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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Description

InsightPro is an online platform designed for workforce analytics and operations specifically aimed at health insurance payers, third-party administrators, benefit administrators, and health plans. It facilitates claims management, quality assurance, and support for member contact-center teams. The claims functionalities encompass inventory tracking, task allocation and distribution, production planning, forecasting, KPI dashboards, activity surveillance, and query resolution capabilities. Quality assurance teams are equipped with tools for configurable audits, sampling, capacity planning, error feedback mechanisms, rebuttal workflows, and performance reporting options. The platform's contact-center capabilities include access to member and call-history views, adjustable workflows, real-time insights, and performance analytics. Additionally, workforce dashboards enable managers to oversee productivity, workload, quality, and operational trends, while administrative features aid in user and workflow management. As a SaaS solution, this platform is customizable to meet the unique operational needs of payers, with pricing and plan scope tailored according to customer specifications, ensuring flexibility and adaptability in service delivery. This comprehensive suite of features empowers organizations to enhance their operational efficiency and improve overall service quality.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

Inovalon Provider Cloud Yes 

Integrations

Inovalon Provider Cloud No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

Flexible payment options include monthly plans and pay-per-transaction billing. SaaS pricing is tailored to selected features and customer requirements; no long-term commitment is required.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Inovalon

Founded

1998

Country

United States

Website

www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/

Vendor Details

Company Name

MDI NetworX

Founded

2014

Country

United States

Website

insightpro.ai/

Alternatives

Alternatives

No Alternatives
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