Appeals and Grievances

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


How to make fixed bid projects thrive in Agile environment?

Product Development expert shares tips to make fix bid projects work in agile

On Demand ZipChat

Deep Dive Into InsurTech Trends 2022

Top value drivers and primary investment areas in InsurTech unveiled

On Demand ZipChat

Episode 18: Tech Trends & 预测2022年

Learn the outlook, priorities, challenges & focus areas of tech leaders in 2022


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

电子游戏网址大全 Complaints, Appeals and Grievances solutions help to transform operations that lead to,

  • Faster, smarter investigations and resolutions
  • Increased revenues
  • 更低的成本
  • Improved customer satisfaction and retention
  • Higher productivity
  • 更大的灵活性

电子游戏网址大全’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


Artificial Intelligence

Top 4 技术 Trends for 2022

在这篇文章中, we list 4 technology trends from our yearly survey of more than 500 senior technology leaders, 决策者, 和有影响力的人.
Cloud Architectures

The Cloud’s transformative effect in Insurance

在这篇文章中, we see how the insurance industry is adoption cloud for being compliant, driving operational excellence and agility.

New Business Models in the Insurance Industry

在这篇文章中, we see how incumbent insurance providers stand to gain from new business models and leveraging new ecosystems.