Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • Service Center Reviews & Ratings
    123 Ratings
    Company Website
  • XpertCoding Reviews & Ratings
    42 Ratings
    Company Website
  • RegDesk Reviews & Ratings
    19 Ratings
    Company Website
  • RXNT Reviews & Ratings
    552 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    8 Ratings
    Company Website
  • Creatio Reviews & Ratings
    589 Ratings
    Company Website
  • optivalue.ai Reviews & Ratings
    4 Ratings
    Company Website
  • RouteGenie Reviews & Ratings
    49 Ratings
    Company Website
  • PayHOA Reviews & Ratings
    817 Ratings
    Company Website
  • Aircall Reviews & Ratings
    1,838 Ratings
    Company Website

What is Inovalon Claims Management Pro?

Achieve a consistent revenue flow by leveraging a powerful platform designed to expedite reimbursements through eligibility checks, claims status monitoring, audit and appeal processes, and remittance management for both governmental and commercial claims, all within a unified system. Benefit from an advanced rules engine that swiftly corrects claims in alignment with the latest regulations from CMS and commercial payers, enabling you to fix any errors before submission. During the claim upload procedure, verify eligibility with all payers and pinpoint any issues that require attention, allowing for essential modifications prior to dispatching the claims. Decrease the days in accounts receivable by utilizing automated workflows to manage audit responses, submit appeals, and oversee administrative dispute resolutions efficiently. Customize staff workflow tasks according to the type of claim and the actions needed for resolution. Moreover, automate the process of submitting secondary claims to avoid the risk of timely filing write-offs. Ultimately, improve your claims revenue through streamlined workflows that support faster and more effective audits and appeals, ensuring your organization remains financially robust. Additionally, the adaptable nature of this comprehensive system allows it to grow alongside your operations, providing sustained advantages over time. This flexibility not only enhances operational efficiency but also prepares your organization for future changes in the healthcare landscape.

What is ClaimVision?

ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page. Before an adjuster opens a file, ClaimVision has read every page of it: the adjuster and inspection reports, the estimate down to its last line, the policy and every endorsement, the correspondence, and the photos. It checks coverage on every claim and ties each finding to the clause and page it came from, with its dollar impact. It flags missing items and subrogation opportunities, and keeps figures consistent from the estimate to the decision letter. Claims teams can question any claim in plain English, including documents that haven't been processed yet, and every answer points to its source. ClaimVision is an intelligence layer, not a replacement claims system. It works alongside Guidewire ClaimCenter, Duck Creek, Sapiens or an in-house core system, which stays the system of record. Every recommendation and every human override is kept in an append-only audit trail. The reading goes to the machine. The judgement stays with your people. On a real large-loss claim, ClaimVision did a full day's reconciliation work, exactly, in under a minute. ClaimVision runs on Microsoft Azure. It is built to SOC 2 principles and is working towards SOC 2 Type 2. ClaimVision is a product of Decision Agency.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Duck Creek Claims
Guidewire ClaimCenter
Sapiens ClaimsPro

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing is based on claim volume and scope, with terms determined for each pilot.

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Not specified

Company Facts

Organization Name

Inovalon

Date Founded

1998

Company Location

United States

Company Website

www.inovalon.com/products/provider-cloud/revenue-cycle-management/all-payer-revenue-cycle-management/

Company Facts

Organization Name

Decision Agency OÜ

Date Founded

2025

Company Location

Estonia

Company Website

claimvision.ai

Categories and Features

Categories and Features

Insurance Claims Management

Document management
Reporting

Popular Alternatives

Veritable Reviews & Ratings

Veritable

314e Corporation

Popular Alternatives

Duck Creek Claims Reviews & Ratings

Duck Creek Claims

Duck Creek Technologies
CureAR Reviews & Ratings

CureAR

TechMatter