Sagility’s URAC-accredited Utilization Management (UM) program streamlines the entire prior authorization process, enabling faster, more accurate decisions. By integrating automation with clinical expertise, our UMaaS solution delivers:

• Real-Time Clinical Decisioning – Instant decisions during the intake process for quicker approvals.
• Optimized Staffing – A hybrid approach that combines technology and skilled professionals for maximum efficiency.
• Complete Review Coverage – Pre-service, post-service, and appeals reviews ensure comprehensive assessment.
• AI-Powered Tools – Advanced AI/ML technology assists nurses in making informed decisions, backed by robust clinical analytics.

Specialty Solutions: Our clinically-driven Specialty UM Solutions tackle high-impact specialties like Cardiology, Genetic Testing, Sleep, and more, ensuring clinical accuracy and appropriateness at every step.

Learn more about how Sagility’s solutions can transform your Utilization Management by visiting our Patient Clinical Services page.