Inovalon
Verify patient insurance eligibility and benefits in real-time with full featured Revenue Cycle Management via Claims.
Product Summary
Inovalon – Claims & Remits is a comprehensive healthcare revenue cycle management (RCM) solution that supports Medical Attachments, Denials Management, and Financial Reporting. It processes Professional and Institutional claims—including original, resubmitted, and appealed claims—and delivers electronic remittance advice. The platform is enhanced by RCM Intelligence, a cloud-based analytics tool that provides actionable insights into financial and operational performance.
Product Category
Billing/RCM Clearinghouse
Product Official Name
Inovalon – Claims & Remits with RCM Intelligence
Capabilities
Submission and tracking of Professional and Institutional claims
Support for original, resubmitted, and appealed claims
Delivery of electronic remittance advice (ERA)
Management of Medical Attachments
Denials Management workflows
Financial Reporting and analytics
Integration with RCM Intelligence for trend identification, predictive modeling, data visualization, and performance management dashboards
Vendor Overview
Marketing Information
Inovalon’s Claims & Remits service streamlines the claims lifecycle, improving accuracy and speed of reimbursement. Paired with RCM Intelligence, it empowers healthcare organizations to make data-driven decisions by surfacing key financial and operational trends. This combination enhances visibility, reduces denials, and optimizes revenue performance.
When to Use the Product
When managing high volumes of Professional and Institutional claims
For organizations seeking to reduce claim denials and improve resubmission efficiency
When electronic remittance advice is required for reconciliation
To gain deeper insights into RCM performance through advanced analytics
For strategic financial planning and operational optimization