SSI Group Claims Management
SSI Group Claims Management: A broad claims workflow for mid-market providers, with pricing handled through sales. Ranked #8 of 12 in Healthcare Claims Processing And Management Software by our editors (7.8/10); pricing: Pricing on request; best for mid-market providers needing clearinghouse claims workflows.
At a glance
- Editor score7.8 / 10
- PricingPricing on request
- Best forMid-market providers needing clearinghouse claims workflows
- Claim submissionYes
- Facts checked24 Sep 2026
Where it wins
- Validates claims with industry-, payer-, and provider-level edits
- Tracks electronic submissions and claim status through dashboards
- Connects claims work with denials, eligibility, and remittance reconciliation
Where it doesn't
- Pricing requires contacting sales
- It is part of a broader revenue cycle suite, not a standalone claims tool
- Support is listed by phone, with no other channel specified
Our verdict on SSI Group Claims Management
SSI Group Claims Management supports healthcare providers and payers with claim creation, validation, electronic submission, and status tracking. It is aimed at mid-market and enterprise organizations, with the strongest fit for mid-market providers needing clearinghouse claims workflows. The workflow extends into denial follow-up, eligibility and benefits transactions, and remittance reconciliation, bringing several claims-related tasks into one product family.
The claims process covers payer- and provider-level edits, automated routing, electronic submission, and real-time status dashboards. Payer rule updates and claim correction workflows address exceptions before or during processing, while denial trend analysis supports follow-up. Eligibility transactions run through SSI’s clearinghouse, and remittance matching and reconciliation connect payment information back to claims. These capabilities make the product broader than a submission-and-tracking tool; teams looking for just a narrow claims function may find the wider revenue cycle suite unnecessary.
SSI describes integrations with Epic, MEDITECH, and Oracle Health, which may suit organizations using those EHR systems. The product is cloud-deployed, and phone support is listed. According to the vendor’s pricing approach, prospective customers are directed to request a demo or contact sales; the published information describes no self-service plans or individual tiers. That sales-led process is worth factoring into evaluation. Providers seeking clearinghouse workflows spanning validation, routing, denials, eligibility, and reconciliation should consider SSI, while buyers who need transparent plan pricing or a standalone claims product may prefer alternatives.
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SSI Group Claims Management pricing
SSI Group Claims Management fact sheet
| Free plan | Not verified |
|---|---|
| Paid from | Not verified |
| Claim submission | Yes |
| Claim status tracking | Yes |
| Claims adjudication | Not verified |
| Denial management | Yes |
| EDI transactions | Yes |
| Eligibility verification | Yes |
| Deployment | Cloud |
| Support | Phone |
| Built for | Mid-market, Enterprise (editorial estimate) |
| Integrations | 3 integrations: Epic, MEDITECH, Oracle Health |
| Pricing | Pricing on request |
| Website | thessigroup.com |
| Facts checked | 24 Sep 2026 |
SSI Group Claims Management integrations
SSI Group Claims Management lists 3 integrations on its own site.
- Epic
- MEDITECH
- Oracle Health
Alternatives to SSI Group 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 SSI Group Claims Management alternatives →
SSI Group Claims Management vs the competition
- SSI Group Claims Management vs Oracle Health Insurance Claims Administration
- SSI Group Claims Management vs Pega Smart Claims Management for Healthcare
- SSI Group Claims Management vs TriZetto QicLink
- SSI Group Claims Management vs Waystar
- SSI Group Claims Management vs Healthcode Claims Management
- SSI Group Claims Management vs HHAeXchange
Compare SSI Group 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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