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CLAIMS MANAGEMENT SOFTWARE

Claims Management

Improve first-pass payments and reduce denials with claims management software that prevents delays, errors, and rework.

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Claims Management Software

Manage every claim from submission to payment in one system built for all payers. With focused workflows and full visibility, you’ll unburden staff, speed up payments, and strengthen your financial performance.

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Manage All Claims in One Place

Get the visibility, simplicity, and control you need by managing every claim – from all payers and workflows – in one centralized spot.

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Improve Clean Claims

Instantly scrub claims against the most up-to-date CMS and commercial payer rules so you can catch and correct errors before they go to the payer.

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Speed Up Posting

Access all your ERAs with one login, so you can post payments quicker, reduce manual work, and speed up your revenue flow.

Inovalon’s Claims Management Starter™

Get claims out the door effortlessly – every single time – with a solution that helps you work smarter, not harder. Built for simplicity,
Claims Management Starter helps you maximize efficiency and keeps you stress-free from day one, with one clear dashboard to work all your claims.

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Increase Claims Efficiency

Process claims faster for stronger cash flow, eliminate repeat work, customize settings, and free up time for high-value tasks.

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Improve Accuracy

Avoid surprises by checking claims against the latest rules, correct errors early, get more approvals, and strengthen reimbursements.

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Reduce the Complexity of Claims Management

Find what you need fast, manage all payers in one place, gain full billing visibility, and capture correct payment the first time all with the help of automated steps.

Inovalon’s Claims Management Pro™

Enjoy all the features and benefits of Claims Management Starter, plus enhanced automation and customization giving you the best chance to get paid the first time and capture more revenue.

A clock and a speedometer-style gauge with a needle pointing to the right, suggesting the speed and efficiency of Insurance Eligibility Verification Software.

Maximize Staff Efficiencies

Free your team from claims chases and repetitive tasks with automation that protects every dollar, including automated secondary claims to drive revenue.

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Automate More Work

Define work criteria to automate, assign, and alert staff so they can focus and act on what matters from the moment they log in.

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Take Control of Audits and Appeals

Empower staff with automated workflows and centralized tracking to manage audits and appeals confidently, while capturing more revenue.

98%+

First-pass payer acceptance rate1

21%

Average improvement in cash flow when using with RCM Intelligence2

100%

All top 25 U.S. healthcare provider systems trust Inovalon software 3
HOW IT WORKS

Faster, Smarter Claims Management Starts Here

Claims shouldn’t drain your time, energy, and revenue. Whether you’re managing a small practice or leading a large billing team, you need a reliable way to get claims out the door – without the stress. Our claims management software meets you where you are and grows with you, turning complexity into clarity and stress into simplicity.

With everything centralized in one place, you can stop juggling portals and chasing errors. Built-in tools catch mistakes before submission, guide you through fixes, and help you reduce claims denials. From day one, your team gains clarity and control, whether you're submitting a handful of claims or thousands. It’s the kind of peace of mind that frees you up to focus on high-value tasks rather than babysit billing systems.

Say yes to faster payments, fewer rejections, and less frustration. Our claims management solutions delivers exactly that. Simple to start, powerful where it counts, and here to help you reclaim your time and revenue.

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Claims Management Starter

Speed through claims with confidence using a single dashboard that simplifies every step, reduces rework, and gets you paid faster — from day one.

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Claims Management Pro

Automate smarter, act faster, and win more revenue with advanced workflows that keep your team focused, your claims clean, and your payments flowing.

TESTIMONIALS

Real Results. Real Impact.

See how real healthcare teams are improving workflows, reducing claims denials, and speeding up reimbursement.

“

Utilizing Inovalon’s software, we can help organizations be extremely efficient in their billing and collection processes, so they’re paid quicker.

Julie Ann KernPresident, Health Care Professional Consulting Services
“

With Claims Management Pro, I’ve probably saved 20% to 40% of the time I used to spend on keeping track of Medicare claims. Now I’ve got more time to do other things that I used to put off.

Andrew AllisonBusiness Office Manager, Wisteria Gardens
“

The revenue turnaround that Inovalon provided to us was the fastest I’ve ever seen. Going from $963K behind to $3 million ahead within two months is tremendous.

Margaret HardmanSenior Director of Patient Accounting, Kern Medical

Related Products

Explore companion solutions that reduce denials, simplify workflows, and help your team protect revenue from eligibility to remits.

Inovalon Clams Management Medicare Pro product detail page

Medicare Claims Management

Gain full visibility into Medicare claims workflow from a single dashboard – from EDI submission directly to CMS and DDE system access, to real-time status tracking and error flagging. Less manual work, faster processing, fewer resubmissions.

Inovalon Revenue Cycle Management Intelligence product details page

RCM Intelligence

Analyze your entire revenue cycle with dashboards showing claim aging, denial patterns, revenue performance, and future payments. Identify bottlenecks and make data-driven decisions to optimize revenue cycle performance.

Inovalon Registration workflow details page

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.

1 Inovalon internal reporting, Claims Management Pro, January 2026.
2Inovalon internal reporting. Average of customer results, May 2025.
3 Top 25 provider systems based on Becker's Hospital Review List of 100 Largest Hospitals and Health Systems, December 2024. Inovalon internal reporting, July 2025.

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