The Inovalon ONE® Platform
Our Platform brings together national-scale connectivity, real-time primary source data access, and advanced analytics to power 100+ cloud-based solutions that enable improved clinical outcomes and economics across the healthcare ecosystem.
Data Cloud
Drive better health outcomes and economics, informed by diverse, longitudinally linkable data.
Payer Cloud
Improve member care and outcomes while achieving greater performance with sophisticated analytics and dynamic business intelligence.
Provider Cloud
Optimize revenue cycle management, care quality management, and workforce management in one single-sign-on, easy-to-use portal.
Pharmacy Cloud
Streamline pharmacy operations and improve performance with automated processing, real-time data exchange, and electronic decision support.

DataStream
Improve the patient experience and care coordination with comprehensive, patient-specific data at the point of care.
Real-World Data
Accelerate research and improve healthcare outcomes with longitudinally linkable, deidentified data.
Data Solutions
Partner with our research and analysis experts to answer the complex healthcare questions of today for a better tomorrow.
SDOH Market Insights
Identify and address social determinants of health (SDOH) to drive better access, higher engagement, improved outcomes, lower costs, and equitable healthcare.
Health Equity Index Dashboard
Data analytics to help Medicare Advantage plans understand their performance on the new CMS Health Equity Index.

Converged Quality
Discover how our leading HEDIS® software and deep industry expertise enable health plans to achieve high-quality performance in today’s data-driven healthcare ecosystem.
Converged Risk
Ensure compliance with advanced analytics and flexible member engagement solutions enabling efficient and accurate documentation of member conditions.
Converged Outreach
Customize and coordinate integrated, patient-specific intervention programs and outreach for better patient outcomes and economics.
Converged Provider Enablement
Translate organizational goals to the provider point of care with shared insights into patient care quality, documentation, program performance, utilization, and custom initiatives.
Electronic Record On Demand
Exchange data with more than 750,000 providers connected to the Inovalon ONE® Platform today to access relevant digital patient medical records 10 times faster than manual retrieval.
Consumer Health Gateway
Give members quick, reliable access to their health data, enabled by a secure, compliant solution.

Back-end Revenue Cycle
Improve back-end revenue cycle efficiency, accuracy, and ultimately, speed to payment with streamlined SaaS-based workflows.
Front-end Revenue Cycle
Enhance front-end revenue cycle workflows with accurate patient data collection, automated eligibility verification, and reducing uncompensated care.
Care Quality Management
Optimize reimbursement and CMS Star Rating performance with enhanced post-acute quality reporting and care management.
Workforce Management
Streamline and automate the scheduling process across teams, job levels, and locations. Track licenses, credentials, staffing trends, and more.
Strategic Partnerships
We’re better together. Discover how a seamless, successful partnership can provide your customers with endless possibilities.

ScriptMed Specialty
Reduce time and cost to fill with real-time healthcare connectivity, advanced analytics, and automated processing.
ScriptMed Infusion
Access meaningful clinical data at the point of care to enable better treatments and patient outcomes.

Home › Products › Inovalon Payer Cloud › Consumer Health Gateway

Consumer Health Gateway

Give members quick, reliable access to their health data, enabled by a secure, compliant solution.

Powered by the Inovalon ONE® Platform

Consumer Health Gateway makes it easy, fast, and cost-effective to be compliant with CMS’s Interoperability Final Rule via a consolidated view made possible by secure data connectivity.

Overview

Ensure compliance with member data-sharing requirements easily and effectively. Through a FHIR®-based exchange of patients’ claims and clinical data, payers can deliver the information members need in a way that is secure and seamlessly integrates with authorized third-party applications.

On-Demand Data Access

Real-time API responses leverage applicable comprehensive, primary source data to deliver patient- and provider-specific information.

Compliant Connections

Our secure infrastructure is easy to integrate, runs over 1,100 data integrity checks, and meets CMS data-sharing API mandates (FHIR® 4.0, Oauth2, OpenID Connect, CPCDS, USCDI).

Industry-Standard Development

This solution is HITRUST certified, built with regulations and requirements in mind.

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Benefits

Achieve consumer access, connectivity, and compliance with ease.

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Apply Expert Data Integration, Mapping, and Standardization

Consolidate large amounts of applicable patient health history into one system with consistent data ingestion and analysis processes.

Deliver a Patient-First User Experience

Display relevant patient data in an easy-to-understand format, empowering individuals to engage with their clinical and claims history.

Exceed Member Expectations

Go beyond base-level API requirements. Leverage technology that can deliver rapid, accurate responses for each member within seconds.

Implement Quickly

Enjoy a streamlined implementation process that avoids workflow disruption while delivering industry-leading capabilities.

How it Works

Enabling payer compliance and accelerating consumer access to relevant health information through FHIR®-based, real-time data exchange.

Secure interoperability, powered by extensive connectivity.

The business of healthcare is evolving as access to secure patient- and provider-specific information is no longer an option – it is a requirement. With more than 20 years of managing clinical and claims data and proven success developing innovative, data-driven technologies, Inovalon is proud to help payers meet the requirements of all three CMS data-sharing API mandates in a compliant, standardized format.

Consumer Health Gateway is a single, comprehensive solution that meets all patient access API, provider directory API, and payer-to-payer data exchange requirements, delivering fast responses to claims, clinical, and provider history inquiries.

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Additional Payer Cloud Products

Man reviewing quality measurement and reporting

Converged Quality (formerly QSI-XL®)

Discover how our leading HEDIS® software and deep industry expertise enable health plans to achieve high-quality performance in today's data-driven healthcare ecosystem.