Utilization Management
Verify eligibility, optimize reviews, and streamline appeals and grievances.
Benefits

Intake / Eligibility

Integrated National Guideline

Streamline Workflows

Approval Automation

Network Steerage and Gold Carding

Track Appeals and Grievances

Reporting and Performance
Medication Therapy Management
Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.
Benefits

Population Targeting

Integrated Care Plan

CMS Required Patient Material

Reporting

Follow Up

Billing

Medication Interaction Identification