Efficiently Manage FDR Compliance

Inovaare’s Delegation Oversight solution enables health plans to manage first-tier, downstream and related (FDR) delegated entity compliance. Now, Delegation Oversight departments can perform systematic reviews of FDR operations—to ensure they are in line with business requirements—while empowering plan sponsors and MCOs to manage and track all audits and monitoring of delegated entities. The solution also provides a secure portal for communication where delegated entities can scrub their universe files before submitting them to the health plan.

• Deliver real-time audit statuses
• Lower audit backlog, efforts and timelines
• Help health plans with pre- and post-delegation audits