Sagility’s URAC-accredited Utilization Management (UM) program revolutionizes the prior authorization process. By leveraging automation, we provide real-time clinical decisions that streamline the intake process and reduce provider strain. Our UMaaS solution offers:

• Seamless Hybrid Staffing – Combining technology with expert staff for optimal efficiency.
• Instant Clinical Decisions – Real-time decisioning during intake for quicker processing.
• Comprehensive Review Process – Covering pre-service, post-service, and appeals for thoroughness.
• AI-Powered Support – AI/ML-driven Nurse Assist tools and clinical analytics for better outcomes.

Specialty Solutions: Our Specialty UM Solutions target high-impact clinical areas with precision, using academic guidelines and peer reviews to ensure clinical appropriateness in specialties such as Cardiology, Genetic Testing, Surgery, and more.

For more information on how we can support your needs, visit our Patient Clinical Services page.