Operation

A Unified Platform to Drive Operational Efficiency

Inovaare’s audit-operation module enables health plans to effectively assess the quality, efficiency, and profitability of internal systems, processes and procedures across the entire organization. Compliance teams benefit from a streamlined audit lifecycle only possible by integrating audit data on a centralized, secure platform.

Health-plan compliance process owners have access to powerful reports built around the real-time status of:

  • Audit analysis
  • Audit findings
  • Audit-issue resolutions
This audit-operation module empowers health-plan personnel to:

  • Establish efficient, automated workflows
  • Eliminate operational-audit systems and manual processes that function in silos
  • Increase compliance and alignment with regulatory and business objectives
  • Proactively identify risk, non-compliance and operational aberrations
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Appeals & Grievances

Inovaare’s A&G module enables health-plan compliance teams to monitor A&G accuracy across the organization with real-time data visibility.

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SALES ALLEGATIONS

Inovaare’s Sales Allegations module helps health-plan compliance teams to ensure complaints are investigated and closed properly, reducing risk.

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CTMs

Inovaare’s CTMs module helps health-plan compliance teams to comprehensively manage end-to-end CTM processes and establish reliable compliance practices.

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