Skip to main content
search

© 2021 Excellerate. All Rights Reserved

Appeals and Grievances

Simplifying Appeals and Grievances processes with tailored solutions to satisfy Compliance Regulations

Upcoming ZipChat
October 4, 2022

Streamlining the Prior Authorization Process

Build streamlined authorization workflows for enhanced clinical experiences

Register Now
Upcoming Webinar
October 18, 2022

When One Size Doesn’t Fit All – Custom Agile Frameworks

David Wallace, Principal Agile Coach at Xero discusses custom agile frameworks

Register Now
Latest ZipRadio
Podcast

How AI Can Transform Healthcare? Disambiguation of Healthcare Data

AI is a means to get access, identifying patterns and trends in healthcare data

Play Now

When complex, knowledge-based operations rely on manual, paper-based processes, the results are low productivity and a diminishing bottom line.

Excellarate Complaints, Appeals and Grievances solutions help to transform operations that lead to,

  • Faster, smarter investigations and resolutions
  • Increased revenues
  • Lower costs
  • Improved customer satisfaction and retention
  • Higher productivity
  • Greater agility

Excellarate’s tailored Complaint, Appeal and Grievance solutions can:

  • Increase productivity and decision-making as all the relevant information is consolidated in a single view. Drive compliance with state, federal, NCQA, and group guidelines
  • Automatically distribute and prioritize each new complaint or appeal. Capture, catalog, and store all case-related information and documents
  • Track completed and outstanding cases with comprehensive audit trails
  • Automatically match requested information responses for pending cases to the right case file, reactivate the case and notify personnel of the updated status
  • Promote rapid member access to care and claim payments
  • Confidently comply with contractual and regulatory obligations
  • Automatically print the case file for legal discovery or regulatory requests

Trending Topics

Automation

Digital-driven Efficiency in Pharmacy Operations

With the rise in technology, there has been a significant change for independent pharmacies. Digital transformation and pharmacy tech acceptance are crucial to their survival. This technology allows them to…
Analytics

Preventive Health Using Big Data

Stakeholders in the healthcare industry are turning to big data analytics for help with preventive medicine and care. Big Data provides enhanced capabilities such as analyzing it effectively when needed…
Analytics

Making the Case for Prescriptive Analytics in Healthcare

The healthcare industry is under pressure to deliver better outcomes due to increasing consumer demand. This pressure is coming from many directions, including a shortage of primary care physicians, the…