Unqork empowers payers to rapidly build and effectively manage a robust grievances & appeals solution. With Unqork, organizations can seamlessly integrate any solution with existing internal systems and, if necessary, external third-party services. Members can submit complaints, appeals, and relevant documentation through a patient facing digital hub, which they can access at any time for up-to-date claim status.
With a centralized system, data collection and formatting can be standardized across the process for improved analysis, reporting, and case reviews. Custom rules can be applied at scale to automatically classify cases or issues and funnel them into the appropriate workflows. The solution can be designed to auto-generate personalized member communications such as status updates or calls to action (e.g., a need to submit additional information relevant to the case).
Increased member satisfaction
Accelerate resolutions and provide better visibility
