Utilization Management
BRINGING AI AND CLINICAL EXPERTISE TO HEALTH PLANS
Don’t just adapt to the future of healthcare — shape it.
Together, we’ll build a healthier more efficient system.
%
Calls eliminated
Reduction in manual reviews
%
Clinical AI accuracy
Approval turnaround
Making the most of AI and Smart Technology
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
- Smart tech/AI
- Leading NPS score
Smart Tech/AI Features
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
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
