Complimentary Access: Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2025

Explore more Explore more

CMS program audit readiness playbook

Download now Download now

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.

Conflict of Interest software for health plans

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.

Inovaare- Dashboard

Missed disclosures

COI forms lost in emails or spreadsheets, leading to incomplete records.

Inovaare-Delegate-coordination

Limited visibility

Compliance officers lack real-time insight into disclosure patterns across departments.

Inovaare-lower-data-submission-efforts

Manual follow-ups

Teams spend hours chasing employees and vendors for forms, reviews, and attestations.

Inovaare-less-time-mock-audits

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.

Inovaare_real-time-visibility-into-readiness

Automated COI management

COI disclosure automation and configurable campaigns by department, role, or disclosure type, ensuring no request is missed.

Inovaare_Compliance Without the complexity

End-to-end accountability

Maintain traceable records from intake through resolution, with proof of mitigation, approvals, and audit-defensible COI tracking.

Inovaare-Member-centric

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.

Inovaare-Lower-costs

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.

Faster disclosure collection
0 %
Audit-ready documentation
Up to 0 %
Fewer COI-related audit findings
0 %
Stronger compliance culture
0 X
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 COI detection, is designed to simplify workflows, strengthen governance, and deliver audit-ready proof.

Inovaare-Prebuilt-CMS-rules-logic

Configurable campaigns

Launch by department, role, or timeline with no IT dependency.

Inovaare-complete-oversight

AI-powered risk summaries

Usher AI parses disclosures to flag high-risk entries and generate actionable insights.

Inovaare-One-click report generation

Real-time dashboards

Track disclosure status, risk trends, and remediation progress in one view.

Inovaare-Self-service-configuration

Automated task routing

Assign follow-ups directly to responsible teams with built-in accountability.

Inovaare-task-tracker

Seamless integration

Connect COI data with Audit, Risk, and Policies & Procedures workflows.

Inovaare-real-time-audit-log

COI audit reporting

Generate proof of mitigation, approvals, and campaign completion.

Inovaare-Secure-delegate-portal

HITRUST-certified security

Protect sensitive employee and vendor disclosures with enterprise-grade safeguards.

Inovaare_Centralized Dashboard

Flexible deployment

Run as a standalone app or integrate across your compliance suite for scale.

Resources

FAQs

Have questions? We have answers.

Regulatory Compliance

What is a conflict of interest (COI) in healthcare 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.

Why is COI management critical for Medicare and Medicaid plans?

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.

What are CMS and OIG expectations around COI disclosures?

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.

How does COI software help in audits?

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.

What are the risks of relying on manual COI processes?

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

How is COI software priced for health plans?
Pricing is typically based on plan size, number of users, and deployment model (standalone vs.
 integrated with the full GRC suite). We offer flexible tiers to fit Medicare, Medicaid, and Commercial payers.
Is COI software available as a standalone solution?
Yes. It can run independently or as part of Inovaare’s GRC suite. Most health plans choose
integration to connect COI with audit, risk, and policy workflows for stronger compliance.
What is the typical implementation timeline?
Most health plans go live within 8–12 weeks, depending on scope and integrations. Pre-built
templates and low-code configuration reduce dependency on internal IT resources.
Can the system integrate with existing compliance tools?
Yes. The COI module integrates with existing audit, HR, and governance systems through APIs and
                        connectors, minimizing disruption and duplication.

Operations

How does the system handle high-risk disclosures?
High-risk entries are automatically flagged by AI, assigned to the right reviewers, and tracked through to resolution. Compliance officers can view escalation paths and remediation status in real time.
Does COI software integrate with existing workflows?
Inovaare’s COI module connects with Audit, Risk, Issue Management, and Policies & Procedures systems, ensuring disclosures feed directly into compliance, governance, and oversight
                        workflows.
What kind of visibility does leadership gain from COI software?

Executives and compliance leaders can access dashboards showing disclosure trends, unresolved cases, and organizational risk exposure—helping them take proactive action before issues escalate.

  • It connects directly to operational data sources like UMS, call logs, SFTP, or Excel files

  • Applies built-in CMS-aligned logic for grievance, appeals, and CAP tracking

  • Generates pre-formatted reports and dashboards ready for compliance use

  • 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.

Technology

Is the COI solution cloud-based?
Yes. The Conflict of Interest software is hosted on Inovaare’s HIPAA-compliant, HITRUST-certified health cloud, ensuring security and scalability for payers.
How secure is COI data?
All disclosures are encrypted in transit and at rest. Role-based access, audit logs, and multi-factor authentication protect sensitive employee and vendor data.
Does the system support API integrations?
Yes. The COI module integrates with HR, Audit, Risk, and Policy systems via APIs, enabling a connected compliance ecosystem without disrupting existing workflows.
Can COI dashboards be customized?
Dashboards are configurable by role, department, and risk type. Compliance officers, executives,
and auditors each get tailored views of disclosure and remediation data.
What infrastructure or hosting model does Inovaare follow?
Inovaare is hosted on a secure, scalable cloud-native infrastructure with multi-region backup,
automated updates, and 24/7 monitoring. It’s built for performance, reliability, and compliance with industry-leading standards.

Explore our AI-driven healthcare solutions

Struggling with compliance burdens, operational delays, or data gaps?

Discover how Inovaare’s SaaS-based payer solutions, built on its AI-powered platform,
help health plans streamline processes, reduce risk, and improve member outcomes.

Scroll to Top