Automated healthcare provider relationship management solution
Streamline provider network operations, ensure contract compliance, and optimize performance with our provider network management solution
Optimize and enhance provider network performance
Balance operational efficiency with the importance of maintaining strong provider relationships and turning disputes into opportunities for collaboration and trust.
Transform the way you manage your provider network
At the heart of effective provider network management lies a seamless integration of advanced tools and processes. Discover the key functionalities that make our provider network management a transformative tool to drive your network performance.
Streamline every step of dispute resolution
Automate and optimize each stage of dispute resolution to eliminate bottlenecks, reduce processing times and administrative burdens.
Confidently navigate compliance requirements
With comprehensive tracking and reporting, ensure your provider network remains compliant and audit-ready at all times.
Adapt workflows to your unique needs
Tailor and scale workflows to fit the specific demands of your provider network allowing you to efficiently adapt as your network grows.
Identify and resolve risks before they escalate
Safeguard your operations and ensure the reliability of your provider network by adopting a proactive stance.
Manage your provider network with precision and efficiency
Managing a provider network is more than just maintaining relationships, it’s about ensuring that every interaction, every process, and every outcome is optimized for success. Our comprehensive suite of products is designed to do just that.
Provider Dispute Resolution
Efficiently manage and resolve provider disputes to ensure timely resolutions, reduce administrative burdens, and foster transparent and collaborative relationships.
Quality Improvement Organization
Stay aligned with the QIO Program by using data to track healthcare quality improvements and address beneficiary complaints efficiently.
Provider CRM
Build and maintain strong provider relationships with our robust CRM solution. Centralize provider information, track interactions, and ensure personalized communication.
Healthcare Operations Copilot
By automating routine tasks and providing real-time insights, this AI-powered assistant ensures that you focus on building strategic partnerships ensuring a high-performing network.
Optimizing provider relationships for enhanced network performance
Our ecosystem of related products, designed to integrate seamlessly with Provider Relationship Management, enhances your capabilities across the board. Together, these tools extend your reach and effectiveness, creating a more cohesive and efficient healthcare delivery system.
Delegation Oversight
Delegation Oversight
Monitor and manage delegated entities effectively, ensuring they meet contractual and regulatory requirements with real-time oversight and compliance tools.
Healthcare Compliance Management
Regulatory Library
Access a centralized repository of up-to-date healthcare regulations and guidelines, streamlining compliance management and keeping your organization audit-ready.
Healthcare Compliance Management
Policies & Procedures (P&P)
Centralize the management of your organization’s policies and procedures, ensuring they are up-to-date, compliant, and easily accessible for consistent operations.
Healthcare Audit Management
Continious Monitoring
Gain real-time insights into key performance metrics, enabling you to stay ahead by identifying trends and addressing issues before they impact your network.
Have questions? We have answers.
Technology
Inovaare provides automated dispute routing, contract compliance checks, provider CRM alerts, and performance dashboards in a centralized interface. These tools help reduce administrative delays and improve provider satisfaction.
Yes. Inovaare uses AI to analyze communication patterns, identify at-risk provider relationships, and recommend outreach actions, helping network teams proactively address concerns before disputes escalate.
Pricing & Implementation
Pricing is modular. Health plans can choose dispute management, provider CRM, or AI copilot modules. Licensing scales based on provider count and deployment model. We offer subscription and usage-based options.
Typical deployment takes 6 to 10 weeks. Setup includes configuring provider profiles, contract terms, dispute workflows, and integrating data sources. A phased rollout is optional for faster time to value.
Regulatory Compliance
Inovaare continuously monitors provider contracts and flags missing documentation, rate mismatches, or expired terms. Automated alerts help maintain compliance and prepare for audits.
Yes. Inovaare offers built-in report templates aligned to CMS audit guidelines. It generates audit-ready outputs with complete evidence trails and timestamps for thorough documentation.
Operations
The platform automates case assignment, tracks correspondence, and triggers escalation alerts. Real-time dashboards help managers monitor dispute ages and bottlenecks, driving faster resolution and stronger provider relationships.
Yes. Inovaare CRM logs emails, calls, and tasks in one provider profile. Teams can set reminders, follow up on open issues, and ensure nothing slips through the cracks.
Inovaare allows customization of dispute and compliance workflows per delegated entity. It tracks delegate performance, applies contract rules, and alerts teams to non-compliant activity.
Inovaare centralizes provider complaints from multiple channels, auto-assigns them to the right team, and tracks resolution status. Dashboards highlight complaint trends and root causes, helping reduce repeat issues and improve provider satisfaction.
Strong compliance posture