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What is Veritable?

Veritable significantly improves the verification of patient insurance eligibility and claim status by providing instant results through an intuitive interface. It supports both real-time and batch processing of patient lists, enabling eligibility checks with over 1,000 payers, including national Medicare and state Medicaid, across different service categories. Additionally, it allows users to track claims status from submission to reimbursement, which helps practices and billing companies quickly identify potential issues that may cause payment delays or denials. Key benefits include the automation of eligibility and claims processes, which cuts down on manual data entry and lowers phone inquiries, thus enhancing the patient experience at check-in by confirming coverage and copay amounts. Moreover, it offers seamless integration for users with varying technical expertise while adhering to strong data security standards. A particularly useful feature is the “Code Explorer,” designed for rapid access to ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes, simplifying the navigation of coding requirements. By effectively streamlining administrative workflows in healthcare practices, Veritable not only boosts operational efficiency but also elevates patient satisfaction, making it an indispensable tool for modern healthcare management. Furthermore, its ability to adapt to the evolving needs of healthcare providers ensures that they remain competitive in a fast-paced industry.

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.

Media

Media

Integrations Supported

Inovalon Provider Cloud
MediCare HMS

Integrations Supported

Inovalon Provider Cloud
MediCare HMS

API Availability

Has API

API Availability

Has API

Pricing Information

$50 per month
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

314e Corporation

Date Founded

2004

Company Location

United States

Company Website

www.veritable.app/

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/

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

Insurance Claims Management

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

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