Discover how to create a world-class Appeals & Grievances department

Download now
Products – Inovaare Healthcare Payer Solutions | Healthcare Compliance Software

Healthcare Compliance Products

Discover cloud-based Healthcare Payer Solutions

Health Plan Solutions to Sustain
Continuous Compliance

  • CRM Member/Provider

    Customer Relationship Management system exclusively focused on the operational and regulatory needs of health plan

  • Appeals & Grievances

    Appeals and grievances system with built-in compliance, workforce management and one-click universes

  • Audit Readiness

    CMS universe management system for one-click universe generation and on-demand scrubbing of all universe tables for issue identification within minutes

  • Risk & Compliance

    The CMS compliance module aligns with the latest CMS updates (i.e., HPMS) and helps plans create accurate risk assessments, manage corrective action plans (CAPs) and assign delegated tasks.

  • Data Warehouse

    Centralized data repository for on-demand analytics and reporting through user-friendly, scalable interfaces that require minimal administration.

  • Reporting & Analytics

    Business intelligence system with advanced reporting and analytics as well as ad hoc report and dashboard generation

  • CRM Member/Provider

    Customer Relationship Management system exclusively focused on the operational and regulatory needs of health plan

  • Appeals & Grievances

    Appeals and grievances system with built-in compliance, workforce management and one-click universes

  • Audit Readiness

    CMS universe management system for one-click universe generation and on-demand scrubbing of all universe tables for issue identification within minutes

  • Risk & Compliance

    The CMS compliance module aligns with the latest CMS updates (i.e., HPMS) and helps plans create accurate risk assessments, manage corrective action plans (CAPs) and assign delegated tasks.

  • Data Warehouse

    Centralized data repository for on-demand analytics and reporting through user-friendly, scalable interfaces that require minimal administration.

  • Reporting & Analytics

    Business intelligence system with advanced reporting and analytics as well as ad hoc report and dashboard generation

Improve Member Experiences

Ensure Faster Issue Resolution

Achieve Continuous Audit Readiness

Mitigate Risk for Better Operational Health

Make Better Decisions with Real-time Reports

Audit & Monitoring

Efficiently audit and monitor compliance readiness by centralizing and automating critical processes.

risk-management

Risk Management

Confidently guide health plans to manage risks relevant to their businesses with real-time data.

appeals and grievances software

Appeals and Grievances

Resolve the disconnect between multiple legacy systems to effectively engage members at every touchpoint in real time.

Inovaare Platform

Centralize critical data to meet government healthcare programs and commercial health-plan compliance requirements.