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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.

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.

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

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

Audience

Healthcare providers searching for a solution to manage and achieve compliance

Audience

Healthcare organizations interested in a health plan platform to improve reimbursements, ensure compliance, and lower costs

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

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Reviews/Ratings

Overall 1.0 / 5
ease 1.0 / 5
features 1.0 / 5
design 1.0 / 5
support 1.0 / 5

Pros & Cons from Real Users

Pros

  • Nothing. This system is hard to use and not well organized. he training was horrible and didn’t cover what was needed for my job function. I feel like this system is cutting corners on our workflow, and making our customer experience more generic and computer generated. I am not a fan. I am highly debating leaving my company that I have been at for four years because of this new software. It does not have correct deadline dates and very confusing to use.

Cons

  • There is nothing good about this software. It’s confusing and has a billion areas that need to be filled out with a character limit.

Training

Documentation Supported
Webinars Not Supported
Live Online Supported
In Person Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Company Information

Edifecs
Founded: 1996
United States
www.edifecs.com

Company Information

Inovaare
Founded: 2006
United States
www.inovaare.com

Alternatives

Health e(fx)

Health e(fx)

HealthCare Impact Associates

Alternatives

CodySoft

CodySoft

Cody
HIPAA ComplyPAK

HIPAA ComplyPAK

HIPAA Solutions
EZDI

EZDI

EZDI, an AGS Health Company

Categories

Categories

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

Integrations

Aerial Not Supported
Rackspace Cloud Files Not Supported

Integrations

Aerial Supported
Rackspace Cloud Files Supported
Claim Edifecs and update features and information
Claim Edifecs and update features and information
Claim Inovaare and update features and information
Claim Inovaare and update features and information