NCQA accreditation can be complex, especially with broken systems, manual tracking, and growing compliance demands. Newgen’s solution, built on an AI-first low code-based platform, helps health plans simplify the complete process, while reducing efforts, ensuring audit-readiness, and improving member satisfaction.
Core Highlights
- Pre-configured, NCQA-aligned workflows for appeals, grievances, and external reviews
- Automated SLA tracking and escalation alerts to meet all response time mandates
- Centralized case management with complete visibility from intake to closure
- Low-code configurability for faster rollout and easier updates with zero coding
- Audit-ready reporting with built-in dashboards and compliance metrics
- Seamless integrations with existing systems for unified member data
Download the brochure to explore how Newgen can fast-track your accreditation process.