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HEALTH INSURANCE DISCOVERY SOFTWARE
Insurance Discovery
Find more billable coverage to increase revenue and patient satisfaction.
Request A DemoBoost Reimbursement Opportunities
Prevent missed revenue by finding billable insurance coverage that was previously unknown or misclassified. Inovalon’s Insurance Discovery™ identifies primary, secondary, and tertiary coverage quickly without adding complexity to your team’s workflow.
Improve Coverage Results
Achieve an average hit rate of 43.04% on previously uninsured accounts by identifying active coverage across all care settings.1
Decrease Denials and Days in A/R
Submit claims to the correct payer the first time using verified insurance data. Reduce delays, cut denials, and accelerate reimbursement.
Get Accurate, Verified Coverage
Confirm coverage and eligibility using verified demographic data. Help your team reduce manual efforts with a single healthcare insurance discovery software.
Benefits
Eliminate manual searches and find accurate insurance coverage in seconds using one fast, all-in-one payer inquiry.
Get Better Results for Coverage
Help individuals understand what’s covered and what’s not. Improve financial clarity and reduce billing surprises.
Expanded Payer Search
Uncover primary, secondary, and tertiary coverage with a true all-payer search.
Customize to Fit Your Workflow
Set the software to fit your needs with rules by facility, patient, or state and automate retry timing if payer networks are unavailable – without disrupting your workflow.
Detect More Types of Coverage
Identify all relevant coverage types, including managed care, replacement plans, and specific plan types like HMO or PPO.
43%
Average insurance identification hit rate on uninsured accounts1
11M+
Patient files analyzed annually from customer accounts2
$719M
Potential additional revenue for providers, at a conservative reimbursement rate of $150 per patient3
HOW IT WORKS
Find Billable Coverage Faster To Improve Reimbursement
Insurance Discovery finds active primary, secondary, and tertiary coverage through a single, fast search. It also retrieves the patient’s Medicare Beneficiary Identifier (MBI) and verified demographic details in one inquiry. Your team can confidently confirm coverage, reduce manual work, and streamline claims from the start.
With better visibility up front, you improve staff productivity, reduce uncompensated care, and support faster, cleaner claims throughout the revenue cycle.
TESTIMONIALS
Results That Drive Revenue
See how healthcare organizations are uncovering more coverage, reducing manual work, and speeding up payments with healthcare insurance discovery software.
”Insurance Discovery allowed us to spend less time in our admissions department searching for insurance. The two things that benefited us most were, one, the simplicity of it, and two, the ease in which we were able to customize the program to fit our needs."
Gordon DixonChief Financial Officer, Rockford Center/Universal Health Services
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Registration Workflow
Automate patient registration and verify identity, address, insurance, and benefits in one unified workflow. Prevent costly claim delays and give teams confidence by capturing accurate patient data upfront.
Inovalon Demographic Verification Software details
Demographic Verification
Validate and correct 60% of patient demographic data against authoritative sources in real-time. Accurate patient information keeps reimbursement moving forward without delays.
Inovalon Eligibility Verification Product Detail Page
Eligibility Verification
Verify patient eligibility and benefits in real-time across 2,300+ payers with one search. Automated insurance checks and API-integrated verification fit into existing workflows and catch coverage changes before a claim goes out.
1 Inovalon internal reporting, January 2026. Individual results may vary.
2 Inovalon internal reporting, January 2026.
3 Inovalon internal reporting, January 2026. Assumes $1.50 cost per transaction, 43% hit rate, 100% kept reimbursement, and 11.15 mm volume. Realization of reimbursement for identified coverage may vary; dependent upon payment process.
Resources
A Smarter Revenue Cycle Starts Here
Explore expert guidance and real-world strategies trusted by leading healthcare organizations to strengthen revenue cycle performance, improve reimbursement, and achieve better financial outcomes
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