Inovalon Claims Management Pro vs. Inovalon Eligibility Verification

Claims Management Pro™ helps healthcare organizations manage claims across all payers from a single platform. Built for revenue cycle teams across hospitals, health systems, physician groups, and billing organizations, it combines claims management, eligibility verification, workflow automation, and reporting to help organizations reduce system hopping, improve claim quality, and keep reimbursement moving. The solution supports a 98%+ first-pass payer acceptance rate1 by helping organizations identify and correct issues before claims are submitted.

Eligibility Verification™ provides real-time eligibility and benefits verification for commercial and government payers. Built for healthcare providers, revenue cycle teams, billing specialists, and admissions and patient access staff, it automates routine eligibility verification tasks while giving organizations fast access to coverage and benefit information from Medicare, Medicaid, commercial health plans, Medicare Advantage, and Medicare supplement plans.