Health Provider Relations Solution Helps Health Insurers Deliver Exceptional Service

Health Provider Relations Portal

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

With the eDocument Resources Insurance Solution, Heath insurers manage incoming A&G through a provider portal or by mail, fax or email. Once in the system, distributing the appeals according to type is easy as most appeals are financial in nature - a claim has been denied or rejected, and after three attempts, the A&G process is the provider’s only recourse.

eDocument Resources also assists Health insurers with provider relations during sales campaigns. A health provider portal offers providers an opportunity to request sales campaign support - capturing information about the sales activity, what additional support is needed, and what funds are required. The business process management too, workflow, manages these requests, assigns tasks, notifies providers to send status updates on the sales campaign and monitors time constraints required for decision/support.