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features
design
support

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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

Veritable enhances the process of verifying patient insurance eligibility and checking claims status by delivering immediate results through a user-friendly interface. It facilitates real-time and batch processing of patient lists, allowing eligibility verification with over 1,000 payers, including national Medicare and state Medicaid, across various service categories. Furthermore, it provides the capability to monitor claims status from the point of submission to reimbursement, enabling practices and billing firms to swiftly pinpoint issues that could lead to payment delays or denials. Notable advantages include the automation of eligibility and claims processes, which minimizes the need for manual data entry and reduces phone inquiries, thereby enhancing the patient experience at the front desk by confirming coverage and copay amounts during check-in. Additionally, it ensures a smooth integration experience for users of all technical skill levels while maintaining robust data security protocols. Another valuable feature is the “Code Explorer,” which allows for quick reference to ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes, making it easier for users to navigate coding requirements efficiently. Overall, Veritable streamlines administrative tasks within healthcare practices, ultimately leading to improved operational efficiency and patient satisfaction.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Inovalon ONE Platform Yes 
MediCare HMS No 

Integrations

Inovalon ONE Platform No 
MediCare HMS Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$50 per month
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 No 

Vendor Details

Company Name

Inovalon

Country

United States

Website

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

Vendor Details

Company Name

314e Corporation

Founded

2004

Country

United States

Website

www.veritable.app/

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 

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 

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