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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.

Description

SKYGEN's Provider Data Management (PDM) is a responsive solution designed to enhance the management of provider networks and foster better relationships between healthcare payers and providers. This platform not only boosts the capacity of payers to construct effective provider networks but also elevates satisfaction levels for both providers and members while reducing administrative expenses. By leveraging cutting-edge technology, PDM addresses the demands of contemporary, tech-savvy healthcare participants. It streamlines contract acquisition costs through swift, efficient, and paperless provider recruitment and supplemental network rentals. Additionally, the solution lowers credentialing costs and enhances provider satisfaction by facilitating online credentialing processes. By automating provider self-verification, it eliminates costly outreach efforts and ensures that provider data remains accurate and verified for online directories. Ultimately, SKYGEN enables dental and vision connectivity solutions that empower clients to embrace the future with confidence, utilizing technology that fosters unmatched efficiencies and effectiveness in their operations. This innovation positions healthcare organizations to thrive in an ever-evolving landscape.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform Yes 

Integrations

Inovalon ONE Platform 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 Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

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

Vendor Details

Company Name

Inovalon

Country

United States

Website

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

Vendor Details

Company Name

SKYGEN

Country

United States

Website

www.skygenusa.com/solutions/marketplace-connectivity/provider-data-management

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