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What is Inovalon Eligibility Verification?

The Eligibility Verification Standard significantly improves patient access and billing processes by enabling staff to effectively prioritize and assign patients, payers, and tasks during the eligibility verification workflow. This cutting-edge technology goes beyond simple eligibility checks by providing a detailed dashboard for verifying, managing, and archiving all inquiries made. It speeds up the verification process through automated enhancement, rectifying incomplete or inaccurately formatted transactions from payers. Moreover, personnel can perform multiple eligibility inquiries at once through batch file uploads that quickly confirm Medicaid, Medicare, and commercial coverage. Additionally, tasks can be easily assigned to team members, follow-up flags can be established, and eligibility documentation can be created for future reference. The management of patients across batches and the resolution of issues becomes more straightforward, requiring only a few clicks. In the end, this cloud-based, all-payer health insurance eligibility verification software not only streamlines operations and enhances the accuracy of coverage but also empowers staff to manage benefit inquiries in a way that best fits their workflow, thereby ensuring greater operational efficiency. Its intuitive design, combined with robust features, fundamentally changes how healthcare settings approach the eligibility verification process, ultimately leading to improved patient experiences.

What is CredentialingSpectrum?

CredentialingSpectrum is a secure, cloud-based software designed for managing medical credentials, facility operations, payer interactions, and contract oversight. This innovative healthcare credentialing system streamlines the credentialing process, enhancing overall efficiency for users. With its one-click comprehensive automation feature, CredentialingSpectrum stands out as a user-friendly solution, positioning itself as the premier provider credentialing software in the United States. Its robust capabilities enable healthcare organizations to focus more on patient care while minimizing the complexities of credentialing management.

Media

Media

Integrations Supported

AOL Mail
Adobe Acrobat
Adobe Acrobat Sign
AdvancedMD
Athena
Dropbox
EPIC HRMS
Epic
Inovalon Provider Cloud
Microsoft OneDrive
Microsoft Outlook
RingCentral Automatic Call Recording
RingCentral Fax
Smartsheet
Vonage Business
Yahoo! Mail
Zoom
eClinicalWorks
join.me

Integrations Supported

AOL Mail
Adobe Acrobat
Adobe Acrobat Sign
AdvancedMD
Athena
Dropbox
EPIC HRMS
Epic
Inovalon Provider Cloud
Microsoft OneDrive
Microsoft Outlook
RingCentral Automatic Call Recording
RingCentral Fax
Smartsheet
Vonage Business
Yahoo! Mail
Zoom
eClinicalWorks
join.me

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$6/month/provider
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-insurance-eligibility-verification/

Company Facts

Organization Name

Clinicspectrum

Date Founded

2003

Company Location

United States

Company Website

www.credentialingspectrum.com

Categories and Features

Credentialing

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

Categories and Features

Credentialing

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

HIPAA Compliance

Access Control / Permissions
Audit Management
Compliance Reporting
Data Security
Documentation Management
For Healthcare
Incident Management
Policy Training
Remediation Management
Risk Management
Vendor Management

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