Effectively Manage the Authorization Life Cycle

The Utilization Management module supports the authorization life cycle — from request and review to status determination and correspondence with members and providers. GuidingCare UM helps you manage utilization effectively through helpful clinical guidelines and configurable authorization management workflows. 

  • Direct access to clinical guidelines
  • Track CM and UM Activity in one record
  • Manage TAT requirements across programs
  • Streamline authorization and decision workflows