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ENCOUNTER SUBMISSIONS SOFTWARE

Converged Submissions

Eliminate the headache from the last mile of risk adjustment data and encounter submissions.

Timely, Accurate, Compliant Encounter Submissions

Risk adjustment teams have the tough task of navigating CMS and HHS updates, complex data formats, and tight deadlines, which can drain resources and put reimbursements at risk. Inovalon’s Converged Submissions™ eliminates these headaches and empowers your team to focus on maximizing returns and minimizing compliance concerns.

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Stay Ahead of Regulatory Changes

Keep pace with updates and evolving formats from CMS and HHS so you can avoid costly submission errors.

Simplify and Speed up the Submission Process

Make risk adjustment submissions and corrections faster with bulk editing and prioritization.

Improve First-Pass Acceptance and Error Handling

Minimize rejections and reduce the manual burden of error handling to save valuable time.

Benefits

Submit faster, easier, and more accurately than ever with encounter submissions software that’ll keep your team ahead of current and future regulation changes.

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Accurately Reflect Reimbursement Eligibility

Evaluate encounter submissions data before submitting to CMS and HHS, prioritize submissions, and error handling.

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Coordinate Submission Activities

Always know where every submission stands by tracking reimbursement status with simple dashboards designed for real people, not data experts.

Submit Claims Faster

Send comprehensive, accurate submissions data to CMS and HHS to avoid delayed payments.

Simple Implementation

Created to be fully integrated with Inovalon’s Converged Risk™, this self-service submissions software is easily and quickly implemented.

HOW IT WORKS

Ensure Higher Acceptance Rates and Accurate Encounter Submissions Data

The final mile of encounter submissions can feel like an uphill battle for risk adjustment teams. Shifting regulations and complex data uploads often stall progress as you’re trying to get everything right before crossing the finish line.

With Converged Submissions, your team doesn’t just keep up with CMS and HHS changes – they stay ahead. Automating complex processes helps make compliance submissions faster, easier, and more accurate than ever, which all improve acceptance rates while reducing submission headaches.

Built and maintained by risk adjustment and encounter submissions experts, we anticipate health plan needs and quickly adapt the software to industry changes, so you don’t have to worry about keeping up.

With Converged Submissions, you can expect:

Automatic updates keeping you compliant with the latest CMS and HHS rules while preventing errors before they happen.
Intuitive tools, such as bulk editing and prioritization, saving your team valuable time.
Advanced validation and correction features minimizing rejections, so you can avoid the burden of repetitive manual corrections.

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TESTIMONIALS

See What Customers Have Said

Discover the power of our healthcare payer solutions, from real-life users.

“

Inovalon’s always looking forward and you can just tell the amount of research and development they put into their products. It’s a differentiator. You can see by the quality of the products that it's well thought out.
Gabe MedleyVice President, Risk Adjustment, Quality, and Analytics, Blue Cross Blue Shield Michigan

“

Inovalon offers concierge-type of care. I think Inovalon pairs the relationship with the technology and it aligns with us.
Tony GraboskiAccount Manager, Geisinger Health Plan