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What is Inovalon Insurance Discovery?

Insurance Discovery improves financial results by identifying previously overlooked billable coverage that healthcare providers might not know about, which reduces both underpayments and uncompensated care. Utilizing sophisticated search capabilities, this tool can uncover situations where patients have multiple active insurance payers, thereby enhancing the potential for better reimbursement. Moreover, it aids in avoiding reimbursement delays and speeds up revenue collection by ensuring that claims are accurately directed to the correct payers on the first submission, attributed to more precise coverage information. When combined with verified demographic data, Insurance Discovery offers dependable insights into coverage and eligibility. This innovative method replaces conventional manual insurance discovery processes with a rapid and exhaustive search that accesses numerous databases within seconds, providing comprehensive and precise coverage details. Additionally, it improves the overall experience for patients and residents by allowing for accurate assessments of out-of-pocket costs, leading to a more positive financial journey. By simplifying these procedures, healthcare providers can devote more attention to patient care rather than getting bogged down by administrative duties, ultimately enriching the quality of service delivered.

What is Certificial?

Certificial® utilizes real-time information to ensure that businesses consistently uphold compliant insurance coverage. Move away from the inefficiencies of outdated, singular documents; eliminate the need for tedious emails, phone calls, or faxes. Certificates of Insurance (COIs) cater to a variety of audiences, each with specific requirements. Regardless of the purpose behind your use of COIs, our advanced COI network guarantees that all parties have access to the same continuously updated information. Whether you are using a specialized certificate module or integrating with another system, our network establishes a new standard for the ongoing sharing and monitoring of intelligent COIs and their related data. Empowering every participant in the COI process allows for a real-time, data-driven exchange of coverage information. Safeguard your business by removing the risk of uninsured activities, streamline your compliance management through a unified platform, and proactively tackle non-compliance issues to prevent uninsured claims while ensuring adequate coverage year-round. This groundbreaking strategy not only boosts efficiency but also fosters a culture of responsibility and transparency across your organization, ultimately leading to improved stakeholder trust and engagement.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

AMP CMS
Ask Kodiak
GRMS
GloveBox
HawkSoft
InsurLink
Momentum AMP by NowCerts
Novidea
Synatic
Veruna
Xanatek

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$99 per month
Free Version

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard 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
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/patient-access/insurance-coverage-discovery/

Company Facts

Organization Name

Certificial

Company Location

United States

Company Website

www.certificial.com

Categories and Features

Categories and Features

Insurance

Not specified

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