--- title: Inovalon Claims Management Pro Reviews meta_title: 'Inovalon Claims Management Pro Reviews 2026: Details, Pricing, & Features | G2' meta_description: Filter 29 reviews by the users' company size, role or industry to find out how Inovalon Claims Management Pro works for a business like yours. aggregate_rating: rating_value: 4.3 review_count: 29 scale: '5' date_modified: '2026-07-07' parent_category: name: Health Care Operations url: https://www.g2.com/categories/health-care-operations --- # Inovalon Claims Management Pro Reviews **Vendor:** Inovalon **Category:** [Healthcare Claims Management Software](https://www.g2.com/categories/healthcare-claims-management) **Average Rating:** 4.3/5.0 **Total Reviews:** 29 ## About Inovalon Claims Management Pro Claims Management Pro is a comprehensive SaaS-based claims management solution that far outpaces the average clearinghouse. This application puts you in control of front-end claims cycle activities, with a 99% clean claims rate.1 Its combination of real-time eligibility checks, claim status tracking, audit and appeals workflows, and ease of payment posting focus your labor activities to get cash flowing. A single log-in and customizable dashboard gives access to all payers, including Medicare, Medicaid, and commercial insurance. Plus, Claims Management Pro is easy-to-use RCM software compatible with all leading web browsers. Implementation is easy, with no complicated technical requirements to get started. 1. Inovalon internal reporting, Claims Management Pro, November 2023 ## Inovalon Claims Management Pro Reviews ### 1. Versatile RCM Tool with Strong MFA Security **Rating:** 4.0/5.0 stars **Reviewed by:** Vhea Nicole H. | Medical Biller, Mid-Market (51-1000 emp.) **Reviewed Date:** March 23, 2026 **What do you like best about Inovalon Claims Management Pro?** I like the security w/ MFA feature. Some RA can also be seen or pull up when it's not available on insurance website. Inovalon has a lot of feature or services offered. It's very versatile and a huge help on RCM function. **What do you dislike about Inovalon Claims Management Pro?** It's too sensitive. For instance, when I'm trying to search using last name with first name, if the person has two last names, nothing comes up by default. I have to search using the one last name instead. If anything, I would like the session time to be extended as well. I don't dislike it, but the longer session time is appreciated. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** I like the RA feature. Some insurance does not have RA ready on their portal, instead of calling them, some RAs can be pull up instead. ### 2. Love Inovalon Claims Management Pro **Rating:** 5.0/5.0 stars **Reviewed by:** Blair S. | Psychometrist, Enterprise (> 1000 emp.) **Reviewed Date:** September 25, 2025 **What do you like best about Inovalon Claims Management Pro?** They make the patient engagement tools simple to use **What do you dislike about Inovalon Claims Management Pro?** Sometimes the website is a little slow but not often **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Helping provide care to patients as well as navigate through athena ### 3. it is a good tool for electronic medical claim submission **Rating:** 4.5/5.0 stars **Reviewed by:** Jorge A. | Billing manager, Hospital & Health Care, Small-Business (50 or fewer emp.) **Reviewed Date:** November 08, 2024 **What do you like best about Inovalon Claims Management Pro?** Inovalon’s Claims Management Pro is a comprehensive solution designed to streamline claims management for healthcare providers, integrating seamlessly with EHRs like Prognocis, it is really easy to use once the integration is completed, you also will have the technical assitance support from Innovalon in order to complete the integration successfully, besides you can received automatically the remittance information if you prevously complete the enrollment process for each payer, so this information is received by innovalon and then will be automatcally upload on prognocis due to the integration, so it will save you a lot of time since you do not have to enter too much remittances. **What do you dislike about Inovalon Claims Management Pro?** Sometimes when you have to release more than 90 claims at the same time, you have to refresh the webpage, otherwise the system will count again the claims that you already release, or you could delete by mistake claims that you already release if you do not refresh the website. it is like a glitch the software has but once you discover the issue you are not going to delete claims by mistake, it happended to me soemtimes at the beginning while I was leargning about this program. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** it saves a lot of time on billing due to the remittance information automatically received every time a payer paid for some claims that were previously submitted few weeks ago ### 4. Updates in training **Rating:** 4.0/5.0 stars **Reviewed by:** Leigh Ann C. | AR Specialist, Small-Business (50 or fewer emp.) **Reviewed Date:** December 24, 2024 **What do you like best about Inovalon Claims Management Pro?** I like that it highlights the the last line that was reviewed, that makes it much easier to find the last person I was on when correcting/reviewing claims. **What do you dislike about Inovalon Claims Management Pro?** I would like for claims with the same dates of service to be bundled together. For example, when I am correcting old claims, I have to go all the way to the bottom to see if the claim has already been corrected once and then scroll up through to the top to ensure I haven't missed any that may be out of viewing range. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** It allows us to ensure claims are going out correctly and getting them paid timely. ### 5. Better than any other clearinghouse **Rating:** 5.0/5.0 stars **Reviewed by:** Jennifer S. | Billing Specialist, Mid-Market (51-1000 emp.) **Reviewed Date:** December 23, 2024 **What do you like best about Inovalon Claims Management Pro?** The dashboard gives me quick access to any issues and problems I may have with submitted claims. **What do you dislike about Inovalon Claims Management Pro?** The only downside is trying to take advantage of all the accessibility and reports. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Saves time from having to check every claim status in FISS system and provider portals. ### 6. Very User Friendly **Rating:** 5.0/5.0 stars **Reviewed by:** Kristy L. | Manager client financial services, Mid-Market (51-1000 emp.) **Reviewed Date:** December 23, 2024 **What do you like best about Inovalon Claims Management Pro?** The ability to get the claims out the door with ease. Using this service daily is very user friendly and the customer service is fantastic. **What do you dislike about Inovalon Claims Management Pro?** I have yet to find a downside! Everything has been fantastic. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Getting the ERAs sent to us has been very beneficial. ### 7. Super Easy to Work With **Rating:** 5.0/5.0 stars **Reviewed by:** Lauren G. | Patient Access Representative, Enterprise (> 1000 emp.) **Reviewed Date:** January 17, 2025 **What do you like best about Inovalon Claims Management Pro?** Very easy to navigate, research and accomplish your task at hand thuroughly. **What do you dislike about Inovalon Claims Management Pro?** Compared to other similar management platforms Ive used, this seemed to have a few more extra questions/repetitive details needed making some processes a bit longer then expected. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** smoothing out my focus and management for future career based choices. ### 8. Claims Management Pro **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Management Consulting | Small-Business (50 or fewer emp.) **Reviewed Date:** December 26, 2024 **What do you like best about Inovalon Claims Management Pro?** I do like how organized the claims are kept. They are also sent in a timely manner, and we can get errors we need to fix before the claim is processed by ins. **What do you dislike about Inovalon Claims Management Pro?** No all INS accept claims from this source. we still have to mail some or enter on portal. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Getting claims submitted and paid timely. ### 9. One Stop Claim Shop (Convenient) **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Insurance | Mid-Market (51-1000 emp.) **Reviewed Date:** December 03, 2024 **What do you like best about Inovalon Claims Management Pro?** It's eaily accessible. It's updated and more convenient than traditional claim platfoms. It's efficient and user friendly providing access to multiple types of information all built into one program. **What do you dislike about Inovalon Claims Management Pro?** no dislikes, I'm excited to work in it and look forward to transitioning into full time use of it. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** it gives access to claim and eligibilty details which assist in troubleshooting and resolving unpaid and delayed claim processing. ### 10. Inovalon Claims Management Pro **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Enterprise (> 1000 emp.) **Reviewed Date:** October 23, 2024 **What do you like best about Inovalon Claims Management Pro?** From implementation, Inovalon Claims Mangement Pro was so easy to learn with its user friendly format. As a biller that uses it everyday, Claims Management Pro makes my life a little easier. There are so many features. I can see rejected, returned, and denied claims that need to be worked. Customer support was there every step of the way during the integration process. **What do you dislike about Inovalon Claims Management Pro?** Sometimes, there are connectivity issues that have to be worked out. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Inovalon Claims Mangement Pro is helping us manage our Medicare claims faster. ### 11. Claims Pro Management has been a wonderful tool for our company **Rating:** 5.0/5.0 stars **Reviewed by:** Diana H. | General Manager, Small-Business (50 or fewer emp.) **Reviewed Date:** May 22, 2024 **What do you like best about Inovalon Claims Management Pro?** What we link about the claims managemnt pro is that we are able bill secondary insurances automatically. We also enjoy being able to easily pull up patient claims and see how they were previously billed why they were rejected and correct the issues right away. **What do you dislike about Inovalon Claims Management Pro?** I would say on thing I would like to see it more user friendliness. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** One of the biggest issues our office has was we were not able to automatically bill seconday insurances now wih claims management pro we can do that. ### 12. User friendly Interface **Rating:** 4.5/5.0 stars **Reviewed by:** Beaulah S. | Revenue Cycle Supervisor, Small-Business (50 or fewer emp.) **Reviewed Date:** October 28, 2024 **What do you like best about Inovalon Claims Management Pro?** Inovalon’s Claims Management Pro is highly regarded for its ability to streamline the claims process, improve accuracy, and reduce billing time. It is particularly beneficial for larger healthcare organizations that handle a high volume of claims **What do you dislike about Inovalon Claims Management Pro?** The complexity and cost may be overwhelming foir smaller practices. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Overall, Inovalon Claims Management Pro helps healthcare providers streamline their claims management processes, reduce errors, and improve financial performance. ### 13. New User and Ready to do more **Rating:** 2.5/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Mid-Market (51-1000 emp.) **Reviewed Date:** December 24, 2024 **What do you like best about Inovalon Claims Management Pro?** I love how it quickly shows errors and even how to fix them. **What do you dislike about Inovalon Claims Management Pro?** I wish it was easier to add more details in the claim from this screen. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Immediate error fixes and EOB's ### 14. Inovalon Claims Management Pro has cut my billing time in half! **Rating:** 5.0/5.0 stars **Reviewed by:** Dominique R. | Small-Business (50 or fewer emp.) **Reviewed Date:** May 07, 2024 **What do you like best about Inovalon Claims Management Pro?** Having Inocalon Claims Management Pro has cut my billing time in half. Plus the implementation team was so helpful. We used to bill through several different insurance portals. I love having Claims Management Pro because all of our claim's are in one location. Inovalon Claims Management Pro has made billing so much easier for me! **What do you dislike about Inovalon Claims Management Pro?** I do not like when, after you submit a claim and you go back to the claim list you are automatically taken back to your first page of claims instead of where the claim ends up on the claim list. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** For our company Inovalon Claims Management Pro has help with ease and speed of billing time. ### 15. The Program is very user friendly **Rating:** 4.5/5.0 stars **Reviewed by:** DENISE D. | revenue cycle manager, Mid-Market (51-1000 emp.) **Reviewed Date:** May 07, 2024 **What do you like best about Inovalon Claims Management Pro?** The visual appearance of reports are helpful **What do you dislike about Inovalon Claims Management Pro?** too many fields to choose to get a more direct point of reporting **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** I am not able to say just yet ### 16. Claim submission and remit easily and timely makes work more efficient **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Consulting | Mid-Market (51-1000 emp.) **Reviewed Date:** May 14, 2024 **What do you like best about Inovalon Claims Management Pro?** The ability to send claims to all payers we use and also our secondary claims to the insurance that does not cross over automatically from Medicare. Remits are available faster and easily import the 835 for faster payment posting and accuracy. I check claims daily and remits. **What do you dislike about Inovalon Claims Management Pro?** The hassle of getting it set up for the first use - really it just takes time but once done it is great. Other than having to repeat my changes each month as I no longer have an intergration specialist. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** More efficient revenue cycle management ### 17. Transition to easy to use efficient workflows **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Mid-Market (51-1000 emp.) **Reviewed Date:** May 07, 2024 **What do you like best about Inovalon Claims Management Pro?** I really enjoy the interoperability in claims management pro. I can review a remit, look at the claim, send a correction, run eligibility all in the same application. **What do you dislike about Inovalon Claims Management Pro?** Learning the enrollments and payer matches takes some time, but that's the case with all clearinghouses. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Our main initiative is reducing the amount of applications and websites where our collections team needs to log in and complete tasks separately. By using Claims Management Pro to its full potential we are able to track, assign and work 85% of claims within the application. It's great! ### 18. Free Case Accommodation **Rating:** 3.0/5.0 stars **Reviewed by:** Muhammad S. | Infrastructure Manager, Small-Business (50 or fewer emp.) **Reviewed Date:** March 05, 2024 **What do you like best about Inovalon Claims Management Pro?** I value the free variant of PC-ACE presented by Government medical care. It sets aside me cash contrasted with paid arrangements. Also permitting me to submit essential clinical cases electronically without problem. This is especially useful for more modest practices. **What do you dislike about Inovalon Claims Management Pro?** PC-ACE can be trying to learn and explore, particularly for people new to clinical charging programming. The connection point can feel obsolete. And the absence of promptly accessible instructional exercises or backing adds to the expectation to absorb information. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** PC-ACE satisfies its center capability, improving on essential case entries. It permits me to electronically submit guarantees straightforwardly to Federal medical care. Saving time and potential mistakes related with paper entries. This means speedier case handling. ### 19. Easy to use for basics, hard for anything beyond basics **Rating:** 2.5/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Small-Business (50 or fewer emp.) **Reviewed Date:** May 09, 2024 **What do you like best about Inovalon Claims Management Pro?** Several features, great for basic claims submission, gets complicated when you have to do anything beyond the basics. Many filters to help find the claims you need to highlight. Farily simple to use and intuitive for the basic claims submission. Easy to understand enrollment process. **What do you dislike about Inovalon Claims Management Pro?** Gets very very complicated when you have to do anything beyond the basics. For example, submitting a corrected claim. It is not intuitive, we had to call customer service and ask for instructions. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Timely submission of claims ### 20. So far so good **Rating:** 3.5/5.0 stars **Reviewed by:** Jennifer S. | Small-Business (50 or fewer emp.) **Reviewed Date:** May 15, 2024 **What do you like best about Inovalon Claims Management Pro?** having all of the process in one place provides much needed organization **What do you dislike about Inovalon Claims Management Pro?** I haven't been using it for long enough to tell, still getting used to it. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Sending a batch of claims at the same time and being able to follow their process ### 21. Kari M **Rating:** 4.0/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Small-Business (50 or fewer emp.) **Reviewed Date:** May 09, 2024 **What do you like best about Inovalon Claims Management Pro?** The ease of inputting claim information and the support team were always very helpful. **What do you dislike about Inovalon Claims Management Pro?** I haven't found a real big downside to using this program. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Insurance Issues ### 22. Message received for rejections/errors is sometimes unclear. **Rating:** 4.5/5.0 stars **Reviewed by:** Peggy P. | owner, Mid-Market (51-1000 emp.) **Reviewed Date:** May 07, 2024 **What do you like best about Inovalon Claims Management Pro?** Ability to copy and update claims, (writing more characters to satisfy filter) **What do you dislike about Inovalon Claims Management Pro?** Lack of ability to check payer information on some records. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** submitting claims to multiple payers ### 23. User friendly billing and A/R tool **Rating:** 3.5/5.0 stars **Reviewed by:** Verified User in Health, Wellness and Fitness | Enterprise (> 1000 emp.) **Reviewed Date:** February 01, 2024 **What do you like best about Inovalon Claims Management Pro?** Has an easy layout and the tools to duplicate a long series of claims without having to be bogged down by repeated data entry repetition. **What do you dislike about Inovalon Claims Management Pro?** External feedback and files confirmation is difficult. Interface with other systems are clean and connected but lacks a strong feedback loop. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Allows for millions of dollars in billing per month with minimal resources allocated and minimal staff required. ### 24. Review EASE All-Payer **Rating:** 4.0/5.0 stars **Reviewed by:** Gautam K. | Team Leader, Small-Business (50 or fewer emp.) **Reviewed Date:** September 29, 2022 **What do you like best about Inovalon Claims Management Pro?** A combination of real-time eligibility checks, claim status tracking and ease of payment posting focuses your labor activities to get cash flowing. **What do you dislike about Inovalon Claims Management Pro?** Not anything as of now. Team is working good. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** It is easy and convenient for all types of users who want to claim their medical bills and review all your claims. ### 25. Helps you in Medicare and Private insurance **Rating:** 4.5/5.0 stars **Reviewed by:** Gaurav S. | Content developer, Enterprise (> 1000 emp.) **Reviewed Date:** June 30, 2022 **What do you like best about Inovalon Claims Management Pro?** It is easy and convenient for all types of users who want to claim their medical bills and review all your claims. It will show you how you can improve cash flow, save time, and avoid rejections. **What do you dislike about Inovalon Claims Management Pro?** It is a bit overpriced for me and customer support is not the best. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Its interface is user-friendly and helps me keep my all claims in one place and its payment system is super secure so I did not think twice before proceeding with the payments. ### 26. Verification System **Rating:** 3.5/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Mid-Market (51-1000 emp.) **Reviewed Date:** April 12, 2022 **What do you like best about Inovalon Claims Management Pro?** The simplicity of website usage. Easy to navigate **What do you dislike about Inovalon Claims Management Pro?** Explanation of individual benefits vary, and some still require a call to the insurance **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** trying to determine the correct benefit amounts in order to communicate this with the patients ### 27. Ease All-Payer **Rating:** 4.0/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Mid-Market (51-1000 emp.) **Reviewed Date:** November 30, 2021 **What do you like best about Inovalon Claims Management Pro?** Very user friendly for beginners with lots of tutorials **What do you dislike about Inovalon Claims Management Pro?** Learning to navigate who needs to be using it within our company. **Recommendations to others considering Inovalon Claims Management Pro:** Make sure you use the training provided. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** We needed a new clearing house. They integrate with our new software platform easily. ### 28. Easy and convenient to use **Rating:** 5.0/5.0 stars **Reviewed by:** Verified User in Hospital & Health Care | Enterprise (> 1000 emp.) **Reviewed Date:** November 30, 2021 **What do you like best about Inovalon Claims Management Pro?** Its fast and everything is done with a click of a button. It eliminates the need to make a phone call to the payer which can take upto an hour **What do you dislike about Inovalon Claims Management Pro?** Alot of HCP NPIs are missing from the database. Also upon adding a new NPI in the system it can take upto 48 HOURS **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** Getting patients eligibility and benefits information within minutes ### 29. An all in one payer solution **Rating:** 4.0/5.0 stars **Reviewed by:** Verified User in Mental Health Care | Small-Business (50 or fewer emp.) **Reviewed Date:** June 12, 2020 **What do you like best about Inovalon Claims Management Pro?** It gives me the option to view all my claims. There is also the ability to view EOB, messages, and errors on claims. **What do you dislike about Inovalon Claims Management Pro?** It can be expensive if you add all insurance providers. **Recommendations to others considering Inovalon Claims Management Pro:** Check with each insurance company to see if they provide access, otherwise it can start to become expensive. **What problems is Inovalon Claims Management Pro solving and how is that benefiting you?** It saves time. I am able to view all my claims and know what will be paid and what will be denied so I can fix the errors. ## Inovalon Claims Management Pro Discussions - [What is ABILITY EASE All-Payer used for?](https://www.g2.com/discussions/what-is-ability-ease-all-payer-used-for) - [View Inovalon Claims Management Pro pricing details and edition comparison](https://www.g2.com/products/inovalon-claims-management-pro/reviews?section=pricing&secure%5Bexpires_at%5D=2026-07-13+16%3A37%3A10+-0500&secure%5Bsession_id%5D=7e12d8e3-f8a5-4caa-b2f4-a4e0e806fac4&secure%5Btoken%5D=5333227c61a22f0ea7e018c15fd6e4811035272384283d65499e88d0c02c250e&format=llm_user) ## Inovalon Claims Management Pro Features **Efficiency ** - Claims Data Automation - Healthcare Claims Management - Electronic Submissions - Healthcare Claims Management - Clearinghouse Integration - Healthcare Claims Management - Claims Process Workflow - Healthcare Claims Management **Accuracy** - Claims Resubmission - Healthcare Claims Management - Patient Data Security - Healthcare Claims Management - Claims Scrubbing - Healthcare Claims Management ## Top Inovalon Claims Management Pro Alternatives - [EHRYourWay](https://www.g2.com/products/ehryourway/reviews) - 4.7/5.0 (332 reviews) - [Waystar](https://www.g2.com/products/waystar/reviews) - 4.4/5.0 (116 reviews) - [Tebra (previously Kareo + PatientPop)](https://www.g2.com/products/tebra-previously-kareo-patientpop/reviews) - 4.1/5.0 (255 reviews)