Health | Provider Relations Portal Document Management ECM Solution

Manage A&G process with portal

For Health insurers, an important aspect of delivering exceptional service is how well they respond to provider appeals and grievances (A&G).

Naviant’s exceptional team, paired with the OnBase document management portal solution, helps Heath insurers manage incoming A&G through a provider portal or by mail, fax, or email. Once in OnBase, distributing the appeals according to type is easy as most appeals are financial in nature—once a claim has been denied or rejected, and after three attempts, the A&G process is the provider’s only recourse.

OnBase also assists Health insurers with provider relations during sales campaigns.  An OnBase provider portal offers providers an opportunity to request sales campaign support, capturing information about the sales activity, the additional support that may be needed, and the potential required funds. The OnBase business process management tool (OnBase Workflow) manages these requests, assigns tasks, notifies providers to send status updates on the sales campaign, and monitors time constraints required for decision/support.