Clean ClAImsFirst Pass

Stedi alternatives

6 other Claims & Clearinghouses vendors, ordered by how they stack up on our scorecard (maturity, backing, proof, implementation, security). Facts from public sources; judgments are ours.

Why buyers look beyond Stedi: It is clearinghouse rails, not a billing service; you need engineers to build eligibility and claims workflows on top of it.
  1. Public RCM platform spanning claims to patient payments

    Pick Waystar if you want one proven clearinghouse and claims platform covering eligibility through payments across any practice size.

    Per-transaction / per-chartSoftware platformSmall practicesMid-size groupsEnterprise systemsBilling companies
  2. Payer-owned network for claims and eligibility

    Pick Availity if you want free eligibility, claims, and auth transactions through the portal most payers already sponsor, before paying anyone for point solutions.

    Free to providers (funded by payers/pharma)Data / network utilitySmall practicesMid-size groupsEnterprise systemsPayersBilling companies
  3. Patient access, coverage discovery, and claims tools from Experian

    Pick Experian Health if you want a broad, proven RCM suite backed by payer connectivity and identity data from one vendor.

    Enterprise contract (custom)Data / network utilityEnterprise systemsMid-size groupsBilling companies
  4. Automated billing infrastructure for digital health

    Pick Candid Health if you're a digital health company with engineers on staff and want to run billing through an API instead of hiring a billing team.

    Percent of collectionsSoftware platformMid-size groupsEnterprise systems
  5. Low-cost all-payer clearinghouse with practice software attached

    Pick Office Ally if you want the cheapest credible all-payer clearinghouse and basic practice software, and can live without enterprise polish.

    Per-transaction / per-chartData / network utilitySmall practicesMid-size groupsBilling companiesPayers
  6. The largest US medical claims clearinghouse, now part of Optum

    Pick Change Healthcare if you need the broadest payer connectivity for claims, eligibility, and remits and can accept post-breach vendor concentration risk inside Optum.

    Per-transaction / per-chartData / network utilityEnterprise systemsPayersBilling companiesMid-size groups

Evaluating Claims & Clearinghouses vendors?

First Pass tracks this market every week: funding, launches, and what changed since this page was written.