Case Study: Fortune 500 Healthcare Payer Automates Appeals & Grievances Process with Newgen

CASE STUDY

Fortune 500 Healthcare Payer Automates Appeals & Grievances Process with Newgen

About the customer

The customer is a multi-state healthcare payer and offers both Medicare and Medicaid plans.

Barriers to Growth

The customer’s existing process involved moving papers between groups, locations and resources with scanning, while electronic storage occurred towards the end of the process. Anytime anywhere tracking of appeals/grievance by appellants was a difficult task for them.

Owing to these day-to-day operational challenges, the process became slow and sluggish. That’s when the Health Plan realized the need to streamline and automate their Appeals & Grievances management process.

How the Customer Streamlined the End-to-end Process?

Download the case study to know why Newgen was chosen for the implementation and how the customer resolved member requests within specified timelines, minimized operational inefficiencies and demonstrated compliance, leading to improved member satisfaction.

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