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Inovalon — Profile & Assessment

Inovalon publishes 4 of the 8 buying facts this rubric checks. Neither pricing nor turnaround is among them. Inovalon operates in the medical-record review ecosystem, within the GCC, Insurance (Health Plans / Risk Adjustment), Insurance AI / Risk Adjustment, Insurance Underwriting & Payer Chart Review segment. This profile maps what the company publishes to the Content Hub evaluation rubric, with sources. 11 of 17 facts confirmed from 17 public sources; unpublished fields are marked, never estimated.

4 sections·17 sources·Verified 2026-08-28 ✓
Disclosure
9/17 facts
01

What it does

Inovalon publishes 1 service line: Risk adjustment (Converged Risk), quality/HEDIS reporting (Converged Quality), medical record retrieval and location services, claims management, revenue cycle management. Everything above is drawn from the 17 public sources cited at the foot of this page. Fields the company does not publish are marked as unpublished below rather than estimated.

Key facts

Segment

GCC, Insurance (Health Plans / Risk Adjustment), Insurance AI / Risk Adjustment, Insurance Underwriting & Payer Chart Review

Website

https://www.inovalon.com

Founded

1998 (as MedAssurant, founded by Keith Dunleavy, MD; renamed Inovalon in 2012)

HQ

Not published (historically associated with Bowie, Maryland; not confirmed via primary source in this session)

Ownership

Private; taken private November 2021 by an equity consortium led by Nordic Capital, including Insight Partners (previously NASDAQ: INOV, IPO April 2015)

Headcount

1,001-5,000 employees

Certifications

HITRUST and PCI DSS certified

Not publishedPricingTurnaround
02

Evaluation criteria

Content Hub rubric4 of 8 published
✓
Processing model
AI + Human QA (NLP/ML with routed manual review)
✓
Human QA
Included (routes flagged records to manual review)
✓
Best for
Health plans doing risk-adjustment medical record review
✓
Customer satisfaction
No public reviews found
○
Not published
Indicative cost, pricing model, typical turnaround, and export formats go unstated, as they do across most of this market. The questions to ask instead are below.
03

Profile notes

Who it serves
Payers, providers, pharmacy, life sciences
Claims & platform notes
Converged Quality, Converged Risk, Claims Management Pro, ScriptMed, DataStream, VigiLanz, Healthcare Data Lake "25 of top 25 U.S. Provider Systems," "15 of top 15 U.S. Health Plans" (self-reported)
Review summary
Not independently rated by Medrecords AI. Cited public reviews are listed under Sources; Medrecords AI assigns no star rating without verified evidence.
Competitive coverage
Risk Adjustment Software | Top Platforms & Vendors for 2026 · 20 Risk Adjustment Software Vendors to Consider in 2026 · The Best Risk Adjustment Companies Health Plans Should Know in 2026 · 7 Best Risk Adjustment Software Platforms for 2026 · AI Prior Authorization Platform Map · Reveleer Alternatives and Competitors in 2026 · Best Wisedocs Alternatives & Competitors (50 vendors)
04

What to confirm before you sign

Inovalon publishes 4 of the 8 fields in the Content Hub rubric. Across all 270 vendors profiled in the Content Hub, the median is 5 of 8. Of the four it leaves unpublished, these two matter most.

  1. How do you charge — per page, per file, per hour, or per seat?
    Get the unit before you scope a pilot. A per-hour or per-seat quote and a per-page quote behave very differently once a file runs past 1,000 pages.
    Pricing model56% of all profiled vendors leave this unpublishedOurs: flat per page, no seats, no subscription
  2. What does a real 1,000-page file cost, all in?
    Ask for a worked example rather than a rate card. Duplicate pages, rush fees and monthly minimums are where the quoted rate and the final invoice separate.
    Indicative cost82% of all profiled vendors leave this unpublishedOurs: from 10¢ to as low as 5¢ a page, duplicates free

The other seven questions, and what all 270 profiled vendors do and do not publish, are in the evaluation guide.

Sources

How Medrecords AI does this work

Inovalon works in medical-record review. Medrecords AI does this category of work as software: the record sorted, deduplicated and read in minutes, every statement cited back to its page, and a qualified human signs off on what it means.

SolutionLife & disability underwritingAttending-physician statements condensed for the decision in front of you.Read more →SolutionAPS medical summaryTreating records reduced to a concise, cited summary. AI never scores risk.Read more →ProductBilling summaryBilling and coding data extracted into a reviewable ledger.Read more →
Test it on a file you already have.
Send one real record set. You get back a cited chronology and decide for yourself whether the read holds up — no obligation either way.
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Explore the Content Hub

Software & platforms

AI and case-management platforms across medical-record review.

Service providers & BPOs

Record review, peer review, retrieval, LNC and BPO providers.

State programs

Rules, AMA Guides edition, and MMI standards by state.

Comparisons

Head-to-head vendor and program comparisons.

Guides

Editorial reference on report writing, MMI, and validity testing.

Conferences & events

Workers' comp, claims, insurance and medical-legal conferences with editorial takes.

Directories

Link-out rosters of examiners, LNCs, and expert witnesses.

State matrix report

All 10 verified state programs, side by side.

Content Hub home

The full index of everything in the hub.

Medrecords AIMedrecords AI

Minutes per file. Every line cited. From 10¢ to as low as 5¢ a page.

Bring the hardest file from this page. Get a cited chronology and a report draft in minutes — every line traced to its source page, ready for your review and signature.

  • Minutes per file, not days
  • Every line cited to its source page
  • From 10¢ to as low as 5¢/page, duplicates free — no license, no minimums
  • HIPAA-eligible · SOC 2 audit-ready
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Last verified: 2026-08-15