Provider Disputes Solution
MedHOK’s Provider Disputes solution is a pre-configured workflow solution for processing and tracking provider disputes. The system-defined workflow ensures that cases are processed consistently, and correspondence is triggered automatically and attached to the case. The Dashboard allows for real-time activity monitoring by management and promotes a proactive approach to caseload and compliance deadlines.
Customers use the solution to:
- Take-in and process provider disputes of denied authorizations or claims payment in a timely and compliant fashion
- Track dates to internal SLA to ensure premium provider service response
- Improve provider relations via integrated collaboration with MedHOK Provider Portal
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Why do more than half of MedHOK’s clients use the Provider Disputes solution?
Our clients represent some of the nation’s largest and most prestigious health plans, PBMs, Specialty Pharmacies, and other payers. See for yourself why they rely on the MedHOK Unified Payer Platform for Provider Disputes. 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.