Features

Automation

Cases are routed to the appropriate end user who can perform the task and automatically escalated when delays occur.

Accuracy

Capturing relevant case information during intake procedures ensures that critical information is available when needed.

Centralized

All of the generated correspondence and other files and dcouments can be stored securely in a centralized repository and available for viewing and sharing as needed.

Timeliness

Escalation of delayed processing ensures timeliness of processing within specified timeframes.


Benefits

Reduce

Reduction in operational costs by eliminating manual process steps and paper-related costs.

Increase

Increased compliance by providing traceable, end to end audit trail of all process steps and transactions.

Improve

Improved efficiency by reducing time needed to process appeals by automating and streamlining workflow processing.

Audit

All actions are logged by the system and made available for auditing and reporting purposes.

Engage

Transform the customer experience by engaging them with personalized communications.

Speed

Faster response time for providers and members leading to greater satisfaction.


Inputs

The Healthcare Appeals and Grievances Solution can be configured to meet your Appeals and Grievances input information needs.


Outputs

The Healthcare Appeals and Grievances Solution can be configured to meet your Appeals and Grievances output needs, such as email notifications and correspondence.


Geographic Availability

Worldwide

Language Availability

English