Simplifying Appeals & Grievances processes with tailored solutions to satisfy Compliance Regulations
Appeals and Grievances
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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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September 8, 2021
Episode 13 – Access and Transmission of Healthcare Data
Our HealthTech experts discuss secure access and transmission of healthcare data
Play NowWhen 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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