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features
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support

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Description

HealthNexus is at the forefront of transforming healthcare through groundbreaking innovations. Our platform is designed to be medically proficient, ensuring that all pertinent information is considered and utilized. Experience reliable results delivered more swiftly and at a lower cost. With access to billions of meticulously organized and integrated data points, we provide profound and accurate real-world insights and outcomes for patients, providers, and payers alike. This encompasses a range of elements, including social determinants of health (SDOH) for patients and providers, Risk Adjustment Factors (RAF), Hierarchical Condition Categories (HCC), and associated quality scores. You can easily generate a variety of detailed reports, ranging from standard templates to tailored complex queries, enhancing your ability to uncover insights throughout the healthcare landscape. Our collaboration with PurpleLab facilitates access to an extensive array of medical terminology and concept groups, empowering you to effectively oversee and manage your organization's medical terminology reference data. This comprehensive approach ensures that you remain informed and equipped to make data-driven decisions in an ever-evolving healthcare environment.

Description

Enhance clinical quality metrics, improve the accuracy of risk scores, boost patient and provider involvement, elevate patient outcomes, ensure operational transparency, and optimize economic performance through a singular, integrated suite of software solutions. The Inovalon Payer Cloud revolutionizes conventional workflows by transitioning them into data-driven methodologies that align with your health plan’s primary goals. Supported by top-tier analytics capabilities, our unified SaaS solutions provide the essential member-centric insights along with the speed, precision, and adaptability required to maintain a competitive edge in today’s varied and rapidly evolving market. Inovalon's healthcare payer SaaS suite not only delivers valuable insights and actionable strategies but also empowers health plans to assess, manage, and enhance health outcomes, economic efficiency, and the overall quality of care. With our payer solutions, stakeholders can achieve improved member care and outcomes while simultaneously enhancing operational performance and efficiency, leveraging advanced analytics and agile business intelligence tools to navigate the complexities of the healthcare landscape more effectively. As a result, organizations can cultivate a proactive approach to healthcare management, ensuring they are well-equipped to meet both current and future challenges.

API Access

Has API Yes 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform No 
Jira Yes 

Integrations

Inovalon ONE Platform Yes 
Jira No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

PurpleLab

Country

United States

Website

purplelab.com/platform/

Vendor Details

Company Name

Inovalon

Country

United States

Website

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

Product Features

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management No 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting No 

Alternatives

Alternatives

Health Intelligence Analytics Reviews

Health Intelligence Analytics

Analytics Partners