Company lists · Data refreshed September 2026

Top 25 Insurance billing and accounting software companies based in the United States

RevenueBase identified 1,367 insurance billing and accounting software companies headquartered in the United States as of September 2026 and tracks 22,960 professional contacts across them, including 8,425 with verified work emails. Houston is the largest hub.

This list covers insurance billing and accounting software companies headquartered in the United States, matched on what each company actually does as described in its own words. Ranked by team size, largest first. Every row shows the company's own description, its RevenueBase Smart Search rating, and when it was last checked. Data refreshed September 28, 2026.

Published by RevenueBase, a B2B data infrastructure company. This list was built with RevenueBase Smart Search, the natural-language company search RevenueBase customers use to build their own targeted lists and unlock verified emails and direct dials at the companies on them. How these lists are built and judged.

How to read this list HQ checked on every row RevenueBase Smart Search rating on every row Refreshed Sep 28, 2026 86% judged on-target in blind review
1,367Companies
22,960Contacts tracked
8,425Verified emails
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The 25 largest insurance billing and accounting software companies based in the United States

Ranked by team size
Top 25 of 1,367 insurance billing and accounting software companies based in the United States, ranked by team size, largest first. Data refreshed Sep 28, 2026. RevenueBase Smart Search rates how each company's information relates to insurance billing and accounting software companies: strong evidence (its own description names it), partial (names part of it), indirect (matched on the rest of its profile rather than the description shown). Click a contact count to view that company's people.
#CompanyRevenueBase Smart SearchHeadquartersEmployeesContacts
1Partial evidenceDenver, CO, United StatesHQ checked Sep 28, 20261,001-5,0002,840 contacts →

Partial evidence

“We believe insurance is about relationships.”

Source: RevenueBase Database · checked Sep 28, 2026
2Partial evidenceChicago, IL, United StatesHQ checked Sep 28, 20261,001-5,0002,224 contacts →

Partial evidence

“For more than 40 years, Applied Systems has created innovative technology for the global insurance industry.”

Source: RevenueBase Database · checked Sep 28, 2026
3Strong evidenceHartford, CT, United StatesHQ checked Sep 28, 20261,001-5,000998 contacts →

Strong evidence

“Insurity is a leading provider of cloud-based software for insurance carriers, brokers, and MGAs.”

Source: RevenueBase Database · checked Sep 28, 2026
4Indirect evidenceTeaneck, NJ, United StatesHQ checked Sep 28, 202610001+968 contacts →

Indirect evidence

“Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era.”

Source: RevenueBase Database · checked Sep 28, 2026
5Partial evidenceWayne, PA, United StatesHQ checked Sep 28, 2026501-1,000859 contacts →

Partial evidence

“iPipeline is a leading global provider of comprehensive and integrated digital solutions for the life insurance and financial services industries in North America, and life…”

Source: RevenueBase Database · checked Sep 28, 2026
6Indirect evidenceMilwaukee, WI, United StatesHQ checked Sep 28, 2026501-1,000738 contacts →

Indirect evidence

“At Zywave, we don’t just build technology-we amplify impact.”

Source: RevenueBase Database · checked Sep 28, 2026
7Partial evidenceTampa, FL, United StatesHQ checked Sep 28, 202651-200560 contacts →

Partial evidence

“Physicians Independent Management Services, Inc.(PIMS) provides turn-key billing and practice management support to medical providers of all specialties.”

Source: RevenueBase Database · checked Sep 28, 2026
8Partial evidenceCuyahoga Falls, OH, United StatesHQ checked Sep 28, 20261,001-5,000542 contacts →

Partial evidence

“Unify Healthcare Services is a modern age Medical Billing Company, that specializes in all the billing intricacies.”

Source: RevenueBase Database · checked Sep 28, 2026
9Indirect evidenceMarlborough, MA, United StatesHQ checked Sep 28, 2026201-500500 contacts →

Indirect evidence

“OneShield provides business solutions for P&C insurers and MGAs of all sizes.”

Source: RevenueBase Database · checked Sep 28, 2026
10Indirect evidenceNew York, United StatesHQ checked Sep 28, 2026501-1,000393 contacts →

Indirect evidence

“Reserv leverages modern systems and creates new cutting-edge solutions to optimize any P&C claim.”

Source: RevenueBase Database · checked Sep 28, 2026
11Partial evidenceKing Of Prussia, PA, United StatesHQ checked Sep 28, 2026501-1,000239 contacts →

Partial evidence

“Mahathi Infotech helps insurance and healthcare organizations improve critical operations.”

Source: RevenueBase Database · checked Sep 28, 2026
12Strong evidenceRemote, United StatesHQ checked Sep 28, 202651-200183 contacts →

Strong evidence

“SunFire is a profitable, well-capitalized software and services company providing transformative and proven technology solutions for the Medicare Insurance market.”

Source: RevenueBase Database · checked Sep 28, 2026
13Indirect evidenceCollege Station, TX, United StatesHQ checked Sep 28, 2026201-500180 contacts →

Indirect evidence

“JBK is a team of professionals building great technology for the business world since 2001.”

Source: RevenueBase Database · checked Sep 28, 2026
14Indirect evidenceCharlotte, NC, United StatesHQ checked Sep 28, 2026201-500171 contacts →

Indirect evidence

“ImagineSoftware™ is redefining the future of healthcare revenue cycle management with ImagineOne® - the industry's Autonomous Revenue Cycle Management Operating System.”

Source: RevenueBase Database · checked Sep 28, 2026
15Strong evidenceWest Palm Beach, FL, United StatesHQ checked Sep 28, 2026201-500168 contacts →

Strong evidence

“ProfitSolv is a comprehensive suite of billing, payments, and software solutions for legal, accounting, and other professional services firms including consulting, architecture…”

Source: RevenueBase Database · checked Sep 28, 2026
16Strong evidenceWestlake Village, CA, United StatesHQ checked Sep 28, 2026201-500159 contacts →

Strong evidence

“Input 1 is a leading provider of tech-enabled solutions for the insurance industry with a proven track record of successfully managing $16 billion in annual insurance premiums…”

Source: RevenueBase Database · checked Sep 28, 2026
17Strong evidenceAtlanta, GA, United StatesHQ checked Sep 28, 2026201-500144 contacts →

Strong evidence

“Our people, software, and innovative solutions empower organizations to achieve optimal results from their risk, insurance, and claims programs.”

Source: RevenueBase Database · checked Sep 28, 2026
18Partial evidenceTroy, MI, United StatesHQ checked Sep 28, 202651-200136 contacts →

Partial evidence

“Finys was founded in 2001 to create a modern enterprise platform for Property Casualty insurance carriers.”

Source: RevenueBase Database · checked Sep 28, 2026
19Partial evidenceCedar Falls, IA, United StatesHQ checked Sep 28, 202651-200131 contacts →

Partial evidence

“The #1 Recommended Insurance Industry Growth Platform Accelerate the growth of your organization with the robust insurance-specific solutions that leading health, group benefits…”

Source: RevenueBase Database · checked Sep 28, 2026
20Indirect evidenceDavie, FL, United StatesHQ checked Sep 28, 2026201-500121 contacts →

Indirect evidence

“Desde 1987, Consis International ha acompañado a aseguradoras a nivel global en la obtención de resultados estratégicos a través de la tecnología.”

Source: RevenueBase Database · checked Sep 28, 2026
21Partial evidenceSomerset, NJ, United StatesHQ checked Sep 28, 2026201-500119 contacts →

Partial evidence

“Outline Systems is a software-development firm that helps insurers efficiently and effectively put control where it belongs, in their hands.”

Source: RevenueBase Database · checked Sep 28, 2026
22Partial evidenceNewark, DE, United StatesHQ checked Sep 28, 2026201-500116 contacts →

Partial evidence

“MBMS has been serving radiology practices since 1986 and currently provides billing for more than radiologists across the country.”

Source: RevenueBase Database · checked Sep 28, 2026
23Partial evidenceBrandon, FL, United StatesHQ checked Sep 28, 2026201-500110 contacts →

Partial evidence

“AQKODE Healthcare Solutions: Leading the Nation in Medical Billing Services At AQKODE Healthcare Solutions, we are proud to be a premier provider of medical billing services…”

Source: RevenueBase Database · checked Sep 28, 2026
24Partial evidenceSeattle, WA, United StatesHQ checked Sep 28, 202611-50106 contacts →

Partial evidence

“MBS prides itself in providing services beyond the normal scope of a billing service at one cost.”

Source: RevenueBase Database · checked Sep 28, 2026
25Indirect evidenceCanby, OR, United StatesHQ checked Sep 28, 202651-200105 contacts →

Indirect evidence

“Since 1995, HawkSoft is a leader in management systems for agencies that want effective workflows, refreshing experiences for staff and policyholders, and tools to build…”

Source: RevenueBase Database · checked Sep 28, 2026

Showing 25 of 1,367 insurance billing and accounting software companies based in the United States

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Insurance billing and accounting software companies based in the United States at a glance

As of Sep 28, 2026
36.7%Verified-email coverage
16.8Average contacts per company
11-50Median size (employees)
2.7%Largest-city concentration · Houston
Sep 28, 2026Page data refreshed

Companies by employee count

1-10
590
11-50
479
51-200
218
201-500
48
501-1,000
17
1,001-5,000
9
5,001-10,000
1
10001+
2

Email recency for this list is measured worldwide rather than for United States, so it is reported there. Company counts and contact totals on this page are exact for United States, over 1,367 companies.

How this list was built

Company categories are rarely black and white. RevenueBase reads each company's own description of its business to decide whether it belongs among insurance billing and accounting software companies, so some rows will be adjacent to the category rather than pure plays. The description and RevenueBase Smart Search rating on every row are there so you can check each match yourself.

Source
The RevenueBase company graph: 60 million companies and 398.9 million professional contacts resolved from primary sources, queried with RevenueBase Smart Search, the natural-language company search available to every RevenueBase user.
What qualifies
Companies headquartered in the United States whose own description of what they do matches “insurance billing and accounting software companies”. Matching reads each company's description, not its industry code or its name.
RevenueBase Smart Search
RevenueBase Smart Search is how this list is assembled and how each row is rated. RevenueBase's data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to a category defined in a user's own words. Each row is rated strong evidence (its own description names insurance billing and accounting software companies), partial evidence (it names part of the category) or indirect evidence (the description shown names none of it and the match rests on the rest of the company's profile). The description supporting each rating is quoted on the row.
What we exclude
Companies whose own description does not clearly place them among insurance billing and accounting software companies, and records with no verified work email. Companies headquartered outside United States are excluded even when they keep an office there.
Match quality
In blind human judging of this matching method, 86% of matched companies were on target. Expect roughly 1 in 7 rows to be adjacent to the category rather than a pure play. Every row shows the company's own description and its RevenueBase Smart Search rating so you can judge each match yourself. Read the full methodology: how the lists are built, how the judging worked, and what the figure means.
Ranking
Team size, largest first: companies are ordered by the number of professionals RevenueBase tracks at each one. Employee ranges shown are reported bands, for context.
Verification
Every listed company carries at least one verified work email, 8,425 across the full list. Contacts re-verify on a rolling cadence, and each contact's own verification date is shown inside RevenueBase.
Refresh
This page's figures were pulled from the company graph on September 28, 2026. Lists refresh periodically as the graph is re-checked.
Corrections
Wrong category, wrong headquarters, or a company that has closed? Use “Report an issue” on any row. Reports go to the RevenueBase Data Team and feed back into the company graph.

Frequently asked

What is RevenueBase Smart Search?

RevenueBase Smart Search is how RevenueBase decides which companies belong on this list and how strongly each one fits. Its data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to the category the list is about. Each row is rated strong evidence when the company's own description names insurance billing and accounting software companies, partial evidence when it names part of the category, and indirect evidence when the description shown names none of it and the match rests on the rest of the company's profile.

How many insurance billing and accounting software companies are there based in the United States?

RevenueBase identified 1,367 insurance billing and accounting software companies headquartered in the United States as of September 2026, matched on each company's own description of what it does rather than its industry code.

What is the largest company on this list?

Vertafore, headquartered in Denver, tops this list with the largest team on record.

Which city has the most insurance billing and accounting software companies?

Houston leads with 37 headquartered companies, followed by New York (36) and Austin (32).

How do I get contact information for these companies?

A free RevenueBase account lets you run this exact search and work the top results, verified emails and direct dials included. Upgrading unlocks all 8,425 verified decision-maker contacts tracked across these 1,367 companies.

How current is this list?

The list refreshes periodically as the company graph is re-checked. This page's figures were pulled on September 28, 2026.

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About this data

RevenueBase is a B2B data infrastructure company. Its company graph covers 60 million companies and 398.9 million professional contacts, with emails verified on a rolling cadence rather than scraped once and left to decay. These company lists are generated directly from that graph with RevenueBase Smart Search, the same natural-language company search every RevenueBase user has: describe a market in plain words, get the companies that match, and add verified emails and direct dials for the people at them. It is the same data that powers RevenueBase's B2B data products, and a free account includes 500 credits to start. How these lists are built and judged.