. 2010
FAST, which stands for “Flexible Architecture, Simplified Technology,” is a Verisk (Nasdaq:VRSK) business and a leading provider of end-to-end software for the life insurance and annuity markets. FAST, located in Iselin, N.J., provides a SaaS suite of out-of-the-box components that life insurers can use to quickly enhance or replace their legacy systems.
Specialities
  • Financial Services
  • Consulting
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10

AgencySmart

10-49 Employees
Fairfield, United States
Est. 1999
AgencySmart is an “all-in-one” cloud-based solution designed for general agents and retail brokers who sell employee benefits, insurance products, financial services and other industry related products (payroll, HR and consulting) to the commercial and individual marketplace. From data management to on-boarding and benefit enrollment, AgencySmart solves the problem of using multiple systems to manage your business. AgencySmart saves time, reduces labor cost and adds efficiencies that can make your agency more profitable.
Specialities
  • Insurance
  • Small Group Medical
  • Online Enrollment
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11

BA Insurance Systems

10-49 Employees
Pymble, Australia
Est. 1992
We know your insurance IT system is your livelihood. That’s why we invest heavily in support and the technology to make it happen for your business whenever, wherever and however you need to operate. We’ve lived and breathed the Australian insurance market for 25 years. The entirely Australian-based team, gives you direct, easy access to the people responsible for your project to ensure it meets your needs, smoothly and efficiently. Whether you are starting your new enterprise and need to be up and running with zero additional computer infrastructure or you are an established business looking to offer online quote, bind and pay options, BAIS delivers. Our long history of providing cloud-based solutions means you can be assured of a robust system, sound data security and flexible access for your people 24/7. We are software developers. If you want more than the extensive ibais system to run your business, then we will build you what you need – and make sure it is fully integrated. The software solutions we have developed for businesses worldwide have proved effective in sectors ranging from retail, tourism, shipping and port management as well as insurance. So, whether you are managing a team of ARs needing different levels of access and their own branding or simply wanting to complete your APRA report from the beach, BAIS makes it happen for you. BAIS – Making it happen for your business.
Specialities
  • Cloud-based Solutions
  • Software Solutions
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12

eHealthApp

10-49 Employees
Boise, United States
Est. 2005
eHealthApp provides agency-branded portals for insurance agents and brokers to allow employees of group customers the opportunity to complete health questionnaires, enrollment elections, and other forms online. The secure processes create efficiency for everyone involved – employees, employers, brokers, general agencies, and carriers.
Specialities
  • Health Insurance
  • Analysis
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13

GoodHealth

10-49 Employees
Bangalore, India
Est. 2019
India’s leading enterprise health benefits platform for employees to engage with their health, wellness and benefit programs. GoodHealth offers a gateway to healthcare with an ecosystem of over 30+ insurance and healthcare partners. Hundreds of employers are currently using GoodHealth to transform their employee experience and reduce costs.
Specialities
  • Health Benefits Platform
  • Wellness and Benefit Programs
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14

HaelthTech

10-49 Employees
Muntinlupa City, Philippines
Est. 2015
HǣlthTech is an advanced software company specialising in highly cost effective, flexible, web and mobile based health insurance and risk management systems for individual, insured group and self insured schemes.
Specialities
  • Health Care
  • Information Technology
  • Software
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15

HIPS

10-49 Employees
San Jose, United States
Est. 1998
The HIPS system is a comprehensive and integrated solution that covers every aspect of health insurance administration. From credentialing providers through claims reimbursement and electronic payment, HIPS is designed to maximize scalability and minimize administrative costs by working in a completely user friendly web-based environment.
Specialities
  • Leading Consulting
  • Development Finance Institutions
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16

InsSoft

10-49 Employees
Janesville, United States
Est. 1999
Cloud-based billing system for Insurance Products. Used by over 30 insurance programs and manages over 5,000,000 transactions per year. Completely a la carte solution.
Specialities
  • Health and Life Insurance
  • Insurance Development
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17

Kanopi

10-49 Employees
Melbourne, Australia
Est. 2019
Powering smart, simple, more human insurance
Specialities
  • Digital Platforms
  • Marketplaces
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