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What is Inovalon Payer Cloud?

Enhancing clinical quality metrics, refining the accuracy of risk assessments, increasing engagement from both patients and providers, improving patient outcomes, ensuring transparency in operations, and maximizing financial performance can all be accomplished through a cohesive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into innovative, data-driven processes that align seamlessly with the core objectives of your health plan. With its robust analytics capabilities, our integrated SaaS offerings deliver critical insights focused on member needs, alongside the speed, accuracy, and flexibility necessary to thrive in today’s diverse and fast-paced market. By utilizing Inovalon's healthcare payer SaaS suite, organizations gain not only invaluable insights and actionable strategies but also the empowerment to evaluate, manage, and improve health outcomes, economic viability, and overall care quality. Our payer solutions enable stakeholders to foster enhanced member care and outcomes while concurrently boosting operational performance and efficiency, utilizing cutting-edge analytics and nimble business intelligence tools to adeptly maneuver through the complexities of the healthcare environment. Consequently, organizations can establish a proactive healthcare management strategy, ensuring they are prepared to tackle both present and future challenges effectively while maintaining a focus on continuous improvement. This forward-thinking approach not only enhances patient satisfaction but also drives overall organizational success in the healthcare sector.

What is Ember?

Transform your scattered health information into a cohesive and accessible format with an interactive AI and NLP platform that delivers critical health insights for a diverse range of stakeholders. This cutting-edge technology benefits Providers by expediting the data abstraction process and validating clinical information within notes, which in turn reduces the time and expenses linked to pinpointing care gaps, evaluating care quality through dashboards, and generating registry reports. For Payers, it enhances the integration and analysis of claims data alongside clinical notes, thereby improving the management of high-risk and high-cost member populations. In the Life Sciences sector, this solution accelerates patient matching for clinical trials by utilizing both databases and clinical note data, effectively tapping into the potential of real-world clinical evidence. Ember seamlessly combines NLP with predictive analytics, optimizing healthcare analytics for unstructured data to enhance quality, efficiency, and outcomes throughout the healthcare system. Consequently, stakeholders are empowered to make well-informed decisions that not only elevate patient care but also optimize resource allocation for better healthcare delivery. Ultimately, this holistic approach fosters a more connected and efficient healthcare ecosystem.

Media

Media

Integrations Supported

Chromosis CRM
CodeKeep
Dragit
Inovalon ONE Platform
nTireLegal

Integrations Supported

Chromosis CRM
CodeKeep
Dragit
Inovalon ONE Platform
nTireLegal

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

Company Location

United States

Company Website

www.inovalon.com/products/payer-cloud/

Company Facts

Organization Name

MetiStream

Company Location

United States

Company Website

www.metistream.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

Artificial Intelligence

Chatbot
For Healthcare
For Sales
For eCommerce
Image Recognition
Machine Learning
Multi-Language
Natural Language Processing
Predictive Analytics
Process/Workflow Automation
Rules-Based Automation
Virtual Personal Assistant (VPA)

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