- All
- GRC
- DO
- Scrubber and Analytics
- Agentic AI
GRC
IN.4.1
External Audit
IN.4.1
New Feature
Optional with fee
Automate the external auditing process to help external auditors identify non-conformities in less time using less resources. External Audit one of the core applications within the InovaareGRC platform helps the organization to provide external auditors necessary information with evidence so that external auditors can validate and ensure organization is complaint as per the regulations.
Create risk-based Audit Plans to ensure organizations Risks are managed effectively by consolidating critical functions, maintaining Audit History and ensure organization is complaint as per the compliance and regulatory requirements.
GRC
IN.4.1
Internal Audit
IN.4.1
New Feature
Optional with fee
Automate the internal auditing process to help internal auditors identify non-conformities in less time using less resources. Internal Audit one of the core applications within the InovaareGRC platform helps the organization to provide internal auditors necessary information with evidence so that internal auditors can validate and ensure organization is complaint as per the regulations/ polices and procedures.
Create risk-based Audit Plans to ensure organizations Risks are managed effectively by consolidating critical functions, maintaining Audit History and ensure organization is complaint as per the compliance and regulatory requirements/polices and procedures.
GRC
IN.4.1
Risk Management
IN.4.1
New Feature
Optional with fee
Consolidate and Centralize all Risk Activities within the Organization by Automating Complex Risk Management Activities, Testing Controls, Collecting Evidence and Addressing Findings.
GRC
IN.4.1
Issue Management
IN.4.1.1
New Product
Optional with fee
Centralized Repository for Reporting, Managing and Remediating all GRC Specific Issues to Ensure Compliance.
GRC
IN.4.1
Org Structure
IN.4.1.1
New Feature
Mandatory without fee
Replicate your Internal Organizational Structure in the Org Structure Application Providing Decision Makers the Overall Visibility at the Organizational Level.
GRC
IN.4.1
GRC Repository
IN.4.1.1
New Product
Mandatory without fee
Centralized Repository for Creating and Managing any type of GRC Libraries such as Risks, Controls, Assets and Process.
GRC
IN.4.1
Document Management
IN.4.1.1
New Product
Optional With fee
"Centralized repository for creating and Managing any type of Documents.
GRC
IN.4.1
Questionnaires
IN.4.1.1
New Product
Mandatory without fee
Single Repository for Creating and Managing Questionnaires related to any Functional Area within the Organization.
GRC
IN.4.1
Surveys
IN.4.1.1
New Feature
Optional with fee
User Friendly Interface Integrated with all Platform Applications and Business Units to Seamlessly Gather, Manage and Process any Information received from any Internal and External Stakeholders of the Organization.
GRC
IN.4.1
Boards
IN.4.1.1
New Product
Mandatory without fee
Single source of truth for Board Members/Investors/ Decision Makers to view Business critical Metrics, Reports and Dashboards.
GRC
IN.4.1
Conflict of Interest
IN.4.1.1
New Product
Mandatory without fee
Stay Compliant as per the Compliance and Regulatory Requirements by Proactively Identifying and Mitigating Conflicts within the Organization.
GRC
IN.4.1
Assignment
IN.4.1.1
New Feature
Optional with fee
Stay ahead and get notified on your priority tasks and track all the assigned tasks. Enables users to stay ahead of all important notifications and tasks for smooth operations.
GRC
IN.4.1
Regulatory Library
IN.4.1.1
New Feature
Mandatory without fee
Centralized repository of all Regulations. Instant Access to all Regulations along with any Amendments Relevant to your Domain and Geographical Locations .
GRC
IN.4.1
Regulatory Library
IN.4.1.1
New Feature
Optional with fee
Task cloning facility with interactive Chatbot.
GRC
IN.4.1
Contracts
IN.4.1.1
New Feature
Mandatory without fee
Centralized repository for Vendor or any type of Contracts. Repository to Manage and Document Contracts, Deliverables, Terms and Conditions, Amendments during Execution Ensuring Customer Satisfaction and Compliance.
GRC
IN.4.1
Strategy
IN.4.1.1
New Product
Optional with fee
Define the Organizational Strategy using the Strategy app to Address and Meet Compliance and Regulatory Requirements.
GRC
IN.4.1
Project
IN.4.1.1
New Product
Optional with fee
Implement different Projects via Projects Application to align with the Strategy defined by the Organization.
GRC
CAP
New Feature
Optional with fee
Corrective Action Plan to resolve GRC specific Issues.
DO
IN.4.1
Pre delegation audit
IN.4.1.1
New Feature
Mandatory without fee
Industry standard process is being followed as part of the Vendor onboarding. Automates audit steps and assists Organizations to define evaluation criteria tailored to their needs.
DO
IN.4.1
Reports & Monitoring
IN.4.1.1
New Product
Optional with fee
DO
IN.4.1
Surveys
IN.4.1.1
New Product
Optional with fee
User Friendly Interface Integrated with all Platform Applications and Business Units to Seamlessly Gather, Manage and Process any Information received from any Internal and External Stakeholders of the Organization.
Scrubber and Analytics
IN.4.1
Data Scrubber - Medicare Universe Scrubber
IN.4.1.1
New Feature
Mandatory without fee
The enhanced Medicare Universe Scrubber will leverage AI-driven insights to identify recurring errors, suggest process improvements, and ensure fast, CMS-compliant, error-free data submission.
Scrubber and Analytics
IN.4.1
Data Scrubber - Medi-Cal Scrubber
IN.4.1.1
New Product
Mandatory without fee
The Medi-Cal/Medicaid Scrubber will leverage AI-driven insights to generate error reports, identify recurring issues, and provide actionable recommendations for process improvements. It ensures accurate, CA compliant data submissions with user concurrency, real-time reporting, and customizable rules.
Scrubber and Analytics
IN.4.1
Data Scrubber - Call Log Scrubber
IN.4.1.1
New Feature
Optional with fee
The Call Log Scrubber leverages AI-driven insights to analyse CRM data, identifying potential Appeals, Grievances, UM & Claims using advanced keyword search along with text analysis, ensuring accurate case detection and streamlined incident creation.
Scrubber and Analytics
IN.4.1
Data Aggregator
IN.4.1.1
New Feature
Mandatory without fee
A highly customizable data aggregator for Universe Tables and Medicaid reports, enabling seamless data consolidation with AI-driven insights. Provides high-level compliance insights and monitors data consolidation timelines for improved efficiency.
Scrubber and Analytics
IN.4.1
Data Curator
IN.4.1.1
New Product
Mandatory without fee
Data Curator solution designed to enhance dataset quality by performing intelligent transformations. It automates data cleansing tasks such as removing redundant columns, standardizing column headers to align with CMS requirements, converting numeric data to character data, and transforming data formats for improved usability.
Scrubber and Analytics
IN.4.1
SNP Impact Analysis Table scrub
IN.4.1.1
New Product
Optional with fee
An SNP Impact Analysis Scrubber designed to streamline compliance and data accuracy in audit submissions. The tool ensures that impact analysis reports for Care Coordination (CC-IA) and HRA Timeliness (HRAT-IA) adhere to CMS guidelines, reducing errors and rejections.
Optimized Compliance and Efficiency: This tool enhances the accuracy and completeness of audit submissions, ensuring adherence to CMS guidelines. By reducing errors and rejections, it accelerates audit response times and improves overall compliance management. The AI-driven insights further support proactive identification of data inconsistencies and potential compliance risks, leading to more efficient operations and better resource allocation.
Scrubber and Analytics
IN.4.1
Risk reporting
IN.4.1.1
New Product
Optional with fee
This solution provides comprehensive risk reporting for Healthplan operations. It showcases various risks related to compliance and operations, with detailed drill-downs to the root level using data collected from the universe scrubber.
Enhanced Risk Management: By identifying and analysing risks at multiple levels, this solution helps Healthplan organizations proactively manage and mitigate potential issues. It ensures compliance with regulatory requirements and improves operational efficiency.
Scrubber and Analytics
IN.4.1
Usher Databot
IN.4.1.1
New Product
Optional with fee
This is our AI Chatbot engine that allows users to query data from all scrubbing sources (different universes). Users can ask any question about the data available in the universes. The Databot can display outputs in various charts, provide suggestive questions to further investigations or identify the root cause of issues, and offers a download feature for all data.
Enhanced Data Accessibility and Insight Generation: Usher Databot improves data accessibility by allowing users to query and interact with data from multiple sources seamlessly. It enhances decision-making by providing visual outputs and suggestive questions that guide users through investigations. The download feature ensures that users can easily access and utilize the data for further analysis and reporting.
Scrubber and Analytics
IN.4.1
PBM scrubber
IN.4.1.1
New Product
Optional with fee
This solution is designed to streamline the validation and compliance of data related to Pharmacy Benefit Managers. It ensures that all data submissions adhere to regulatory standards, reducing errors and improving the accuracy of rebate processing and other PBM-related operations.
Enhanced Data Accuracy and Compliance: The PBM Scrubber improves the accuracy and completeness of data submissions, ensuring compliance with regulatory requirements. By reducing errors and rejections, it enhances the efficiency of rebate processing and other PBM operations, leading to better financial outcomes and operational efficiency. With use cases like:
Scrubber and Analytics
IN.4.1
HEDIS scrubber
IN.4.1.1
New Product
Optional with fee
This data validation tool ensures that each cell in the HEDIS data set is validated against predefined rules. It helps healthcare organizations maintain accurate and compliant HEDIS reporting by identifying and correcting data errors.
Improved Data Quality and Compliance: The HEDIS Scrubber enhances the accuracy and completeness of HEDIS data submissions, ensuring compliance with regulatory standards. By reducing errors and improving data quality, it supports better performance measurement and reporting, leading to improved healthcare outcomes and organizational efficiency.
Scrubber and Analytics
IN.4.1
Part C & D reporting
IN.4.1.1
New Product
Optional with fee
This solution scrubs raw data in different templates to generate all sections of the PART C & D reports. It also identifies data inconsistencies and operational issues within those datasets. Additionally, it provides real-time reports on these data sets with valuable business insights.
Enhanced Reporting Accuracy and Efficiency: The PART C & D Reporting Generator & Scrubber improves the accuracy and completeness of PART C & D reports by scrubbing raw data and identifying inconsistencies. This ensures compliance with CMS guidelines and enhances operational efficiency. The real-time reporting feature provides actionable business insights, supporting informed decision-making and proactive issue resolution.
Agentic AI
Policies and Procedures
New Feature
Mandatory without fee
Gen AI based search and summarized report along with Primary Policies Referred to generate the summarized info.
Agentic AI
Regulatory Library
New Feature
Mandatory without fee
Agentic AI
Databot on all data warehouses
New Feature
Mandatory without fee
Single window Bot to get insight from all existing data sources
Agentic AI
AI agent for EA
New Feature
Mandatory without fee
Automatic intake creation based on various external audit notices
Agentic AI
AI agent for IA
New Feature
Mandatory without fee
Automatic finding generation based on available docs, data, samples, issues and survey outcomes.
Agentic AI
Platform
New Feature
Mandatory without fee
Agentic work flow interface for all available modules. It will be available in Platform version 5.0
GRC
IN.4.1
Policies and Procedures
IN.4.1.1
New Product
Mandatory without fee
Centralized repository for Internal Policies and Procedures. Manage your Internal Organizational Policies and Procedures Effectively to Ensure Internal Compliance.
GRC
IN.4.1
External Audit
IN.4.1
New Feature
Optional with fee
Automate the external auditing process to help external auditors identify non-conformities in less time using less resources. External Audit one of the core applications within the InovaareGRC platform helps the organization to provide external auditors necessary information with evidence so that external auditors can validate and ensure organization is complaint as per the regulations.
Create risk-based Audit Plans to ensure organizations Risks are managed effectively by consolidating critical functions, maintaining Audit History and ensure organization is complaint as per the compliance and regulatory requirements.
GRC
IN.4.1
Internal Audit
IN.4.1
New Feature
Optional with fee
Automate the internal auditing process to help internal auditors identify non-conformities in less time using less resources. Internal Audit one of the core applications within the InovaareGRC platform helps the organization to provide internal auditors necessary information with evidence so that internal auditors can validate and ensure organization is complaint as per the regulations/ polices and procedures.
Create risk-based Audit Plans to ensure organizations Risks are managed effectively by consolidating critical functions, maintaining Audit History and ensure organization is complaint as per the compliance and regulatory requirements/polices and procedures.
GRC
IN.4.1
Risk Management
IN.4.1
New Feature
Optional with fee
Consolidate and Centralize all Risk Activities within the Organization by Automating Complex Risk Management Activities, Testing Controls, Collecting Evidence and Addressing Findings.
GRC
IN.4.1
Issue Management
IN.4.1.1
New Product
Optional with fee
Centralized Repository for Reporting, Managing and Remediating all GRC Specific Issues to Ensure Compliance.
GRC
IN.4.1
Org Structure
IN.4.1.1
New Feature
Mandatory without fee
Replicate your Internal Organizational Structure in the Org Structure Application Providing Decision Makers the Overall Visibility at the Organizational Level.
GRC
IN.4.1
GRC Repository
IN.4.1.1
New Product
Mandatory without fee
Centralized Repository for Creating and Managing any type of GRC Libraries such as Risks, Controls, Assets and Process.
GRC
IN.4.1
Document Management
IN.4.1.1
New Product
Optional With fee
"Centralized repository for creating and Managing any type of Documents.
GRC
IN.4.1
Questionnaires
IN.4.1.1
New Product
Mandatory without fee
Single Repository for Creating and Managing Questionnaires related to any Functional Area within the Organization.
GRC
IN.4.1
Surveys
IN.4.1.1
New Feature
Mandatory without fee
User Friendly Interface Integrated with all Platform Applications and Business Units to Seamlessly Gather, Manage and Process any Information received from any Internal and External Stakeholders of the Organization.
GRC
IN.4.1
Boards
IN.4.1.1
New Product
Optional with fee
Single source of truth for Board Members/Investors/ Decision Makers to view Business critical Metrics, Reports and Dashboards.
GRC
IN.4.1
Conflict of Interest
IN.4.1.1
New Product
Mandatory without fee
Stay Compliant as per the Compliance and Regulatory Requirements by Proactively Identifying and Mitigating Conflicts within the Organization.
GRC
IN.4.1
Assignment
IN.4.1.1
New Feature
Optional with fee
Stay ahead and get notified on your priority tasks and track all the assigned tasks. Enables users to stay ahead of all important notifications and tasks for smooth operations.
GRC
IN.4.1
Regulatory Library
IN.4.1.1
New Feature
NA
Centralized repository of all Regulations. Instant Access to all Regulations along with any Amendments Relevant to your Domain and Geographical Locations .
GRC
IN.4.1
Regulatory Library
IN.4.1.1
New Feature
Mandatory without fee
Task cloning facility with interactive Chatbot.
GRC
IN.4.1
Contracts
IN.4.1.1
New Feature
Mandatory without fee
Centralized repository for Vendor or any type of Contracts. Repository to Manage and Document Contracts, Deliverables, Terms and Conditions, Amendments during Execution Ensuring Customer Satisfaction and Compliance.
GRC
IN.4.1
Strategy
IN.4.1.1
New Product
Optional with fee
Define the Organizational Strategy using the Strategy app to Address and Meet Compliance and Regulatory Requirements.
GRC
IN.4.1
Project
IN.4.1.1
New Product
Optional with fee
Implement different Projects via Projects Application to align with the Strategy defined by the Organization.
CAP
New Feature
Optional with fee
Corrective Action Plan to resolve GRC specific Issues.
DO
IN.4.1
Pre delegation audit
IN.4.1.1
New Feature
Mandatory without fee
Industry standard process is being followed as part of the Vendor onboarding. Automates audit steps and assists Organizations to define evaluation criteria tailored to their needs.
DO
IN.4.1
Reports & Monitoring
IN.4.1.1
New Product
Optional with fee
DO
IN.4.1
Surveys
IN.4.1.1
New Product
Optional with fee
User Friendly Interface Integrated with all Platform Applications and Business Units to Seamlessly Gather, Manage and Process any Information received from any Internal and External Stakeholders of the Organization.
Scrubber and Analytics
IN.4.1
Data Scrubber - Medicare Universe Scrubber
IN.4.1.1
New Feature
Mandatory without fee
The enhanced Medicare Universe Scrubber will leverage AI-driven insights to identify recurring errors, suggest process improvements, and ensure fast, CMS-compliant, error-free data submission.
Scrubber and Analytics
IN.4.1
Data Scrubber - Medi-Cal Scrubber
IN.4.1.1
New Product
Mandatory without fee
The Medi-Cal/Medicaid Scrubber will leverage AI-driven insights to generate error reports, identify recurring issues, and provide actionable recommendations for process improvements. It ensures accurate, CA compliant data submissions with user concurrency, real-time reporting, and customizable rules.
Scrubber and Analytics
IN.4.1
Data Scrubber - Call Log Scrubber
IN.4.1.1
New Feature
Optional with fee
The Call Log Scrubber leverages AI-driven insights to analyse CRM data, identifying potential Appeals, Grievances, UM & Claims using advanced keyword search along with text analysis, ensuring accurate case detection and streamlined incident creation.
Scrubber and Analytics
IN.4.1
Data Aggregator
IN.4.1.1
New Feature
Mandatory without fee
A highly customizable data aggregator for Universe Tables and Medicaid reports, enabling seamless data consolidation with AI-driven insights. Provides high-level compliance insights and monitors data consolidation timelines for improved efficiency.
Scrubber and Analytics
IN.4.1
Data Curator
IN.4.1.1
New Product
Mandatory without fee
Data Curator solution designed to enhance dataset quality by performing intelligent transformations. It automates data cleansing tasks such as removing redundant columns, standardizing column headers to align with CMS requirements, converting numeric data to character data, and transforming data formats for improved usability.
Scrubber and Analytics
IN.4.1
SNP Impact Analysis Table scrub
IN.4.1.1
New Product
Optional with fee
An SNP Impact Analysis Scrubber designed to streamline compliance and data accuracy in audit submissions. The tool ensures that impact analysis reports for Care Coordination (CC-IA) and HRA Timeliness (HRAT-IA) adhere to CMS guidelines, reducing errors and rejections.
Optimized Compliance and Efficiency: This tool enhances the accuracy and completeness of audit submissions, ensuring adherence to CMS guidelines. By reducing errors and rejections, it accelerates audit response times and improves overall compliance management. The AI-driven insights further support proactive identification of data inconsistencies and potential compliance risks, leading to more efficient operations and better resource allocation.
Scrubber and Analytics
IN.4.1
Risk reporting
IN.4.1.1
New Product
Optional with fee
This solution provides comprehensive risk reporting for Healthplan operations. It showcases various risks related to compliance and operations, with detailed drill-downs to the root level using data collected from the universe scrubber.
Enhanced Risk Management: By identifying and analysing risks at multiple levels, this solution helps Healthplan organizations proactively manage and mitigate potential issues. It ensures compliance with regulatory requirements and improves operational efficiency.
Scrubber and Analytics
IN.4.1
Usher Databot
IN.4.1.1
New Product
Optional with fee
This is our AI Chatbot engine that allows users to query data from all scrubbing sources (different universes). Users can ask any question about the data available in the universes. The Databot can display outputs in various charts, provide suggestive questions to further investigations or identify the root cause of issues, and offers a download feature for all data.
Enhanced Data Accessibility and Insight Generation: Usher Databot improves data accessibility by allowing users to query and interact with data from multiple sources seamlessly. It enhances decision-making by providing visual outputs and suggestive questions that guide users through investigations. The download feature ensures that users can easily access and utilize the data for further analysis and reporting.
Scrubber and Analytics
IN.4.1
PBM scrubber
IN.4.1.1
New Product
Optional with fee
This solution is designed to streamline the validation and compliance of data related to Pharmacy Benefit Managers. It ensures that all data submissions adhere to regulatory standards, reducing errors and improving the accuracy of rebate processing and other PBM-related operations.
Enhanced Data Accuracy and Compliance: The PBM Scrubber improves the accuracy and completeness of data submissions, ensuring compliance with regulatory requirements. By reducing errors and rejections, it enhances the efficiency of rebate processing and other PBM operations, leading to better financial outcomes and operational efficiency. With use cases like:
Scrubber and Analytics
IN.4.1
HEDIS scrubber
IN.4.1.1
New Product
Optional with fee
This data validation tool ensures that each cell in the HEDIS data set is validated against predefined rules. It helps healthcare organizations maintain accurate and compliant HEDIS reporting by identifying and correcting data errors.
Improved Data Quality and Compliance: The HEDIS Scrubber enhances the accuracy and completeness of HEDIS data submissions, ensuring compliance with regulatory standards. By reducing errors and improving data quality, it supports better performance measurement and reporting, leading to improved healthcare outcomes and organizational efficiency.
Scrubber and Analytics
IN.4.1
Part C & D reporting
IN.4.1.1
New Product
Optional with fee
This solution scrubs raw data in different templates to generate all sections of the PART C & D reports. It also identifies data inconsistencies and operational issues within those datasets. Additionally, it provides real-time reports on these data sets with valuable business insights.
Enhanced Reporting Accuracy and Efficiency: The PART C & D Reporting Generator & Scrubber improves the accuracy and completeness of PART C & D reports by scrubbing raw data and identifying inconsistencies. This ensures compliance with CMS guidelines and enhances operational efficiency. The real-time reporting feature provides actionable business insights, supporting informed decision-making and proactive issue resolution.
Agentic AI
Policies and Procedures
New Feature
Mandatory without fee
Gen AI based search and summarized report along with Primary Policies Referred to generate the summarized info.
Agentic AI
Regulatory Library
New Feature
Mandatory without fee
Agentic AI
Databot on all data warehouses
New Feature
Mandatory without fee
Single window Bot to get insight from all existing data sources
Agentic AI
AI agent for EA
New Feature
Mandatory without fee
Automatic intake creation based on various external audit notices
Agentic AI
AI agent for IA
New Feature
Mandatory without fee
Automatic finding generation based on available docs, data, samples, issues and survey outcomes.
Agentic AI
Platform
New Feature
Mandatory without fee
Agentic work flow interface for all available modules. It will be available in Platform version 5.0