The Customer Service group of applications of Facets system allows healthcare payers to administer appeals, record correspondence such as inquiries between
the MCO and its clients or state regulatory agents, and channel inquiries about
practitioners and facilities. Inquiries may require immediate response, as when
a customer is searching for a provider that meets specific criteria or when
notifying the health plan of a change of primary care provider. The
applications in this group are:
1.
Appeals
2.
Appeals Contact
3.
Appeals Reviewer
4.
Channeling
5.
Customer Service
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