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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 Garner?

Garner presents a robust platform that leverages vast amounts of data to aid individuals, employers, and health plans in identifying the most suitable medical providers, utilizing one of the nation's largest claims databases, which encompasses over 60 billion records from upwards of 320 million patients. The platform incorporates more than 500 metrics tailored to various specialties to assess provider performance and effectively gauge patient outcomes, all supported by an AI-driven directory that boasts approximately 92% accuracy for essential information like provider contact details and appointment slots. Providers recognized as “Top Providers” comply with rigorous standards that prioritize evidence-based practices, the minimization of unnecessary medical interventions, and the efficiency of costs. Furthermore, users benefit from access to both a mobile application and a concierge service designed to help them locate in-network Top Providers with available appointments, and they may also receive reimbursements for certain out-of-pocket costs incurred for services rendered by these elite professionals. In addition, this cutting-edge platform not only simplifies the search for quality healthcare but also strives to enhance overall patient satisfaction and health outcomes through its carefully curated resources, ultimately fostering a more informed and efficient healthcare experience for all users. As such, Garner stands out as a leader in healthcare navigation, ensuring that patients receive the best possible care tailored to their specific needs.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Free
Free Version

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
iPhone
iPad

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard 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

Garner

Company Location

United States

Company Website

www.getgarner.com

Categories and Features

Categories and Features

Health Insurance

Not specified

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