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Inovalon Claims Management Pro Commentary
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Subject Expert
Shawn Howell
Engagement Partner
KLAS Engagement Partner - Shawn Howell
 

Commentary Summary

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User Commentary

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 Download as Excel

Manager

Other than the specific payer rejections where the claims still go through and get approved and paid...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

I have a minor issue that I will contact Inovalon's support about. I believe that is a conversion issue....

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

Inovalon Claims Management Pro works well with the main software that our office currently uses. My...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The solution lets me know when something is denied, and it usually does so pretty quickly. Sometimes...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Analyst/Coordinator

I was satisfied with the vendor's training. I still look at the videos sometimes when I want to dig...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

I've only had to reach out to Inovalon's support people once or twice in the past few years. They've...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

If I were to recommend Inovalon to other people, I would explain to them how Inovalon makes the...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

I find a bit of a struggle in trying to talk to the customer support team from Inovalon. I talk more...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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VP/Other Executive

I would like to know ahead of time from Inovalon that I need to have a referring physician or...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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VP/Other Executive

We went way over our planned number of insurance discoveries with Inovalon, and they were...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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VP/Other Executive

Inovalon Claims Management Pro is pretty intuitive and pretty flexible in that, if I’m looking up...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

Our experience with Inovalon has generally been very positive. It is very easy to upload a file to...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

I just received an email not too long ago that Inovalon is doing regular meetings where they're...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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Director

I think Inovalon is working on this, but if they had a way for us to get prior authorizations for...

Comment Tone Positive
Pillars Loyalty, Relationship
Evaluation Unrated

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Director

This could be the way that the back end of the solution is set up, and each payer may be a little...

Comment Tone Positive
Pillars Culture, Product
Evaluation Unrated

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Director

There are some things that I have to do through our EHR, but there are some things where I am on my...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

The one individual who did our training for Inovalon Claims Management Pro to teach us the actual...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Director

Inovalon does have some reports on the back end that open in Excel, but sometimes the reports don't...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

I have been working for the same organization for a while now, and we used to have one clearinghouse...

Comment Tone Positive
Pillars Loyalty, Operations, Product
Evaluation Unrated

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Director

I don't ever give anybody a top rating. There's always room for improvement. With the edits and...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Director

I would like to highlight that Inovalon does a good job. Their edits are usually correct, and their...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

I like that when we get the right person from Inovalon, they can really do anything to meet our...

Comment Tone Positive
Pillars Relationship, Product, Value
Evaluation Unrated

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Director

I currently have someone on my team who spends most of their day following up on cases, creating...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Director

I would consider Inovalon Claims Management Pro again, depending on my research and the pricing. We...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Director

I meet with Inovalon and their reporting team because they try to sell me their product all the...

Comment Tone Negative
Pillars Culture, Product
Evaluation Unrated

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Physician

The thing that's difficult for me is that getting in touch with someone from Inovalon who is going...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Physician

Inovalon has a business arrangement with another vendor we work with, but Inovalon has no interest...

Comment Tone Negative
Pillars Relationship, Operations
Evaluation Unrated

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Physician

So far, I'm liking Inovalon Claims Management Pro. It's not as easy an interface as the other...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Physician

When I write my notes in the solution, I have to click all the buttons. There are too many buttons...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

There are a couple of things with some payers that are a little weaker than with others when it...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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VP/Other Executive

The vendor works with us on the things that we need. In the middle of our relationship with them,...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

I haven't had any issues with Inovalon. They are really good about reaching out when we are fixing...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

It would be great if Inovalon could improve the functionality for looking up deductible information....

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Manager

I rate Inovalon’s training pretty low because we do professional claims, not facility claims, and...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

I don't know what Inovalon’s vision or road map for this solution is. We recently started using a...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

As far as support goes, things don't get resolved right away. There's always a case that's...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

I don't have that many problems anymore because I've been doing the work for quite a while now, but...

Comment Tone Positive
Pillars Relationship, Operations
Evaluation Unrated

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Manager

Inovalon doesn’t charge unexpected costs. We just get a bill once a month, and it gets paid out of...

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Manager

The thing that I like the most about Inovalon Claims Management Pro is the fact that the claims are...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I've only had one or two issues that have happened with the edits and scrubbing, and the reason that...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

Inovalon changed the format in the product, and the way it looks is so much easier and more user...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

When we had issues with a claim, Inovalon said that we had to set up business rules, but we didn’t...

Comment Tone Negative
Pillars Culture, Relationship, Operations
Evaluation Unrated

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Analyst/Coordinator

I like the Inovalon training videos, and I like watching someone else do something and then having...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

Inovalon’s support team gets back to me fairly quickly. One issue took a few days before we got an...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

We don't bill certain payers through Inovalon's system, but everything else goes through it. We can...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

We use the insurance discovery piece to look at people's insurance, and that helps us find...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

We've added a few more of our payers to the clearinghouse solution rather than use another...

Comment Tone Negative
Pillars Product, Value
Evaluation Unrated

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Analyst/Coordinator

I'm satisfied with the way everything is working with Inovalon. The system does what I need it to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Inovalon’s support is pretty good. Sometimes it takes the support people a while to get back to me,...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Inovalon tells me right away what the issue is with a claim, and I know how to clean it. The system...

Comment Tone Positive
Pillars Relationship, Operations, Product
Evaluation Unrated

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Director

If we are not sure how to do something, we put a ticket in with Inovalon, and once we get a person,...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Inovalon does a pretty good job with training. Anytime they make an update, when we first log on,...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Director

We have to have a clearinghouse if we want to stay competitive in this market, and Inovalon’s...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Director

Inovalon could do a better job at explaining and selling their product, because if I knew more about...

Comment Tone Negative
Pillars Culture
Evaluation Unrated

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Director

Inovalon has really improved their services in the past two years. I was invited to a meeting where...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Physician

When I did the Inovalon training, they recorded it so that if I needed to go back and check...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Physician

If there's a question that I'm not sure how to answer, I call Inovalon, and they're very helpful....

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Physician

When I go to the Inovalon website, I can check everything. I can check eligibility, and I can check...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Physician

The reason I have Inovalon is that it is linked with our EHR. The systems are somehow linked, and...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Physician

Our Inovalon system is linked with our EHR, and that is a really good deal. I imagine if Inovalon...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

The onboarding with Inovalon was very good. The person who did the implementation prepared us for...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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VP/Other Executive

I'm very happy with Inovalon's solution. I like how it's integrated into our system. The...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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VP/Other Executive

Denials are a little bit harder for me to deal with in the solution, though it could be because of...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Inovalon’s customer support is really good. We had some claims that didn’t go through because a...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Analyst/Coordinator

Inovalon does a good job of getting claims to payers. Inovalon has a good clearinghouse. If Inovalon...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Manager

I wish I knew more of the system as I’m learning. But Inovalon does have support in the tool. I know...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Manager

We’ve only had Inovalon Claims Management Pro for a short time, and we’re already having problems...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Manager

I’ve worked with many different solutions, but Inovalon Claims Management Pro is pretty good so far....

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

The top performance quality with Inovalon Claims Management Pro is that I can go in and find the...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Inovalon is really good at reaching out. They are trying to get the support to go through a bit more...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

It is not too often that we need support, but sometimes the support is a little slow, depending on...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

The thing I like the most is probably just the fact that Inovalon stops claims from going through in...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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Manager

Basically, I cannot say anything bad about Inovalon. My only concern, as I oversee billing and ER...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Manager

Based on the clearinghouse, Claims Management Pro is holding all the claim submissions. The daily...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

Based on innovation, I think Inovalon is really good because I do not see a lot of changes, just...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

Sometimes when we are looking at denials, we would like to understand the exact reason. It would be...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

Claims Management Pro facilitates speedy claim submission. We are a multiclinic, and we have...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Manager

Sometimes we lack training from Inovalon. That is on our end, but we do not have time to do training...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Physician

The solution is kind of costly. Inovalon gives us a heads-up about cost, but it’s quite expensive.

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Physician

I like that there is a little change in the system where we do not have to go through the whole...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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Physician

Inovalon seems to be pretty good when I call for help, but sometimes it is hard to get through to...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Physician

The majority of the time, billing goes through the solution, and when Inovalon picks up the calls, I...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

The in-depth ability for eligibility runs in Claims Management Pro is limited because the system...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

The customer service from Inovalon is wonderful, and that's really worth mentioning because...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

I don’t know if I would buy Claims Management Pro again. We are using it as a third-party program to...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Director

In terms of claim statusing and denials management, some claims get rejected by flagging the group...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

I don't know if we really got trained on all the stuff that Inovalon provides, so I don't know if we...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

Early on with Inovalon, we worked with a certain person, and that was lovely, but then we were told...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

Some things in Inovalon's solution are a little too nitpicky based on our prior clearinghouse...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

There have been times when I have felt like we didn't get anywhere with Inovalon’s ticket system....

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

We can run reports and an explanation of benefits in Inovalon's system, but depending on the size of...

Comment Tone Negative
Pillars Relationship, Product
Evaluation Unrated

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Manager

I like how we can manipulate and correct errors, and we can work them right within the Inovalon...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Our previous clearinghouse solution was more outdated, and Inovalon's has better options. Instead of...

Comment Tone Positive
Pillars Loyalty, Operations, Product
Evaluation Unrated

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Manager

There is one little area we have a problem with in Inovalon's system. A claim will go into the...

Comment Tone Negative
Pillars Culture, Product
Evaluation Unrated

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Manager

When we first got Inovalon's system, we had trainings on it, and the trainer that we had was...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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CEO/President

Our claims are easy to track and monitor.

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

I would score the strength of reports lower because there was no training on them, so they were not...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

There was one instance when we were working with Inovalon to generate a very specific file report...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

I do not think there is a great deal of initiative from Inovalon to provide training, whether for...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Manager

With Inovalon Claims Management Pro, we finally feel comfortable. It was a big transition and...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Inovalon's accessibility and follow-up on service requests can be a challenge. There is often a...

Comment Tone Negative
Pillars Loyalty, Relationship
Evaluation Unrated

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Manager

I am completely satisfied with Inovalon Claims Management Pro.

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

I have been extremely satisfied with how quick Inovalon is to turn around and put in new edits that...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Analyst/Coordinator

The system is almost as good as the vendor said it would be. The vendor has delivered everything we...

Comment Tone Positive
Pillars Culture
Evaluation Unrated

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Analyst/Coordinator

I have recommended the system to others before.

Comment Tone Positive
Pillars Value
Evaluation Unrated

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Analyst/Coordinator

We have worked on calls with both the vendor's sales representative, an executive, and a tech...

Comment Tone Positive
Pillars Culture, Relationship
Evaluation Unrated

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Analyst/Coordinator

Inovalon's training is very robust. Getting the vendor to do on-site training is like pulling teeth....

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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Analyst/Coordinator

The system has a lot of really cool dashboards, so we can isolate our denials, audits, and appeals.

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Inovalon has an interface to the Medicare direct data entry system, so it is very easy to get into...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

The system's price is good. The vendor covers everything from beginning to end in their suite of...

Comment Tone Positive
Pillars Culture, Value
Evaluation Unrated

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Analyst/Coordinator

The system has been extremely reliable. We rarely have any downtime. Since we started on the system,...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

One of the reasons we chose Inovalon's system was that we were already using it for something else....

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Analyst/Coordinator

The system has reports, but those reports are in different places, and users have to know where to...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Analyst/Coordinator

Inovalon could be better at letting us know if there is an issue.

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Manager

Inovalon is very timely with support. They respond through email. They also give a phone call. They...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

The Medicare contractor in our region gives us access to their portal for claims, eligibility, or...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Manager

The main purpose of using Inovalon Claims Management Pro is the connectivity to the Direct Data...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

We haven't looked at the competitors yet because we are still satisfied with Inovalon. That is why...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Manager

Inovalon provides what we need for today. Since Inovalon is offering more future features, we will...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Manager

Inovalon provides us with very good training. Recently, we had training through Zoom, and it was...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Manager

Inovalon Claims Management Pro is working very well. We don't have many issues with the...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

The only issue that we have with Inovalon Claims Management Pro is that it lags from time to time...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

We have to use another portal to show things like eligibility because Inovalon's system doesn’t show...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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The standout thing about Inovalon Claims Management Pro is that I love how quickly we are able to...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Everything has been great with Inovalon. What comes to mind for me is that when we first started...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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It is always fairly easy to get one of Inovalon’s support technicians on the line, and there is...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Inovalon Claims Management Pro shows us our top denials. I love that about it because whenever it...

Comment Tone Positive
Pillars Product, Value
Evaluation Unrated

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We have been using Inovalon Claims Management Pro for a while, and we have just learned how to...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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Inovalon has done a couple of upgrades to the system, but those don't really seem to have impacted...

Comment Tone Negative
Pillars Operations, Product
Evaluation Unrated

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Inovalon has training materials and videos, but their training also depends on the organization. I...

Comment Tone Negative
Pillars Operations
Evaluation Unrated

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We don't get much communication from Inovalon beyond notices about system upgrades. From my...

Comment Tone Negative
Pillars Relationship
Evaluation Unrated

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Overall, Inovalon Claims Management Pro is a decent product. It does what it is supposed to do. The...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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I would like to see more customization options in Inovalon Claims Management Pro, particularly for...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Manager

When Inovalon trained with us a while back, I sat side-by-side with the trainer, and they showed me...

Comment Tone Positive
Pillars Operations
Evaluation Unrated

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Manager

How someone feels about the strength of the reports and insights in the solution all depends on how...

Comment Tone Positive
Pillars Operations, Product
Evaluation Unrated

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Manager

Inovalon lets us know when there is an overall payer issue that is popping up and other things that...

Comment Tone Negative
Pillars Relationship, Value
Evaluation Unrated

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Manager

Inovalon Claims Management Pro is stable and consistent. That is one thing I appreciate about the...

Comment Tone Positive
Pillars Loyalty, Product
Evaluation Unrated

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Manager

The support people from Inovalon are really good. We have regular recurring calls and a dedicated...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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Manager

Within the post–acute care world, there is a huge line of business that doesn't actually submit...

Comment Tone Negative
Pillars Culture, Product
Evaluation Unrated

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Manager

If we have issues, we have a ladder of escalation so that we can take something all the way up to...

Comment Tone Positive
Pillars Relationship, Product
Evaluation Unrated

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Manager

Inovalon is working on a new AI analysis tool for denials that they will embed into the platform. It...

Comment Tone Positive
Pillars Loyalty
Evaluation Unrated

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Manager

The claims statusing from Inovalon is actually really nice. We can get intermediary and final claim...

Comment Tone Positive
Pillars Product
Evaluation Unrated

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Manager

Inovalon does really well with our edits from scrubbing in general. We get very few rejections. We...

Comment Tone Negative
Pillars Product
Evaluation Unrated

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Analyst/Coordinator

Inovalon Claims Management Pro is a very expensive product. We use it because we haven't found...

Comment Tone Negative
Pillars Value
Evaluation Unrated

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Analyst/Coordinator

Inovalon's interoffice communication from a customer standpoint could be better. The vendor's sales...

Comment Tone Negative
Pillars Culture, Relationship
Evaluation Unrated

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Analyst/Coordinator

For the last while, we have had a dedicated customer service representative. Without that, I don't...

Comment Tone Positive
Pillars Relationship
Evaluation Unrated

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