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Home › Reports › Claims AI vendor watch: Q4 2026

Claims AI vendor watch

New tools and pricing, Q4 2026

34 vendors name insurance claims teams on their own pages. 12 say their output cites the source page. 9 publish a price.

By Ahmed Jemaa, Co-Founder & CEO of Medrecords AI · Published 7 Sep 2026 · Updated 14 Sep 2026 · Sources checked 13 Aug 2026 to 7 Sep 2026Summarize with ChatGPT, Claude, Perplexity or Google AI

What happened, with dates

DateVendorEventLink
2025-12Bevaya (Roots Automation)Claims 93 percent loss-run accuracy on a self-run December 2025 benchmarksource
2025-12-31RiskAngleRiskAngle acquired by Hiren Patel and Rewisoftsource
2026-02-12HealthMark GroupHealthMark acquired Purview, expanding into digital medical imaging deliverysource
2026-02-25ExlService Holdings (EXLS)Introduced the exldata.ai agentic data solutions suite in Q4, with named client wins in fintech and healthcaresource
2026-04-29Verisk Analytics (VRSK)Described momentum in commercializing multi-year investments in agentic technologiessource
2026-04-30CCC Intelligent Solutions (CCC)Said AI solutions are the fastest-growing part of the portfoliosource
2026-06-04Guidewire Software (GWRE)Described agentic capabilities embedded in the claims adjuster workflowsource
2026-07-21Marsh & McLennan (MMC)Introduced Atlas, an AI-enabled platform, and Lenwork, an agentic assistantsource
2026-07-29ExlService Holdings (EXLS)Went live at a large national health plan with its first customer-facing agentic AI modulesource
2026-07-29Verisk Analytics (VRSK)Closed the acquisition of McKenzie Intelligence Services and moved property and casualty data sets into AI-ready environmentssource
2026-07-30CCC Intelligent Solutions (CCC)Said carriers are moving AI from pilots to full deployments in casualty and subrogationsource

How many vendors are behind the numbers on this page?

34. A vendor is counted for insurance claims teams only when it names that audience on its own commercial pages and carries page-level evidence in this study. The full pool is 364 companies, of which 90 carry that evidence.

At a glance
34Vendors counted
187Sources linked
1094Pages captured
172Reviews coded
On this page
  1. At a glance
  2. The article
  3. Methodology
  4. Sources
  5. Frequently asked
  6. More in this series
  7. How Medrecords AI does this work
  8. Explore the content hub
  9. See it on a file

The article

What changed in the last quarter for AI tools sold to the claims adjuster: new vendors, launches, pricing, language?

What the data says
  • 34 vendors name insurance claims teams on their own commercial pages. 12 of them say the output cites back to the source page.
  • 9 of 34 publish a price a buyer can act on without a sales call.
  • Of 74 public reviews of AI vendors in this category, 2 mention accuracy or error at all.
17
dated events since January 2025
funding, acquisitions, launches
7 of 34
publish an llms.txt file
pulled 2026-09-06 to 2026-09-07
12 of 34
publish sitemap dates we can measure
the rest are recorded as not measured
1
block AI crawlers in robots.txt
in this audience set

The language moved before the products did

The clearest signal of where this category is going is what its own homepages say. We pulled archived snapshots near 1 September in 2024, 2025 and 2026 and counted the same terms in each.

TermSept 2024Sept 2025Sept 2026Change
agentic015+5
citation or cited3210+7
verify or verification7711+4
chronology152020+5
human, nurse or physician review111no change
hallucination001+1

Out of 35 vendors with a snapshot near 1 September in all 3 years: American Retrieval Company, CLARA Analytics, MedChrons, everchron.com, EvolutionIQ, Flatworld Solutions, Hathr AI, Hona, Enlyte, owl.co, paxton.ai, rate-fast.com, yocierge.com, plus 22 vendors not named here.

How the category's own homepages changed their language

sites using each term at least once, out of 35 with archived snapshots in all 3 years

■ Sept 2024 ■ Sept 2025 ■ Sept 2026agentic015citation or cited3210verify or verification7711chronology152020human, nurse or physician review111hallucination001

Directional only. Homepages alone, and only the vendors the Internet Archive happened to capture near 1 September in each of the 3 years. Every snapshot is linked in sources.

Agentic went from 0 sites to 5 in 2 years. Citation language moved from 3 to 10, which is the fastest climb on the chart. Chronology was already the settled word and stayed there at 20 of 35.

Hallucination appears on 1 homepage in 2026 and 0 in 2024. Marketing departments will name the capability long before they name the failure mode, which is exactly why the buyer has to test for it rather than read for it.

Who is shipping

For a claims buyer, site activity matters because several of these vendors are services firms with a software layer, not software companies. 4 of the 14 named pages in sources are service pages from record retrieval, review or form-handling firms. A services firm can run an old website and a busy operation at the same time, so read the chart below as marketing activity, not product velocity.

Which sites are actually shipping

share of dated sitemap URLs changed in the last 180 days

the vendor100%the vendor100%owl.co100%rootsautomation.com99%the vendor95%the vendor86%the vendor80%the vendor73%the vendor68%casemark.ai53%rrsmedical.com49%the vendor47%

Measured from public sitemaps on 2026-09-06 to 2026-09-07. 11 vendors in this set publish no lastmod dates, so their velocity is recorded as not measured rather than as zero.

owl.co (100%) and rootsautomation.com (99%) changed nearly every dated URL in 180 days. casemark.ai (53%) and rrsmedical.com (49%) changed about half.

Prices and proof

9 of 34 claims vendors publish a price a buyer can act on without a sales call (26%), the lowest share of the 3 audiences in this series. Among LNC vendors, it is 9 of 17 (53%). Among QME vendors, it is 8 of 23 (35%). That fits how claims software is sold: enterprise contracts, per-claim or per-seat terms set in procurement. The named price pages are casemark.ai, Flatworld Solutions and precedent.com, and the rootsautomation.com page we captured is the Bevaya pricing page.

12 of 34 say the output cites back to the source page (35%), the lowest share of the 3 audiences in this series. Among LNC vendors, it is 13 of 17 (76%). Among QME vendors, it is 9 of 23 (39%). For an adjuster that gap matters more than price: a summary that cannot be traced to a page is hard to defend in a denial letter or at a hearing.

Openness

7 of 34 claims vendors publish an llms.txt file, the lowest share in this series. Only 1 blocks AI crawlers. Claims vendors are mostly not preparing for AI agents to read their sites, and mostly not stopping them either.

What to watch next quarter

  • Whether the roll-ups keep buying. The table at the top lists 11 dated events, including HealthMark buying Purview and Verisk closing McKenzie Intelligence Services.
  • Whether the carrier-side earnings language about agentic tools turns into named products a TPA can buy.
  • Whether more of the 34 put a citation claim on a product page, not only in blog posts.
  • Whether any of the 25 vendors without a public price publishes one.

Methodology

This is a secondary-research study, not a survey. The claims set is the deepest in the series: every named vendor page was captured on 2026-08-13 in a page-level scrape of up to 6 pages per site.

This article
34vendors counted
5677coded evidence rows
1094pages captured
172reviews coded

What we did

  1. A vendor counts for claims teams only when its own commercial pages name insurance claims, adjusters or TPAs.
  2. Each capability is marked yes only when the vendor's own copy says it, with the page URL, capture date and a short excerpt.
  3. Sitemaps, llms.txt and robots.txt were pulled live on 2026-09-06 and 2026-09-07.
  4. The term chart uses Internet Archive homepage snapshots near 1 September 2024, 2025 and 2026, for the 35 vendors captured in all 3 years. It covers the whole category, not only claims vendors.
  5. The dated events come from vendor news pages and from earnings call transcripts in our corpus; transcripts are listed by company and quarter.

What this cannot tell you

This measures what vendors publish, not what their software does. Claims software is mostly sold on enterprise terms, so a missing price here usually means a contract price, not no price. Services firms with an old website can still be busy firms. Every count is over this vendor set on these dates. It is not a market share estimate.

Sources

187 sources. Every figure in this article traces to one of them. External links are marked nofollow and open in a new tab. Earnings call transcripts sit in our own corpus and carry no public link, so they are listed by company and quarter for anyone who wants to pull the original.

Vendor pages that name insurance claims teams (34)

Pricing pages (8)

Funding, acquisition and product announcements (16)

Prices as of 7 Sep 2026.

Earnings call transcripts in the owned corpus (8)

  • ExlService Holdings (EXLS), Q4 2025 earnings call · 2026-02-25
  • Verisk Analytics (VRSK), Q1 2026 earnings call · 2026-04-29
  • CCC Intelligent Solutions (CCC), Q1 2026 earnings call · 2026-04-30
  • Guidewire Software (GWRE), Q3 FY2026 earnings call · 2026-06-04
  • Marsh & McLennan (MMC), Q2 2026 earnings call · 2026-07-21
  • ExlService Holdings (EXLS), Q2 2026 earnings call · 2026-07-29
  • Verisk Analytics (VRSK), Q2 2026 earnings call · 2026-07-29
  • CCC Intelligent Solutions (CCC), Q2 2026 earnings call · 2026-07-30

Internet Archive snapshots (105)

Reviews and threads quoted (16)

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Frequently asked

How many vendors are behind the numbers on this page?

34. A vendor is counted for insurance claims teams only when it names that audience on its own commercial pages and carries page-level evidence in this study. The full pool is 364 companies, of which 90 carry that evidence.

Which claims AI vendors publish a price?

9 of 34 publish a price a buyer can act on without a sales call, the lowest share in this series. The named price pages in sources are casemark.ai, Flatworld Solutions and precedent.com, and the Roots Automation page we cite is the Bevaya pricing page.

Do claims AI vendors say their output cites the record?

12 of 34 say so on their own pages (35%), against 13 of 17 LNC vendors and 9 of 23 QME vendors. Ask for a sample summary and trace entries to the pages they cite.

What changed in claims AI this year?

The events table lists 11 dated events, including HealthMark buying Purview (2026-02-12), RiskAngle changing owners (2025-12-31) and Verisk closing McKenzie Intelligence Services (2026-07-29).

Which claims vendor sites change most?

owl.co changed 100% of its dated sitemap URLs in 180 days and rootsautomation.com 99%. casemark.ai changed 53% and rrsmedical.com 49%. This is website activity, not product releases.

How Medrecords AI does this work

Medical chronology

A dated, deduplicated timeline with a citation on every entry.

Product

Medical record Q&A

Question the whole record in plain English; every answer cited.

Product

Verifiable AI citations

If it is not cited, it is not said.

Product

Explore the content hub

State programs

Rules, AMA Guides edition, and MMI standards by state.

Guides

Editorial reference on report writing, MMI, and validity testing.

Conferences & events

Workers comp, claims, insurance and medical-legal conferences.

Directories

Rosters of examiners, LNCs, and expert witnesses by state.

State matrix report

All 10 verified state programs, side by side.
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