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New healthcare regulations are putting greater burdens on fund managers, and a costly source of loss is unmanaged denial appeals.
Appeal-a-Claim is giving funds the power to track and management the process of member appeals to denied claims. Denied claims can be automatically uploaded from your current management system, and your members have the option to initiate an appeal online. Appeal-a-claim can track timing, deadlines, and additional documents from members, providers, and fund managers. Your staff is provided with a dashboard so they can see daily activity, and track the appeal process in real time, helping to assure that your fund won’t miss a deadline and be liable to pay an otherwise ineligible claim.