Case Study: Invicta Health Solutions improves Medicare coverage discovery and reimbursement with Inovalon

Invicta Health Solutions drives 110 million Medicare lookups with Inovalon

Invicta Health Solutions, a hybrid technology and professional services company, faced the challenge of helping healthcare providers determine patient Medicare coverage during the chaotic COVID-19 pandemic. This was critical for providers to correctly bill government programs for uninsured patients instead of burdening the patients themselves. To address this, Invicta partnered with vendor Inovalon to leverage its data services.

The solution implemented by Inovalon involved using its vast data stores to create an insurance discovery tool that could find patients' new Medicare Beneficiary Identifiers (MBIs). This allowed providers to verify coverage and bill claims accurately. The results were significant, with over 110 million MBI look-ups and a 60% successful hit rate, leading to a major increase in reimbursements for providers and preventing undue financial responsibility for patients.

Invicta Health Solutions