Aerial UM Connector™
Aerial UM Connector™
Control Out-of-Network Costs and Reduce Manual Processes and Expenditures with Automated Authorizations and Referrals
A faster, smarter authorization and referral process benefits everyone — payer, provider, and member alike. After all, who wants the unnecessary treatment and payment delays that result from managing multiple payment arrangements, medical policies, benefit allocations, and challenging business rules?
Risk-bearing providers and organizations that manage highly complex patient populations can take a significant step forward with an automated, real-time, and data-driven approach to authorizations and referrals that drives cost savings, enhances compliance, and provides immediate ROI.
Simplify workflow, boost member satisfaction, and reduce costs
Aerial UM Connector™ is a highly sophisticated, automation-driven authorization, referral, and network management application that delivers best-in-class utilization management capability. Designed to expedite high-quality, cost-effective care, UM Connector incorporates all relevant data when an authorization or referral is requested, enabling automatic approvals that free staff resources to focus their time where it’s needed — on exceptions and complex cases.
Featuring advanced configuration and built-in reporting, Aerial UM Connector:
- Lowers out-of-network and operations cost. Organizations can create immediate ROI – easily exceeding savings of $3 PMPY for a single ICD code – by eliminating manual workflows, reducing out-of-network referrals, and improving compliance, while tapping into advanced decision support. CAQH estimates that automation can reduce manual authorization costs by 83 percent. Built-in reporting, alerts, and analytics create even more opportunities for efficiencies and better care.
- Streamlines workflow. By replacing labor-intensive processes with automated, context-relevant authorizations, organizations can reduce manual authorizations and referral processes by as much as 50 percent. Not only does this save time and money, but automated transactions also boost compliance efforts to more easily meet regulatory requirements from entities including the Centers for Medicare & Medicaid Services (CMS). This is important because CMS is on track this year to assess the highest rate of penalties since 2014.
- Improves provider and member experience and satisfaction. Getting approvals, referrals, and scheduling capabilities — all in real time — means reduced wait times, more productive providers, and happier members. That, in turn, can drive stronger network retention rates.
Aerial UM Connector is a real-time, easy-to-implement app that automates and simplifies complex authorizations and referrals to ultimately help risk-bearing organizations meet their cost and quality objectives, and in turn, advance their overall care management efforts with clear ROI.