• Careers
  • Contact Us
  • Blog
  • REQUEST A DEMO
MedHOK's Grievance Solution
Home / Solutions / Member Engagement / Grievance

Grievance Solution

Solution Overview

MedHOK’s Grievance module is used to process complaints about dissatisfaction with any aspect of the operations, activities, or behavior of a health plan or its providers. MedHOK’s Grievance feature is a pre-configured workflow solution for managing all grievances across the organization. The system-defined workflow ensures that cases are processed consistently and correspondence is triggered automatically and attached to the original case. 

Customers use the solution to:

  • Proactive approach to administering caseload
  • Real-time monitoring of activity by management
  • Adhere to compliance deadlines and requirements
  • Capture received date and compare to its internal Service Level Agreements

Have You Considered ...

 

With Grievance, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:

Download Product Spec Sheet

Ensures Compliance

Manages cases received from multiple external agencies and ensures documents are submitted by due dates

Full Integration with Medical and Pharmacy Appeals Solutions

One platform, total control. Manage all medical and pharmacy appeals in one system for the ultimate control of workflows, compliance, and documentation

Built-In Correspondence Tools

Automate correspondence with built-in letter templates and field mapping to reduce manual entry and ensure compliant action is taken with inbound and outbound correspondence

Request a Demo

See MedHOK's External Review solution for yourself

Please complete the form and let us know which capabilities you would like to see. One of our demo specialists will contact you to schedule your custom demo.

Grievances Demo Request