Appeals and Grievances
Appeals & Grievances is a cloud-based platform for health plans that automates A&G resolution, ensures audit readiness, and streamlines compliance. It offers real-time data monitoring, automated workflows, and configurable rules to meet evolving regulatory needs across Medicare, Medicaid, and more.
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Appeals and Grievances Overview
Appeals & Grievances is a cloud-based compliance management solution tailored for Medicare, Medicaid, MMP, Marketplace, and Commercial health plans. Designed for health plan compliance teams, it streamlines the resolution of appeals and grievances, automates regulatory reporting, and ensures audit readiness. The platform features real-time data monitoring, configurable rules, and intelligent workflows that adapt to evolving regulatory requirements. Inovaare’s solution provides comprehensive visibility and accurate tracking, helping organizations reduce risk and improve member satisfaction. With seamless integration and user-friendly tools, it supports compliance efficiency while meeting strict industry standards.
Features
AI-Driven Case Intake and Classification
Real-Time Compliance Monitoring and Audit Readiness
Automated Regulatory Reporting
Configurable Workflows and Rules Engine
Appeals and Grievances Pricing Overview
Appeals and Grievances Score
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FAQs
Inovaare’s Appeals & Grievances software is a cloud-based solution designed for Medicare, Medicaid, MMP, Marketplace, and Commercial health plans. It streamlines the management of appeals and grievances, automates regulatory reporting, and ensures audit readiness through real-time data monitoring and configurable workflows.
No, Inovaare does not offer a free trial or a free version of its Appeals & Grievances software.
The platform features a configurable rules engine and real-time monitoring tools that allow organizations to adapt to changing regulatory requirements promptly, maintaining continuous compliance.
Yes, Inovaare offers a low-code/no-code platform that enables organizations to customize workflows, rules, and reports to align with their specific operational and compliance requirements.
Inovaare provides support via email and phone.
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