Wipro's A&G360 application allows organization to comprehensively manage their end-to-end Appeals & Grievances (A&G) process and contains a Complaint Tracking Module (CTM).
With healthcare reform and regulatory amendments driving transformational changes in the sector, Wipro offers a suite of technology modules to help organizations remain compliant with regulatory agencies to enhance the quality of service delivered to their members.
A comprehensive appeals, grievances, and complaint tracking module allow you to track cases at each stage of the process to ensure compliance and timeliness. The system will generate your customized required letters for members/providers/authorized representatives and store them within the record for audit and compliance purposes. The application has a comprehensive reporting feature that allows you to track metrics for case processing, compliance, audits, and process improvement.
A&G 360 allows you to upload all documents relevant to the case, in order to eliminate paper files and the associated cost aligned with maintaining those files. A&G 360 can be customized to meet your teams’ specific internal needs.