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When it comes to Appeals & Grievances (A&G) reporting, it seems like most health plans are still operating in the dark ages. Manual data entry, archaic spreadsheets, and hours of report compilation largely define the compliance reporting process of many A&G departments - even at the largest plans.

A configurable compliance solution that can improve member experience and lower business costs Today, we're excited to introduce Affinitē Appeals & Grievances (Affinitē AG).  With end-to-end visibility of real-time data, Affinitē AG helps health plans avoid detrimental financial penalties with accur...

Whether you are part of a Medicare, Medicaid, Marketplace or Commercial Health Plan, you know that effective oversight and management of Appeals & Grievances (A&G) can be a laborious and time-consuming process. Despite recent innovations, many health plans still rely on homegrown or manual A&G proce...