Confident UM Decisions in a Fraction of the Time
Health plans spend valuable time and resources on utilization management programs to ensure high-cost services are medically necessary and appropriate. Without efficient workflows and reliable insights to speed up the authorization process, providers can experience delays in care, which negatively impacts patient experience and health outcomes.
Apixio’s AI-as-a-Service for Utilization Management offering provides digital assistance by delivering predictive prior authorization decisions within your organization’s existing workflows. As a result, your teams can streamline administrative decision-making and improve provider and member satisfaction.
Apixio’s AI-as-a-Service for Utilization Management offering provides digital assistance by delivering predictive prior authorization decisions within your organization’s existing workflows. As a result, your teams can streamline administrative decision-making and improve provider and member satisfaction.
Make Authorization Decisions In Seconds
Leverage AI-Powered Insights In Existing Workflows
Customize Results And Data Delivery Methods
Benefits
Faster Authorizations
Make decisions in seconds instead of days and reduce manual reviews by up to 50%.
Personalized Recommendations
Customize models based on your organization’s past data and authorizations.
Flexible Delivery Methods
Plug AI-powered predictions into your existing UM review workflows with flexible APIs.
Accurate Decision-Making
Ensure your UM teams accurately authorize services based on supporting clinical evidence.
Features
AI models generate predictive prior authorization decisions
Plan-specific models trained on past decisions created within 60 days
Flexible APIs tailored to your organization’s workflow needs
User-enabled controls to fine-tune models
Configurable reporting dashboard
Support UM Program Success with Superior Collaboration
Apixio has been fantastic. We have a personable relationship with them as a partner. They try to understand issues outside of even their involvement with us.
Manager,
Regional Health Plan
Regional Health Plan
Featured Resources
Automate Your Utilization Management Programs with AI
Explore how Apixio can support your organization’s utilization management and workflow needs.