Meet Regulatory Demands and Ensure Compliance

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

The module is configured to record all the elements necessary to track and report on required turnaround times — by line of business and by complaint/grievance type.  Each grievance type can be configured to automate the workflow associated with each type, including:

  • Assignment of tasks to appropriate staff
  • Tracking completion of each task
  • Automatically generating the appropriate correspondence to the member