Sagility’s URAC-accredited Utilization Management (UM) program streamlines prior authorization with real-time clinical decisions during the intake process. Our flexible UMaaS solution covers everything from intake to clinical and appeal reviews, offering:

• Hybrid staffing models
• Educative peer review
• Pre and post-service reviews
• Real-time clinical decisioning engine
• AI-driven Nurse Assist tools
• Clinical analytics and insights

Specialty Solutions: Our advanced, specialty-specific solutions, driven by academic guidelines, manage high-impact areas like Cardiology, Genetic Testing, Spine & Pain Management, and more, ensuring clinical appropriateness across the board.

For more details, visit our Patient Clinical Services page.