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All-Payer Claims Management Software
Speed up your revenue cycle and reduce A/R days for all your payers.
Claims Management, Powered by the Inovalon ONE® Platform
With just a click, you can access and sort all your rejected claims in one place, including by the payer’s rejection reason.
Overview
Our easy-to-use all-payer claims management software allows users to submit, edit and receive claims for Medicare, Medicaid and thousands of commercial insurance companies – all in one place.
Work faster
User-friendly, intuitive interface reduces clicking and scrolling to perform actions and locate information.
Maintain compliance
ICD-10 and HIPAA-compliant for correct, up-to-date coding and secure transactions.
Store and safeguard data
Easy implementation process, with minimal IT involvement, and offsite storage in secure, U.S.-based data center.
Benefits
Streamline your claims management with a proven application that helps you work smarter, not harder! With no need to re-key data entered at patient intake, you’ll have fewer errors and less manual work.
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Save time
Submit a batch for all or some of your payers, with 24/7/365 accessibility.
Improve claim accuracy
Industry-standard rules engine flags claim errors before they're sent to the payer; easily correct and resubmit claims via the editing tool.
Get a performance snapshot
Analysis tools provide an overview of active errors, claims submitted, and remittance advices you could be receiving electronically.
How it Works
Stay on top of all your claims – and keep your revenue on track.
We support providers with or without billing software.
To submit electronic claims to your payers, use the simple batch upload service for processing all 837 EDI-compliant claim formats. Data translation and mapping services are also available for Print Image and NSF formats.
For those without billing software, you can key data directly into an electronic CMS-1500 or UB-04 form via a secure web portal, and save important information for future use.
Frequently Asked Questions
Does your system automate the secondary claims submission process?
Yes! Secondary claims are submitted automatically.
Can this application help improve our clean claims percentage?
While every new customer has a different clean claims rate to start, we are confident we can help maintain and improve your clean claims percentage.
Payer List
Speed up your revenue cycle and reduce A/R days for all your payers with an easy-to-use electronic claims management application that allows users to submit, edit and receive claims for Medicare, Medicaid and thousands of commercial insurance companies.
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Provider Resources
Gain insights from Inovalon case studies, infographics, videos, and other resources to get the most out of our products and solutions.
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