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Craneware is to expand the 100-strong workforce at its Edinburgh-based billing software business with 20 new jobs.
Craneware has acquired Kestros Health, the Edinburgh-based developer of medical apps.
Craneware is to create up to ten new software development jobs in Edinburgh.
Craneware has acquired ClaimTrust, the US supplier of healthcare software with about 50 staff, for up to £12m.
Craneware is planning to relocate its software development business and an initial 75 staff from Livingston to Edinburgh.