Claims & Clearinghouses
The rails that move claims, remits, and eligibility transactions between providers and payers, from legacy networks to API-first challengers.
Waystar
Public RCM platform spanning claims to patient payments
Health systemsMedical groupsBilling companies
Availity
Payer-owned network for claims and eligibility
Health systemsPayersMedical groups
Stedi
API-first clearinghouse for developers
Digital healthDevelopers
Candid Health
Automated billing infrastructure for digital health
Digital healthProvider groups
Change Healthcare (Optum)
The largest US medical claims clearinghouse, now part of Optum
Health systemsMedical groupsBilling companiesPayersPharmacies
Experian Health
Patient access, coverage discovery, and claims tools from Experian
Health systemsMedical groupsLabsBilling companies
Office Ally
Low-cost all-payer clearinghouse with practice software attached
Physician PracticesBilling CompaniesPayersIPAs