GuidingCare® Appeals & Grievances

The GuidingCare® Appeals & Grievances module streamlines and consolidates the entire appeals management process to help you meet regulatory demands for timely resolution and correspondence.


Integration with GuidingCare™ CM and UM

The Appeals and Grievances module integrates seamlessly with GuidingCare CM, UM and Community Portal applications, enabling all stakeholders to track appeals in progress alongside other member demographics, enrollment, encounter and care planning information.


Ensure Compliance with Configurable Appeal Workflows

Workflows, turnaround requirements and correspondence templates can be configured for each appeal type, allowing your organization to maintain compliance for appeal and grievance processes across multiple lines of business.

Learn more about how GuidingCare™ Appeals & Grievances can help you manage a fully compliant appeals process across all lines of business.