Sagility’s URAC-accredited Utilization Management (UM) program transforms the prior authorization process, leveraging automation and clinical expertise to deliver fast, accurate decisions. Our UMaaS solution is customizable and designed to improve efficiency across:

• Hybrid Staffing Models – A flexible blend of technology and expert human oversight.
• Instant Clinical Decisions – Real-time authorizations at the intake stage for faster turnaround.
• Comprehensive Review Services – From pre-service to post-service and appeals, we cover all stages.
• AI and Clinical Analytics – Empowering decision-making with advanced AI tools and deep data insights.

Specialty Solutions: Sagility also offers Specialty UM Solutions, driven by clinical guidelines and peer reviews, to manage specific areas like Cardiology, Genetic Testing, and Spine & Pain Management with precision and clinical appropriateness.

Find out how our end-to-end Utilization Management services can streamline your operations by visiting our Patient Clinical Services page.