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Inovalon Provider Solutions

Simplify revenue, staffing, and care with one system and one partner you can trust.

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Top-Ranked Healthcare Provider Software

All of the top 25 U.S. provider systems1 trust Inovalon’s healthcare provider software to simplify operations across the patient care journey.

Products

From billing to staffing to care management, our healthcare provider software helps you do more with less hassle and fewer systems.

Revenue Cycle Management

Connect every step of your revenue cycle — from intake to final payment — with healthcare provider software that verifies coverage, simplifies patient billing, and accelerates claims for faster, cleaner reimbursement.

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.

Inovalon Eligibility Verification Product Detail Page

Eligibility Verification

Verify patient eligibility and benefits in real-time across 2,300+ payers with one search. Automated insurance checks and API-integrated verification fit into existing workflows and catch coverage changes before a claim goes out.

Inovalon Insurance Coverage Discovery product details

Insurance Discovery

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.

Inovalon Demographic Verification Software details

Demographic Verification

Validate and correct 60% of patient demographic data against authoritative sources in real-time. Accurate patient information keeps reimbursement moving forward without delays.

Inovalon Patient Statement management details

Patient Statement Management

Generate clear, easy-to-understand patient statements that drive collections. Improve patient payment compliance with simplified billing statements.

Inovalon Patient Payment Management product details

Patient Payment Management

Accept all types of payments through a single patient portal with an easy-to-use interface for staff, patients, residents, and caregivers. Reduce payment processing time and improve patient satisfaction with flexible payment options.

Inovalon Claims Management details

Claims Management

Automate claim creation, submission, edits, and resubmission in one platform. Reduce denials, improve first-pass payments, accelerate reimbursement.

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.

Care Management

Deliver safer, more connected care with software that helps your teams prevent harm, coordinate better, and improve patient outcomes.

Inovalon MDS assessment Intelligence product details page

MDS Intelligence

Simplify MDS accuracy, reduce errors, and stay survey-ready with this MDS assessment software.

Inovalon Quality Management product details page

Quality Management

Spot risks sooner, act faster, and improve patient outcomes before issues escalate with this patient safety and quality management software.

Inovalon Payroll based journal reporting product details page

Payroll Based Journal Submission

Simplify the PBJ reporting process and send accurate, thorough staffing and payroll data to CMS.

Inovalon Vigilanz Safety Management Product detail page

Safety Management

Prevent harm, protect patients, and stay compliant with near real-time safety event reporting.

Inovalon Vigilanz Pharmacy Surveillance Product Details Page

Pharmacy Surveillance

Empower pharmacists to anticipate, prevent, and address adverse drug events while improving care.

Inovalon Vigilanz Infection Prevention product details page

Infection Prevention

Prevent harm, improve safety, and enhance patient care with near real-time clinical surveillance.

Research Network

Connect health systems and sponsors to accelerate recruitment and improve patient outcomes.

Workforce Management

Support the people delivering patient care by simplifying scheduling, credentialing, and attendance to build confident, connected teams.

Inovalon Schedule Management product details page

Schedule Management

Easy, affordable healthcare scheduling and shift management software.

Inovalon Workforce Intelligence Product details page

Workforce Intelligence

Transform complex staffing data into clear insights that prevent staff burnout, control costs, and improve patient care.

Inovalon Attendance Management product details page

Attendance Management

Stop chasing missed punches and never stay up late fixing payroll again.

Inovalon Healthcare Credential Management product details

Credential Management

Easily collect, organize, and track staff licenses and certifications.

Inovalon Healthcare Agency Management product details page

Agency Management

Balance resources, protect staff, and manage budget impact with this agency-neutral scheduling software.

Strategic Partners

Extend your organization’s impact with API-powered access and connectivity to the data and software tools driving healthcare forward.

Inovalon Strategic Partnerships details page

Strategic Partners

Incorporate the technology, connections, and data to power your cutting-edge applications.

1 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.

Trusted, Easy-to-Use Software

Our provider solutions help improve reimbursement, ease staffing pressures, and enable more connected, compassionate care — all in one place.

By bringing together revenue cycle, workforce, and care management into a single experience, we help providers spend less time navigating systems and more time focused on patients and important KPIs. Every solution works together to reduce friction and deliver better outcomes.

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Claims Management Pro

Correct claims prior to submission with step-by-step guidance, reducing
denials and improving cash flow.

A desktop computer displaying a dashboard interface for insurance eligibility verification software, featuring navigation tabs, a search bar, and colorful icons for various actions and notifications on a white background.

Registration Workflow

Create a unified front-end revenue cycle experience that catches registration errors early, so you get paid faster and avoid downstream delays.

A computer monitor displays a web-based dashboard with a table listing parts, part numbers, and status updates such as Completed and In Progress in columns for an order tracking or review system.

MDS Intelligence

Ensure MDS integrity and accuracy through a series of logic checks and
maximize revenue potential with built-in PDPM calculations.

A computer monitor displays a data dashboard from Pharmacy Surveillance Software, with a colorful table featuring rows and columns, some cells highlighted in green, yellow, and red to represent different values or statuses.

Pharmacy Surveillance

Empower pharmacists to anticipate, prevent, and respond to adverse drug events while promoting safety and focusing on patient care.

A desktop computer displaying Pharmacy Surveillance Software with various tabs, search fields, and a data entry table. The web-based interface features a light blue and white background.

Quality Management

Maximize the power of clinical surveillance with a suite of powerful quality enhancement tools that focus on continuous improvement to improve standards of care.

A computer monitor displaying a scheduling or calendar software interface with various colored blocks, dates, and names, indicating an organized timetable or work shift management system.

Schedule Management

Reduce overtime and labor costs with a highly rated, mobile-friendly
scheduling solution.

Frequently Asked Questions

What are Inovalon's Provider Solutions?

It’s a suite of connected solutions that healthcare providers access through one secure, easy-to-use login. Backed by powerful analytics, it’s trusted by all of the top 25 U.S. health systems to improve performance across RCM, staff, and patient care.

What are the most common use cases for Inovalon's Provider Solutions?

Our solutions support providers across the full revenue cycle — from front-end tasks like registration, eligibility verification, and insurance discovery to back-end claims management, payments, and analytics for stronger cash flow. Our healthcare provider software also helps improve quality measures with predictive MDS analytics and to create fair, flexible staff schedules that boost retention. Together, these solutions make it easier to get more important tasks done in your day, support the patient care journey, and drive better financial and clinical outcomes.

What is the advantage of using integrated data analytics solutions?

Integrated analytics give providers fast, centralized access to the insights they need to improve outcomes and efficiency. Inovalon’s solutions break down data silos and turn raw numbers into clear and informed next steps for better revenue, care quality, and workforce performance.

How is the software accessed by providers?

Providers access the software through the Inovalon Provider portal, which is supported by all major web browsers.

Can your Provider Solutions integrate with other systems?

Yes. Inovalon provides the data and connectivity to support your applications, allowing you to embed our software into your platform to provide a seamless customer experience.

TESTIMONIALS

Proof in Action

See how acute, post-acute, and ambulatory teams turn Inovalon’s healthcare provider software into faster payments, more engaged staff, and better care.

“

Using Claims Management Pro has helped us reduce 20% of our denials because we are able to identify errors upfront, whether it's demographics, coding, or other visibility to errors that we didn’t have in the past. So now, we're able to catch it upfront and the turnaround of
claims is quicker.

Allendys GonellBilling and EDI Manager, Careficient
“

Insurance Discovery helps us find coverage for about 40% of people who said they had no insurance. We’re able to capture that insurance and then bill that.

Karen KnightPartner/Consultant, Face Rock Enterprises
“

When we first implemented VigiLanz, adverse drug events were our priority. We have now incorporated VigiLanz into our antimicrobial stewardship, opioid stewardship, and pharmacist clinical worklists. We have been so impressed with VigiLanz and its ability to help our pharmacists make meaningful interventions that benefit our patients.

Lauren PinoPharmacy Clinical Manager, Inspira Medical Center Mullica Hill
“

When we started using MDS Intelligence, our average quality measure star rating for the company – and we have 81 facilities – was 2.6. We’re 4.0 now, so we’ve seen a very nice improvement in our quality measures. Inovalon really helped us roll out PDPM, too, as all the analytics helped with editing when we did the MDS.

Lorie MorrisSenior Vice President, Assessment Coordination, Prestige Healthcare
“

In my 4+ years that I have been involved with the team, I have been impressed by the partnership and collaboration on ways to further enhance the software we use. I underscore the word “partnership” because it is so much more than a vendor-client relationship. Inovalon wants to do more than just sell a product – they are invested in our success as well.

Michelle SpurlockSystem Chief Nursing Officer
Resources

Provider Resources

Explore how healthcare leaders are using Inovalon to drive smarter care, stronger teams, and better results.

1. Top 25 health plans based on AIS List of Top U.S. Payers, 2022. Inovalon internal reporting. April 2024.
2. Inovalon calculation based on HEDIS® MY2022 data. September 2023.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).