Automate workflow rules to streamline processes, reduce manual effort, and improve operational efficiency in real time.

Empower smarter, automated determinations that drive consistency, policy accuracy, and administrative efficiency in utilization management.

Optimize intelligent routing to ensure the right tasks reach the right teams, accelerating reviews and enhancing collaboration.

Jumpstart your request intake processes with ready-to-use, customizable templates.

Efficiently manage appeals and grievances with streamlined workflows that ensure compliance and timely resolutions.

Empower providers with a user-friendly portal to submit, track, and manage authorization requests seamlessly.

AI-powered fax automation extracts, structures, and auto-generates UM requests, reducing manual work and speeding up processing.

Seamless peer-to-peer MD review scheduling—letting providers self-schedule Outlook-integrated appointments to accelerate UM decisions.