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Alleviate Administrative Burdens With the Power of End-to-End Revenue Cycle Management
Revenue Cycle Management Solutions
Speed up revenue. Gain valuable confidence.
Simplify and automate claims processing, reduce the risk of claims denials, and ensure end-to-end visibility with innovative solutions.
Identify correct coverage the first time
Increase data accuracy
Minimize the risk of claims denials due to missing information by improving accuracy through automation in eligibility processes.
Improve satisfaction
Streamline verification processes and increase satisfaction by allowing patients and residents to receive timely information regarding their coverage status.
Reduce costs
Drive cost efficiencies and strengthen payer relationships with cleaner transactions.
Speed access to care
Further the care journey experience with smoother eligibility verification processes to speed up patient and resident access to care.
Speed up verification to protect revenue
Prevent denials early
Stop revenue loss before it starts. Quickly confirm coverage, reduce resubmissions and get paid faster all from one place with zero guesswork.
Verify patient details
Improve accuracy and reduce rework by validating demographic data across trusted sources. Prevent delays, detect issues early and keep records clean across systems.
Find missing coverage
Reveal overlooked insurance and capture lost revenue with fast automated checks across payers. Surface active coverage even when networks are hard to reach.
Find MBIs fast
Quickly locate Medicare Beneficiary Identifiers (MBIs) and streamline eligibility checks to ensure accurate billing, reduce delays, and keep patient records up to date.
Accelerate revenue with one system to manage claims for all payers
Maximize staff efficiencies
Boost productivity with instant, clear claims information displayed on intuitively designed dashboards. Customize staff workflow assignments based on the type of claim and action needed.
Correct errors before claims go out the door
Utilize an advanced rules engine that immediately scrubs claims against the most up-to-date CMS and commercial payer rules.
Enhance audits and appeals
Increase claims revenue with automated workflows for faster, more successful audits and appeals.
Prevent write-offs
Leverage automated secondary claims submissions to prevent timely filing write-offs.
Gain end-to-end visibility into the health of your revenue cycle
Access real-time insights
Make better informed decisions with actionable dashboards that deliver quick, comprehensive views of your data.
Automate repetitive tasks
Increase visibility to repetitive tasks that can be automated to save staff time and boost productivity.
Strengthen denial prevention
Predict and prevent denials with insights into primary denial-causing categories. Identify opportunities to improve eligibility, coding, and custom edit workflows.
Improve payer relations
Facilitate better payer negotiations with data on payer-specific denials, reimbursements, and turnaround times.
Advantages for your organization
- Trusted: Over 20 years of industry partnerships
- Chosen: Inovalon applications used by 50,000 active, licensed customers1
- Experienced: Over 1.6 billion claims and remits processed annually2
- Established: Largest and longest-standing NSV, with access to over 6,000 claim payers and plans3
- Proven: 98% or better first-pass payer acceptance4
- Internal reporting, Inovalon, July 2025
- Internal reporting, Inovalon, January 2026
- Internal reporting, Inovalon, October 2026
- Internal reporting, Inovalon, Claims Management Pro, January 2026
