Inovalon Claims Management Pro vs. Stedi

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.

Stedi is the only programmable healthcare clearinghouse. Health tech companies use Stedi to automate healthcare transactions like eligibility checks and claims using APIs that support thousands of payers. Here is a list of the APIs available today, with more in the works: - Real-time and batch eligibility checks - Insurance discovery - COB checks - MBI lookups - Professional, dental, and institutional claims submission - Claim attachments - Claim acknowledgments - Real-time claim status checks - Electronic Remittance Advice (ERAs) - Transaction enrollment We’ve raised $142 million from