Specialized features for Health Plans,
Doctor Groups, Retail Healthcare
and Hospitals.


Manage Healthcare Complaints, Appeals and Grievances

Everest healthcare complaint management provides a business process framework that delivers an effective solution for fast and effecient resolution for complaints, appeals and grievances. Customer satisfaction is enhanced while regulatory compliance is insured  at every step.

A customer feels their concern is important when their voice is heard. Give your staff the tools and visibility that shows a commitment to listening and responding. With Everest, increase the percentage of positive customer engagements.

Everest offers a comprehensive solution for patient / member / customer relations / risk management and quality assurance departments. Ensure that every grievance, complaint or request is handled correctly. Track the Entire cycle of each interaction and respond in a timely manner.

Quickly analyze and share critical information with powerful reports and charts. Sort and filter organized reports in seconds and e-mail directly from Everest. A user friendly query builder allows you to create custom reports including any field in the database.

Easily control access through user group controls that are tied to the users ID and Password. Set rules for password size and expiration time. A complete Audit Report is available to review every add, change and delete.

Best Practices in Healthcare Complaints Management

  • A complaints management system needs to provide a consumer focused approach.
  • Complaints are logged and classified for resolution and documenting.
  • Complaint are assigned to one owner while incorporating feedback from others to achieve a comprehensive resolution.
  • Customers need convenient methods to report complaints and must be encouraged to voice their dissatisfaction.
  • Ensures adherence and compliance to regulatory requirements.
  • Reduces cycle times through optimized routing of work and reduction of manual processes to document and resolve issues.
  • Provides insight into the effectiveness of business processes through comprehensive trend analysis.

Everest is successful in many Healthcare Environments