Related Products
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About
Whether it’s understanding the nuances of the CMS and ONC final rules, developing a roadmap to meet the deadlines, or implementing a solution, we’ve got you covered. As the leader in interoperability, Edifecs has the expertise to help you achieve compliance with the new mandates and unleash the power of secure, reliable electronic health data exchange. Edifecs offers best-in-class Smart Trading and Encounter Management tailored specifically for small and medium-size health plans. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation. Streamline encounter management operations and improve first-pass rates for managed Medicaid and Medicare Advantage through a hosted solution model. Edifecs offers COTS-based modular solutions to maximize data quality and drive payment reform initiatives. Harness financial, clinical, and administrative data to drive business initiatives and enable administrative automation.
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About
As an industry leader of health plan solutions that drive digital transformation in healthcare, Inovaare automates complex Medicare, Medicaid and Commercial appeals and grievances (A&G) and Compliance Program Effectiveness (CPE) workflows. Its configurable cloud-based modules compile real-time data across internal and external departments, creating one compliance management system. The HIPAA-compliant platform integrates the most current, best-practice regulatory processes to help health plans efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks and lower overall operating costs. Inovaare’s industry-leading Appeals & Grievances and Regulatory Compliance health plans solutions automate time-consuming manual compliance processes to ensure higher CMS reimbursements, reduced compliance audit risks, and lower operating costs. Configurable software that optimizes risk identification, supports operations and displays intuitive analytics.
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Healthcare providers searching for a solution to manage and achieve compliance
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Audience
Healthcare organizations interested in a health plan platform to improve reimbursements, ensure compliance, and lower costs
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Not Supported
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Pros & Cons from Real UsersPros
Cons
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Supported
In Person
Supported
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Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Company InformationEdifecs
Founded: 1996
United States
www.edifecs.com
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Company InformationInovaare
Founded: 2006
United States
www.inovaare.com
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Alternatives |
Alternatives |
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Categories |
Categories |
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Hospital Management Features
Accounting Integration
Supported
Appointment Management
Not Supported
Appointment Scheduling
Supported
Bed Management
Not Supported
Billing & Invoicing
Not Supported
Claims Management
Not Supported
In-Patient Management
Not Supported
Inventory Management
Not Supported
Medical Billing
Supported
Out-Patient Management
Not Supported
Patient Records Management
Not Supported
Physician Management
Not Supported
Policy Management
Not Supported
Revenue Management
Not Supported
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Integrations
Aerial
Not Supported
Rackspace Cloud Files
Not Supported
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