Workflow-Driven, Intelligent A&G Case Management
With the ever-increasing challenges of business rules, operational procedures, service level agreements, regulatory requirements, unpredictable volumes, error-prone procedural issues and medical management; handling appeals and grievances (A&G) is an intricate, complex and manually intensive process.
Compliant A&G breaks down these complexities with an automated approach that allows you to efficiently address member and provider complaints and appeals while gathering insightful, evidence-based data to improve quality, increase performance and reduce risk.