List of Inovalon Claims Management Customers
Bowie, 20716, MD,
United States
Since 2010, our global team of researchers has been studying Inovalon Claims Management customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Inovalon Claims Management for Insurance Claims Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Inovalon Claims Management for Insurance Claims Management include: Ernest Health, a United States based Healthcare organisation with 2000 employees and revenues of $500.0 million, Vibra Healthcare, LLC, a United States based Leisure and Hospitality organisation with 1500 employees and revenues of $400.0 million, Blue Cross Blue Shield of Mississippi, a United States based Insurance organisation with 380 employees and revenues of $130.0 million, Eden Senior Care, a United States based Healthcare organisation with 260 employees and revenues of $25.0 million and many others.
Contact us if you need a completed and verified list of companies using Inovalon Claims Management, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Inovalon Claims Management customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Blue Cross Blue Shield of Mississippi | Insurance | 380 | $130M | United States | Inovalon | Inovalon Claims Management | Insurance Claims Management | 2018 | n/a |
In 2018, Blue Cross Blue Shield of Mississippi implemented Inovalon Claims Management as its Insurance Claims Management solution to enable provider offices to submit claims electronically without additional hardware or software, with the stated goal of speeding up the revenue cycle and reducing A/R days. The deployment emphasized a web-based, 24/7/365 portal model that allowed providers to focus on patient care rather than claims processing, and the Inovalon Claims Management name was used throughout provider communications and registration workflows.
The implemented capabilities included electronic claims submission and remit receipt for Medicare, Medicaid, and more than 2,200 commercial payers, batch upload support for all 837 EDI-compliant claim formats, and data translation and mapping services for Print Image and NSF formats. Providers without billing software were supported through direct keying into an electronic CMS-1500 form in a secure web portal, with the ability to save data for future use, reflecting standard Insurance Claims Management functional workflows for claims intake, validation, and submission.
Operational integration focused on payer connectivity and EDI processing, enabling providers with existing billing software to transition from paper claims to electronic batch submission and allowing the system to act as a centralized submission channel for multiple payers. Registration and account sponsorship was managed as a Blue Cross Blue Shield of Mississippi sponsored account, with Inovalon handling onboarding to ensure timely claim submission for enrolled payers.
Governance and rollout emphasized simplified registration and provider enablement, with an explicit caveat that some payers require separate enrollment which can delay submission until enrollment is complete. Outcome statements provided by the program center on revenue cycle acceleration and reduced A/R days, and the implementation shifted routine claims processing tasks into a hosted, portal based Insurance Claims Management workflow to reduce administrative burden for provider offices.
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Eden Senior Care | Healthcare | 260 | $25M | United States | Inovalon | Inovalon Claims Management | Insurance Claims Management | 2023 | n/a |
In 2023, Eden Senior Care implemented Inovalon Claims Management Pro to improve patient billing and reimbursement efficiency across its US post-acute care facilities. The deployment used Inovalon Claims Management within the Insurance Claims Management category to target revenue cycle and claims processes operating across the United States.
The implementation concentrated on claims validation and editing, rules-based clean-claims processing, and orchestration of claims submission workflows, leveraging capabilities typical of Insurance Claims Management solutions. Eden provisioned the solution via the PointClickCare marketplace, aligning electronic claim generation, adjudication readiness, and exceptions handling with existing revenue cycle operations. Configuration emphasized claims rulesets and claims queue management to standardize front-end claim scrubbing and reduce downstream rework.
Operational coverage included revenue cycle and billing teams across Eden Senior Care's US post-acute sites, with rollout staged to align with billing cycles and claims governance processes. Governance changes focused on centralized claim editing rules, established escalation workflows for denials, and operational handoffs between billing and clinical documentation teams. Vendor-reported outcomes include improved billing accuracy and expedited reimbursements, with clean-claims improvements cited by the vendor.
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Ernest Health | Healthcare | 2000 | $500M | United States | Inovalon | Inovalon Claims Management | Insurance Claims Management | 2020 | n/a |
In 2020, Ernest Health implemented Inovalon Claims Management as part of a multi-year adoption of Inovalon's EASE All-Payer claims management platform to address Insurance Claims Management across its skilled nursing and rehabilitation facilities in the United States. The program was scoped to centralize claims processing and to align revenue-cycle operations with standardized all-payer rulesets across the organization.
The deployment emphasized core Insurance Claims Management capabilities, including claims intake and normalization, automated claims editing and scrubbing, payer-specific adjudication logic, and denial management workflows to support finance and billing teams. Configuration work targeted claims validation, appeals routing, and operational reporting to make adjudication and exception handling auditable and consistent across sites.
Execution was organized as a phased, multi-year rollout spanning Ernest Health's post-acute network in the United States, with finance, billing, and revenue integrity functions brought under centralized claims processing governance. The Inovalon Claims Management implementation instrumented reporting and workflow controls to support revenue-cycle governance, change control, and exceptions management across facilities.
Program governance established phased releases and finance-led change management to standardize adjudication rules and denial workflows. Outcomes reported in the vendor press release included reduced denials and faster reimbursements, reflecting the stated finance and revenue-cycle objectives.
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Leisure and Hospitality | 1500 | $400M | United States | Inovalon | Inovalon Claims Management | Insurance Claims Management | 2020 | n/a |
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Buyer Intent: Companies Evaluating Inovalon Claims Management
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