📋
34
Open Grievances
↑ 4 from last month
67
Resolved This Month
↑ 12% vs last month
⚠️
8
Overdue Cases
↑ 2 new overdue
📊
89%
SLA Compliance
Target: 95%
Grievances by Category
Quality Care — 35%
Access — 28%
Billing — 22%
Service — 15%
Avg Turnaround Time (days)
CMS: ≤30 days
Avg TAT: 18.4 days Best: 12 days Longest: 28 days
SLA Performance Gauge
89% SLA Met
0%▼ Target 95%100%
60
Met SLA
7
Missed
Case Aging Analysis
0–10 days (on track)
11–20 days (attention)
21+ days (overdue risk)
Page Guide
Dashboard Overview

Monitors all grievance and appeal activity for CMS compliance. Medicare Advantage plans must resolve standard grievances within 30 calendar days.

  • Open: All unresolved grievances requiring action
  • Overdue: Cases exceeding SLA deadline
  • SLA Goal: 95% resolution within 30 days
CMS Timeframes
Key Metrics Explained
Tips
📖 User Manual 🔧 Admin Manual
New Grievance
Grievance Detail