Who Offers the Top Ability Network (Inovalon) Outsourcing Services?

ABILITY Network built the cloud connectivity layer between providers and payers, with a deep franchise in Medicare work: eligibility inquiries, claim submission and monitoring, and simplified access to the kind of claim detail billers otherwise dig out of Medicare’s FISS through direct data entry. At the time Inovalon acquired it in April 2018, ABILITY reported serving more than 44,000 acute, post-acute, and ambulatory provider sites. Today the applications live on as the Inovalon Provider Cloud: the myABILITY portal era’s ABILITY EASE, CHOICE, and INSIGHT names have carried into products such as EASE All-Payer, Claims Management Pro, Claims Management Medicare Pro, and Eligibility Workflow, with eligibility connectivity Inovalon puts at more than 2,300 payers.

The users have not changed: home health agencies, hospices, and SNFs live in this portal because Medicare is their dominant payer, and hospitals and billing companies use it to keep claim status visible without portal-hopping. The portal is excellent at showing the work. It does not make the phone calls, rebill the RTPs, or assemble the ADR packet. That is the gap this service closes.

Our specialists run eligibility the way post-acute billing actually needs it: verified before start of care, then re-verified on a calendar, because Medicare Advantage enrollment changes are where post-acute revenue quietly leaks. Working in your Eligibility Workflow or portal accounts, the team confirms Medicare and MA coverage, checks benefit detail, documents payer changes, and flags anything that affects billing before the claim goes out, including annual plan-switch re-verification.

Claims Management Medicare Pro exists because working Medicare claims in raw FISS DDE screens is slow, and it gives billers direct visibility into claim status, remits, and processing locations. Our specialists live in that view: track claims through the Medicare processing stages, catch suspended and returned-to-provider claims early, make the corrections, and keep home health and hospice sequential billing in order so one stuck claim does not dam the months behind it. Daily production reporting shows what moved, what is stuck, and why.

Home health NOAs and hospice NOEs are small filings with outsized penalties: a rejected NOA costs a daily payment reduction, and a late NOE creates provider-liable days. Our specialists file them on admission, watch for rejections the same day, correct and refile, and reconcile filed notices against your census so a missed notice surfaces in days, not at month-end cleanup.

Portal analytics show receivables at risk; our billers work them. Aging buckets get owners, payer calls get made and documented, underpayments get flagged against expected reimbursement, and crossover and secondary balances get chased instead of written off, including the crossover claims that quietly miss the secondary payer. You get the aging story in plain numbers every week.

HIPAA-trained staff. Business Associate Agreements executed with every client. Workflows designed to support HIPAA compliance, with SOC 2 Type II attestation, ISO 27001:2022, $5M E&O and cyber liability coverage, and named individual credentials with full audit logs. Medicare portal access is sensitive by nature, so accounts are scoped per specialist and you approve each one. Read the full program at HIPAA and Security at Staffingly.