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 Provider Cloud › Revenue Cycle Management › ABILITY CHOICE® Medicare Claims

Medicare Claims Management Software

Efficiently and cost-effectively transmit and process your Medicare claims.

Medicare File Submission, Powered by the Inovalon ONE® Platform

Customize our Medicare claims management software to meet the unique needs of your organization.

Overview

Medicare File Submission is a secure claims submission and remittance advice solution, giving you fast, automated processing and payment of Medicare claims.

Automated submissions

Claims and remits (837/835) are automatically submitted to Medicare through server enterprise solution.

Direct connectivity

If your Medicare Administrative Contractor (MAC) implements new EDI technology or if you inherit a new MAC because of a contract award, Inovalon handles all connectivity to the MAC on your behalf.