Sagility’s URAC-accredited Utilization Management (UM) program simplifies the prior authorization process with real-time clinical decisions, reducing provider burden and ensuring timely approvals. Our flexible UMaaS solution is designed to meet your unique needs, offering:

• Efficient Hybrid Staffing – A balanced combination of technology and expert staffing.
• Real-Time Clinical Decisioning – Instant decisions at intake for faster processing.
• Comprehensive Reviews – Pre-service, post-service, and appeal reviews to ensure clinical accuracy.
• AI and Clinical Analytics – Leveraging AI/ML tools and deep analytics for smarter, data-driven decisions.

Specialty Solutions: Our Specialty UM Solutions target specific clinical areas, using academic guidelines and peer reviews to ensure high-quality care. We provide expert management in specialties like Cardiology, Genetic Testing, and Spine & Pain Management, ensuring clinical appropriateness every step of the way.

Explore our full range of services on our Patient Clinical Services page.