Utilization Management

BRINGING AI AND CLINICAL EXPERTISE TO HEALTH PLANS

Don’t just adapt to the future of healthcare — shape it.

Optimize the end-to-end utilization management process to drive the best outcomes with the HealthHelp Platform

%

Calls eliminated

Reduction in manual reviews

%

Clinical AI accuracy

Approval turnaround

Making the Most of AI, Data and Analytics

Our AI and collaborative care model is transforming Utilization Management (UM).

Patients

  • Better care
  • Provider coordination
  • Timely treatment

Providers

  • Instant AI approvals
  • Collaborative care models
  • Minimized friction

Payers

  • Expansive clinical scope
  • AI, Data and Analytics
  • Leading NPS score

AI, Data and Analytics

Harness the power of our advanced tech to accelerate approvals, minimize denials, reduce friction and maximize savings.

Clinical decision support engine

Flexible intake (portal, fax, phone)

EMR connectivity

Clinical AI assist

Trend, analytics and insights

Revolutionizing UM Together

A win-win-win solution

Start Shaping the future

Specialty Programs

Our program education, collaboration and clinical intelligence deliver the perfect solution for payers seeking to strengthen provider relationships while ensuring optimal outcomes.

Programs

Cardiology

Oncology

Musculoskeletal

Genetic Testing

Radiology

Sleep Therapy

Surgical

Core Differentiators

Collaborative Care

Clinically Superior Tech

Clinical Integrity

Customizable by Client

Guaranteed Cost Savings