Appeals and Grievances

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

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September 28, 2021

ZipChat E15: Data Visualization & Analytics in FinTech

Understand the importance and impact of data visualization in FinTech solutions

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October 4 - 6, 2021

ITC Vegas 2021 – World’s largest InsurTech Event

Join us to explore innovations in the InsurTech industry with InsurTech Experts

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ZipRadio Podcast
September 8, 2021

Episode 13 – Access and Transmission of Healthcare Data

Our HealthTech experts discuss secure access and transmission of healthcare data

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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

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