Case Study

Virtual Appeals Manager (VAM)

Virtual Appeals Manager (VAM)

Pages 2 Pages

Virtual Appeals Manager (VAM) Virtual Appeals Manager (VAM) is a web based application that enables efficient and compliant Appeals & Grievances operations throughout the entire lifecycle. The application extended the product line for the Digital Health client beyond the compliance manager tool they already had. Challenge The major challenge was to provide an application that helps payer entities process appeals and grievances in a way compliant with the law. The application had to provide high level of customization so that it can support need of various risk-bearing entities like Medicare, Medicaid, Commercial, Health Insurance Exchanges, ACO’s and other. Since the solution was built as a product to service multiple clients, it had to be built in a way that was highl

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