Simplifying Appeals & Grievances with Custom Applications that Meet All Compliance Regulations

When complex, knowledge-based operations rely on manual, paper-based processes, the results are low productivity and a diminishing bottom line. With IPD's Complaints, Appeals and Grievances solution, our clients transform their operations for…

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

IPD's custom applications for Complaints, Appeals and Grievances 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

 

Download Now: Complaints, Appeals and Grievances Solution White Paper