Inovalon: Healthcare Software & Analytics Solutions
Inovalon helps healthcare providers, payers, and pharmacies manage operational data and reimbursement workflows. It is designed for organizations needing to coordinate quality measurement and revenue cycle management.
At a glance
- Category
- Healthcare
- Best for
- Healthcare Organizations, Medical Practices, Hospitals, Health Systems, Specialty Pharmacies
- Pricing
- Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
- Key use cases
- Claims Management, Clinical Trial Recruitment, Pharmacy Workflow Automation, Quality Performance Tracking, Staff Scheduling
- Official website
- www.inovalon.com
Inovalon is a healthcare software platform designed to connect data across the care continuum. It provides tools for revenue cycle management, care quality reporting, and workforce scheduling, accessible through a single-sign-on portal.
The platform serves healthcare entities including hospitals, medical practices, health plans, and specialty pharmacies. It utilizes a proprietary dataset, the MORE 2 Registry, to provide insights into patient journeys and market trends.
For providers, the software supports claim management and staffing. For payers and life sciences, it supports clinical trial recruitment and HEDIS-certified quality measurement. Buyers should confirm which specific modules—such as ScriptMed for pharmacies or Converged Quality for payers—align with their organizational needs, as the platform covers multiple distinct healthcare functions.
Key Features
Tools for registration workflow, insurance discovery, eligibility verification, and claims management.
An AI-powered, EMR-integrated tool designed to help recruit eligible and diverse patients for clinical trials.
HEDIS-certified quality measurement software for CMS, NCQA, and state data submissions.
Pharmacy management software covering the prescription life cycle from referral to billing.
Software for scheduling, attendance tracking, and credential management.
Access to longitudinal healthcare data and Social Drivers of Health (SDOH) market insights.
Use Cases
Identifying and correcting claims issues prior to submission to help reduce denials.
Using AI-powered tools to identify and screen eligible participants for clinical research.
Automating tasks in specialty and infusion pharmacy operations to manage prescriptions and billing.
Measuring and reporting quality data for health plans to support HEDIS and CMS requirements.
Managing clinical workforce schedules and tracking provider credentials.
Best For
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
FAQ
Inovalon is designed for healthcare entities including providers, health plans (payers), pharmacies, and life sciences organizations.
It is Inovalon's proprietary primary source dataset containing over 97 billion medical events across millions of unique patients and physicians.
Yes, the platform includes AI-powered features such as the Clinical Research Patient Finder and machine learning-based adherence risk predictions.
Through the ScriptMed suite, it supports specialty and infusion pharmacies in automating the prescription life cycle, from referral receipt to billing.
Source category: Healthcare
Source subcategory: Analytics & Reporting
