Conflict of Interest COMPLIANCE
Automated Conflict of Interest Management Built for Payers
Turn compliance blind spots into actionable insights, streamlining disclosure, tracking, and reporting in one audit-ready platform.
What we solve
COI risks and compliance gaps
Unmanaged conflicts of interest put health plans at risk of CMS scrutiny, OIG penalties, and reputational damage. Without a structured system, gaps quickly translate into audit findings, ICARs, and reputational harm.
Missed disclosures
COI forms lost in emails or spreadsheets, leading to incomplete records.
Limited visibility
Compliance officers lack real-time insight into disclosure patterns across departments.
Manual follow-ups
Teams spend hours chasing employees and vendors for forms, reviews, and attestations.
Audit vulnerability
Inadequate documentation and weak controls create exposure during CMS, OIG, and internal audits.
How we solve
From COI blind spots to audit-ready oversight
Our Conflict of Interest (COI) management solution automates the intake, monitoring, and resolution of COI disclosures. Our COI governance platform streamlines disclosure management into an audit-ready process for health plans. closing compliance gaps, improving oversight, and reducing manual effort.
Automated COI management
COI disclosure automation and configurable campaigns by department, role, or disclosure type, ensuring no request is missed.
End-to-end accountability
Maintain traceable records from intake through resolution, with proof of mitigation, approvals, and audit-defensible COI tracking.
AI-enabled risk detection
Usher AI analyzes disclosure data at scale, flags high-risk entries, and generates real-time summaries and dashboards for compliance officers.
Seamless integration
Connect disclosures with Audit, Risk, Policies & Procedures, and Issue Management to create a unified compliance workflow.
Value to Your Organization
Drive measurable impact with COI compliance
Managing conflicts of interest isn’t just a compliance requirement, it’s a way to build trust, reduce audit risk, and save operational effort. Our COI software delivers measurable outcomes for compliance, audit, and risk teams.
Why Inovaare
Conflict of interest reporting designed for payers
Health plans need more than point tools, they need a governance platform designed for the realities of CMS and OIG oversight. Inovaare’s Conflict of Interest software is built on our HITRUST-certified, healthcare-native GRC suite, giving compliance teams confidence and scalability.
Healthcare-first design
Built specifically for Medicare, Medicaid, and Commercial health plans, aligned with CMS protocols and OIG guidance.
Seamless integration
Works natively with Inovaare’s Audit, Risk, Policies & Procedures, and Delegation Oversight modules for unified compliance.
AI at the core
AI is not bolted on, it's buint-in. Usher AI powers risk detection, summaries, and dashboards, helping teams act faster and smarter.
Unified governance layer
Close the loop between COI, policies, and audits, no more fragmented tools or manual reconciliations.
Key features
Put COI compliance on autopilot
Inovaare’s Conflict of Interest (COI) management software delivers the functionality compliance and audit leaders need to stay ahead of CMS and OIG requirements. Every feature, including AI-driven COI detection, is designed to simplify workflows, strengthen governance, and deliver audit-ready proof.
Configurable campaigns
Launch by department, role, or timeline with no IT dependency.
AI-powered risk summaries
Usher AI parses disclosures to flag high-risk entries and generate actionable insights.
Real-time dashboards
Track disclosure status, risk trends, and remediation progress in one view.
Automated task routing
Assign follow-ups directly to responsible teams with built-in accountability.
Seamless integration
Connect COI data with Audit, Risk, and Policies & Procedures workflows.
COI audit reporting
Generate proof of mitigation, approvals, and campaign completion.
HITRUST-certified security
Protect sensitive employee and vendor disclosures with enterprise-grade safeguards.
Flexible deployment
Run as a standalone app or integrate across your compliance suite for scale.
FAQs
Have questions? We have answers.
Regulatory Compliance
A conflict of interest arises when an employee, executive, or vendor has personal, financial, or organizational interests that could improperly influence decision-making. For health plans, unmanaged COIs can result in CMS audit findings, OIG scrutiny, and reputational risk.
CMS and OIG require health plans to demonstrate transparent governance. Weak COI controls are often cited as indicators of poor compliance culture and can trigger ICARs, corporate integrity agreements, or condition-level findings during audits.
Regulators expect health plans to collect, track, and act on disclosures with clear proof of mitigation. CMS Program Audit Protocols (2024) and OIG compliance guidance both emphasize documentation, oversight, and audit-ready evidence of COI handling.
COI management software provides centralized, traceable records of disclosures, follow-ups, and approvals. Automated reports, AI-generated summaries, and integration with audit workflows reduce the risk of missed disclosures and strengthen readiness for CMS and OIG reviews.
Spreadsheets and email-based disclosure tracking leave gaps, create inconsistent records, and increase the likelihood of audit findings. NAVEX and KPMG surveys show that over 35% of ethics violations stem from undeclared or mishandled conflicts of interest.
Pricing & Implementation
Operations
Executives and compliance leaders can access dashboards showing disclosure trends, unresolved cases, and organizational risk exposure—helping them take proactive action before issues escalate.
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It connects directly to operational data sources like UMS, call logs, SFTP, or Excel files
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Applies built-in CMS-aligned logic for grievance, appeals, and CAP tracking
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Generates pre-formatted reports and dashboards ready for compliance use
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Enables self-service reporting so business users can filter, schedule, and share data without relying on IT
With TrueView, most teams report up to 70% less manual effort, with faster turnaround on internal reviews, audit prep, and performance monitoring.
The result?
Less time
spent on reporting—and more time focusing on improving operations and staying ahead of audits.