Virtual Appeals Manager (VAM)
A Single Source of Truth for Effective, Efficient and Compliant

Appeals & Grievances Operations

Virtual Appeals Manager provides real-time

dashboard monitoring of key metrics and alerts. It also:

Appeals & Grievances


  • Supports monitoring, management, reporting, and granularly tracking of unique appeals, grievances and CTM case files
  • Designed for regulated health plans
  • Supports Medicare, Medicaid and other regulated lines of business
  • Highly configurable
  • Eliminates manual processes
  • Enables plans to more effectively maintain compliant A&G operations
  • Supports highly complex yet simple to manage business rules
  • Intuitive user interface
  • Enables users to create and maintain rule sets
  • Flexible workflow rules engine with multiple configuration options ensure that essentially any business rule can be supported with native functionality:

  • Trigger Points
  • Outcomes
  • Due Date Logic
  • Case Flags
  • and more!