Medicare Billing Software

Enter, import, and manage all-payer claims, or convert your electronic remittance and acknowledgment files to a readable format.

Powered by the Inovalon ONE® Platform

Simplify all-payer claims submission and management with an efficient, easy-to-use software that is ready to go the minute you install it.

Overview

This complete electronic claims submission and management application can be used in a standalone configuration or in conjunction with your existing claims management system.

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Maintain compliance

ICD-10 compliant, including an ICD-9 to ICD-10 claims entry mapping function.

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Improve accuracy

Automatic code validation for multiple key codes, such as diagnosis and procedure, as well as detailed claim import and edit validation error reporting.

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Increase visibility

Viewable 835s and custom export reports, and print capability for institutional and professional claims on plain paper or pre-printed forms.

Benefits

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Minimize claims rejections

Comprehensive, real-time claims edit validation speeds up your revenue cycle by receiving error alerts prior to claim submission, including pop-up help text.

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Save valuable time

The patient reference file option builds a permanent database of patient demographics and insurance details that are automatically transferred to each claim.

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Increase workflow efficiency

Enter patient, claim, and procedure file information, and create a summary report of the claims you’ve submitted.

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Receive ongoing support

Quarterly releases ensure continuous improvement and keep your investment up to date.

Resources

Provider Resources

Gain insights from Inovalon case studies, infographics, videos, and other resources to get the most out of our products and solutions.

Let’s transform healthcare together.

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Questions? Call (301) 809-4000

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