Inovalon Claims Management Pro vs. RCx

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.

We help you make right easy by preventing denials, protecting revenue, and eliminating manual claim edits with automation that catches errors before claims go out. Our smart, customizable rules ensure accuracy at the source, so your team spends less time fixing mistakes and more time optimizing revenue. One of our health system customers cut manual claim edits by 82%, freeing staff to focus on revenue—not rework. With RCx, you can get results as soon as your first billing cycle. With built-in intelligence, RCx automates charge corrections, reducing denials and accelerating cash flow.