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    California Health Plan Appeals & Grievances Department Achieves No Findings in Medicare and Medicaid Audits Using Inovaare A&G Platform

    A California-based health plan with with over 100,000 members has
    been serving its community for over 20 years and was
    looking for a CMS and CA DHCS/DMHC compliance technology partner
    who could help them:

    • Incorporate all regulations into a workflows and rules engine
    • Centralize business processes for managing all member-related
      appeals and grievances cases
    • Track all the member appeals and grievances
    • Create regulatory compliance and analytics reports
    • Integrate evolving federal and state regulations into its system
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