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The Appeals and Grievances (A&G) process is a vastly scrutinized back-office function in the healthcare domain. Healthcare payers deal with multiple challenges while managing A&G processing, including manual-intensive and non-standardized business processes, data fragmentation, and complex decision-making procedures.
A comprehensive transformation strategy that comprises business process reengineering, automation, and work effort savings is the key to improving efficiency. This white paper highlights the common business and operational challenges of healthcare payers and consolidates the learnings from various intelligent technology implementations.
Download the white paper to explore how business process engineering combined with emerging technologies can help payers adopt and move quickly to a new paradigm of digitized A&G processing.