Healthcode Claims Management
Healthcode Claims Management: A paid claims-clearing service with invoice validation, tracking and eligibility checks. Ranked #5 of 12 in Healthcare Claims Processing And Management Software by our editors (8.5/10); pricing: Paid; best for smaller practices seeking affordable claims clearing.
At a glance
- Editor score8.5 / 10
- PricingPaid
- Best forSmaller practices seeking affordable claims clearing
- Free planNo
- Paid from£9.20/unit/mo
- Claim submissionYes
- Founded2000 · Staines-upon-Thames, England, United Kingdom
- Facts checked24 Sep 2026
Where it wins
- Submits single invoices or batches electronically to payors
- Validates invoices and flags errors against payor requirements
- Tracks claims, checks eligibility and supports rejection follow-up
Where it doesn't
- The subscription has an additional transaction fee
- Transaction fees vary by invoice value band
- ePractice has separate plans and is not included
Our verdict on Healthcode Claims Management
Healthcode Claims Management provides invoice clearing and claims tools for private healthcare practitioners, practices, clinics, hospitals and insurers. Its Clearing Service is aimed at organizations that need to submit invoices electronically to payors and follow their progress, rather than adjudicate claims. The service accepts single invoices or batches from Healthcode Account, ePractice or compatible billing software, and checks invoices against payor requirements before submission. Smaller practices looking for an affordable clearing workflow may find its per-payee-provider subscription price relevant; organizations seeking claims adjudication should look elsewhere.
The published Clearing Service pricing shows a monthly subscription of £9.20 per payee provider for electronic invoice clearing and validation, plus a separate transaction fee that varies by invoice value band. This means the subscription price is only one part of the cost. ePractice is a compatible route for submitting invoices, but it has separate plans and is not included in the starting price. Buyers should consider both the subscription and transaction charges when assessing fit across their invoice volumes and value bands.
Beyond submission, the workflow covers validation, collection confirmation, claim-status tracking, patient or member eligibility and insurance coverage checks, rejection flags, denial follow-up and insurer remittance information for reconciliation. It connects with ePractice and compatible third-party billing and practice-management software, and is delivered through the web as a cloud service. The wider suite also includes pre-authorisation and payment reconciliation. Healthcode lists email, chat, phone, ticket and documentation support, along with GDPR and ISO 27001 compliance. Choose it if electronic clearing and follow-up are the priority; consider an alternative if adjudication is central to your requirements.
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Healthcode Claims Management pricing
All 2 Healthcode Claims Management plans and prices →
Healthcode Claims Management fact sheet
| Free plan | No |
|---|---|
| Paid from | £9.20/unit/mo |
| Claim submission | Yes |
| Claim status tracking | Yes |
| Claims adjudication | No |
| Denial management | Yes |
| EDI transactions | Yes |
| Eligibility verification | Yes |
| Deployment | Cloud |
| Platforms | Web |
| Compliance & security | GDPR, ISO 27001 |
| Support | Email, Live chat, Phone, Tickets, Docs |
| Built for | Solo, Small business, Mid-market, Enterprise (editorial estimate) |
| Integrations | 2 integrations: ePractice, Third-party billing and practice-management software |
| Pricing | Paid (source) |
| Website | healthcode.co.uk |
| Facts checked | 24 Sep 2026 |
Healthcode Claims Management integrations
Healthcode Claims Management lists 2 integrations on its own site.
- ePractice
- Third-party billing and practice-management software
Alternatives to Healthcode Claims Management
- Oracle Health Insurance Claims AdministrationA broad claims lifecycle system for health plans that need configurable adjudication and settlement.9.3
- Pega Smart Claims Management for HealthcareAn enterprise claims workflow system spanning intake, adjudication, routing, and testing.9.1
- TriZetto QicLinkA payer-focused administration system for configurable claims workflows and adjudication.9.0
See all Healthcode Claims Management alternatives →
Healthcode Claims Management vs the competition
- Healthcode Claims Management vs Oracle Health Insurance Claims Administration
- Healthcode Claims Management vs Pega Smart Claims Management for Healthcare
- Healthcode Claims Management vs TriZetto QicLink
- Healthcode Claims Management vs Waystar
- Healthcode Claims Management vs HHAeXchange
- Healthcode Claims Management vs TCS BaNCS for Treasury
Compare Healthcode Claims Management with any tool side by side →
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Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
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