Simplify Appeals & Grievances processes with tailored solutions to satisfy compliance regulations
Let’s TalkWhen complex, knowledge-based operations rely on manual, paper-based processes, the results are low productivity and a diminishing bottom line
Encora’s solutions helptransform operations, leading to
Greater agility
Reduced costs
Higher productivity
Increased revenues
Improved customer satisfaction and retention
Faster, smarter investigations and resolutions
01
Promote rapid member access to care and claim payments
02
Confidently comply with contractual and regulatory obligations
03
Drive compliance with state, federal, NCQA, and group guidelines
04
Track completed and outstanding cases with comprehensive audit trails
05
Automatically print the case file for legal discovery or regulatory requests
06
Increase productivity and decision-making as all the relevant information is consolidated into a single view
07
Automatically distribute and prioritize each new complaint or appeal. Capture, catalog, and store all case-related information and documents
08
Automatically match requested information responses for pending cases to the right case file, reactivate the case and notify personnel of the updated status
Innovation Acceleration
Headquarters - Scottsdale, AZ 85260
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letstalk@encora.com