JSON twin: https://www.healthaidb.com/software/inovalon-insurance-discovery.json
Inovalon
https://www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/
Cloud-based insurance-coverage discovery and eligibility verification that finds primary, secondary and tertiary payers to reduce uncompensated care and improve revenue capture.
Inovalon Insurance Discovery is a SaaS solution that uses algorithms and national payer data to identify active billable insurance (including Medicare MBI), perform batch and real-time eligibility checks, and return consolidated coverage results to reduce days in A/R, denials, and self-pay balances.
yes
1998
Data stored and processed in the United States
P0800
2025-09-07
commercial proprietary
Contact vendor for pricing; enterprise SaaS licensing and deployment options. (No public list prices; demo/trial via vendor request.)
enterprise_quote
product
1.0
{
"company_name": "Inovalon",
"company_url": "https://www.inovalon.com/",
"company_offices": [
"United States"
],
"company_founding": "1998",
"product_url": "https://www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/",
"categories": [
"revenue cycle management",
"patient access",
"administrative",
"provider cloud",
"data analytics"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/",
"https://www.inovalon.com/wp-content/uploads/2025/08/INOV-Insurance-Discovery-8.22.25-v3.0.0.pdf",
"https://www.inovalon.com/",
"https://www.inovalon.com/our-company/",
"https://support.inovalon.com/",
"https://elion.health/products/inovalon-insurance-discovery",
"https://www.g2.com/products/inovalon-insurance-discovery/reviews",
"https://klasresearch.com/compare/insurance-discovery/298",
"https://www.sec.gov/ix?doc=/Archives/edgar/data/1619954/000104746917000859/a2230998z10-k.htm"
],
"summary": "Cloud-based insurance-coverage discovery and eligibility verification that finds primary, secondary and tertiary payers to reduce uncompensated care and improve revenue capture.",
"description": "Inovalon Insurance Discovery is a SaaS solution that uses algorithms and national payer data to identify active billable insurance (including Medicare MBI), perform batch and real-time eligibility checks, and return consolidated coverage results to reduce days in A/R, denials, and self-pay balances.",
"target_users": [
"revenue cycle managers",
"billing staff",
"patient access/registration",
"clinical labs",
"hospital administrators",
"ambulatory practice managers"
],
"specialties": [
"revenue cycle management",
"patient access",
"medical billing",
"clinical laboratory billing",
"hospital/health system operations"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing; enterprise SaaS licensing and deployment options. (No public list prices; demo/trial via vendor request.)",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"All-payer insurance discovery (primary/secondary/tertiary)",
"Verified demographic retrieval and correction",
"Medicare Beneficiary Identifier (MBI) retrieval",
"Single, fast payer inquiry (consolidated search)",
"Customizable rules by facility/patient/state",
"Automated retry timing for unavailable payer networks",
"Coverage type detection (managed care, replacement plans, HMO/PPO etc.)",
"Reduce denials and days in A/R via verified coverage",
"Improve patient financial clarity and reduce billing surprises",
"Auditability and compliance-focused verification",
"High-volume batch and real-time patient file analysis",
"Integration with Inovalon ONE platform data lake"
],
"optional_modules": [
"Eligibility Verification Pro",
"Medicare Eligibility Verification",
"Demographic Verification",
"Patient Payment Management",
"Patient Statement Management",
"Registration Workflow"
],
"integrations": [
"Inovalon ONE® Platform",
"Inovalon DataStream API",
"Provider Directory API",
"Patient Access API (Consumer Health Gateway)",
"Medicare HETS database",
"All-payer payer networks and claims systems"
],
"data_standards": [
"FHIR"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"GDPR"
],
"certifications": [],
"security_features": [
"Encrypted connections (in transit)",
"Encrypted data handling (at rest)",
"Authorization controls for APIs",
"Access controls / role-based access",
"Audit logging and monitoring",
"Platform security checks (over 1,100 checks)"
],
"privacy_features": [
"GDPR compliance commitment",
"US-based data storage and processing",
"CCPA/CPRA consumer privacy support"
],
"data_residency": "Data stored and processed in the United States",
"customers": [
"Rockford Center / Universal Health Services",
"Phelps Memorial Health Center",
"HMG",
"Skilled Nursing Group"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"phone",
"application support/portal",
"contact form"
],
"training_options": [
"webinars",
"documentation",
"case studies"
],
"release_year": "",
"integration_partners": [],
"id": "P0800",
"slug": "inovalon-insurance-discovery",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/inovalon-insurance-discovery.json"
}
}