Appeals & Grievances
Appeals and Grievances
Respond to Appeals & Grievances Quickly
HPS knows how paper-based processes can slow and bottleneck business workflows, and we know how freeing it can be to remove those bottlenecks. Our online Appeal and Grievance Submission helps Payers eliminate the paper-based workflows so that they can drive faster responses.
Schedule a demo to increase your responsiveness to appeals and grievances.
Fewer Steps and a Faster Response
HPS’ Appeal and Grievance Submission helps Payers expedite their responsiveness by:
-
Making
online submission easy for providers
-
Collecting
the required details and document
-
Reducing
the amount of manual data entry
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Communicating
updates effortlessly
Online submission reduces the number of steps it takes for Payers to review appeals and grievances, allowing them to resolve each one faster.
Ease of Access and Use
Providers can easily access the Appeal and Grievance Submission in the Payer’s HIPAA-compliant portal, along with their other provider resources.
Payers are equipped with administrative tools that will help them assess and respond to requests quickly, including:
- Online review & approval
- CSV download of appeal and grievance details
- Automatic notifications
With the appeals and grievances easily accessible, Payers will be better prepared to address each request within the timelines set by the regulatory authorities.
How It Works
Make your appeal and grievance submission processes paperless and automated. Here’s how you can do it in the HPS portal:
Step 1
Submit
Providers submit appeals and grievances in your portal.
Step 2
Process
You’re notified when a new request is ready for review.
Step 3
Download
You approve the request and download the details.
Step 4
Notify
Providers are notified when the request has been approved.
Step 5
Watch
Your appeal & grievance processes become fast and efficient.
When appeal and grievance submission becomes an electronic process, you’ll spend less time on manual tasks and more time resolving the request.
Summary
Appeal and Grievance Submission allows Payers to expedite their review of and response to appeal and grievance requests. By removing the paper processes and manual workflows involved, Payers can respond to each request more easily and rapidly. This empowers Payers to drive faster business workflows, better provider relationships, and more proactive management of appeals and grievances.