Open Cases
15
Active tracking
Upheld
28
Plan decision upheld
Overturned
19
Member favorable
Partial
8
Partial resolution
Withdrawn
5
Member withdrew
Assign
Investigate
3
Determine
4
Notify
5
Close
Case List
Case # Category Member Assigned To Open Date SLA Deadline Resolution Date Outcome Actions
Notification Log — GRV-2025-0888
Page Guide
Resolution Workflow
  • Assign: Route to appropriate staff/dept
  • Investigate: Gather facts, review records
  • Determine: Reach decision with documentation
  • Notify: Send written determination to member
  • Close: Mark resolved, retain for audit
Outcome Definitions
Notification Requirements
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Case Detail