How a National MA Plan Cut Appeals & Grievances Case Preparation Time by 80% with Improved Audit Traceability

- April 26, 2025

Autonomize AI

A National Medicare Advantage plan was struggling to keep pace with Appeals & Grievances volume. Analysts spent close to an hour per case gathering information across fragmented systems, reconciling inconsistent documentation, and validating compliance. Resolution timelines slipped as volume increased, putting pressure on both operational teams and member experience.

After deploying Autonomize’s AI-powered A&G workflow, the plan achieved dramatic cycle-time reductions across case review, intake and extraction, as well as clinical review and correspondence.

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