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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 GhostDraft?

Evolve alongside your clients by implementing an advanced solution for customer communication and document automation. GhostDraft flawlessly integrates with your existing operations, enhancing user experiences, increasing efficiency, and offering unmatched flexibility across all platforms. Establish authentic connections with your audience through customized messaging. Our cloud-based, omnichannel customer communication management system streamlines interactions on the platforms your customers prefer, resulting in elevated engagement and stronger relationships. By gaining greater control over your communications, you can ensure compliance while accelerating the speed of product launches. Enhance compliance and decrease time to market with our cutting-edge, business-oriented document creation features. Boost your cash flow with straightforward, digital billing statements that are accessible through a variety of channels. Delight your customers with timely, interactive, and deeply personalized claims correspondence, all while maintaining control and compliance throughout the entire process. This holistic strategy not only elevates customer satisfaction but also strategically positions your business for ongoing success and expansion. Ultimately, adapting to your clients' needs is key to building long-lasting partnerships.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Inovalon Provider Cloud

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

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

GhostDraft

Date Founded

1979

Company Location

Canada

Company Website

www.ghostdraft.com

Categories and Features

Insurance Claims Management

CRM
Claims tracking
Customer portal
Document management
EDI data exchange integrations
Electronic claims
Fraud management
Reporting

Categories and Features

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