Utilization Management Definition

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Population Health Management Care Management Utilization Management Quality Management Medication Management Specialty Pharmacy Provider Services (EHR, RCM, & PMS) OptimAIzer
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Utilization Management Care Management Medication Management Quality Management Specialty Pharmacy Electronic Health Record Software Practice Management System Revenue Cycle Management OptimAIzer
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Who We Serve
Payors Providers Pharmacies Government
Our Solutions
Population Health Management Care Management Utilization Management Quality Management Medication Management Specialty Pharmacy Provider Services (EHR, RCM, & PMS) OptimAIzer
Modules
Utilization Management Care Management Medication Management Quality Management Specialty Pharmacy Electronic Health Record Software Practice Management System Revenue Cycle Management OptimAIzer
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Modules (9)

Utilization Management

Verify eligibility, optimize reviews, and streamline appeals and grievances.
Care Management

Enable preventative care, manage medical interventions, and efficiently report on program outcomes.
Medication Management

Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.
Quality Management

Improve outcomes, lower costs, and adhere to standards, such as HEDIS, Stars, and PQA.
Specialty Pharmacy
Electronic Health Record Software
Practice Management System
Revenue Cycle Management
OptimAIzer

Enable preventative care, manage medical interventions, and efficiently report on program outcomes.

Utilization Management

Blog

Setting Authorizations on FHIR: Improving the Patient and Provider Authorization Experience Through Greater Interoperability

Koen Brown

February 15, 2023

Fact Sheet

Utilization Management Fact Sheet

AssureCare

January 21, 2021

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Who We Serve
Payors
Providers
Pharmacies
Government

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Population Health Management
Provider Services (EHR, RCM, & PMS)

Modules
Utilization Management
Care Management
Medication Management
Specialty Pharmacy
Quality Management
Electronic Health Record
Practice Management System
Revenue Cycle Management
OptimAIzer

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Our Story
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