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Do you know?

Do you know?

Utilization / Care Management

Revamp care management by leveraging our end-to-end services

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About the Service

Digital utilization management solutions enable evidence-based treatment backed by years of experience and deep insights. Reorient care management workflows by focussing on patient history to determine the efficacy and appropriateness of medical treatments. Accuracy in maintaining medical records powers integrated patient care and rationalizes the appeals process. From UM authorizations to clinical program enrolment & referral to care management services, we offer an end-to-end solution to your utilization/care management needs.

Services

UM Authorizations, Reviews & Appeals

Back-office record maintenance service for referrals and utilization management for its clients.

  • Manage Prior & Prospective UM
  • Manage Retrospective UM

Clinical Program Enrolment & Referral

Providing operational support for record management of individuals enrolling under the clinical program and monitoring their performance till the time they meet their goal.

Care Management Services

Back-office Care Management record-keeping services for those who are covered under the critical care service.

Experts that made us pioneer!

Experts that made us pioneer!

Ashish KapoorVP - Business Operations

Ashish has over 20 years of experience in strategic insight, business development, service delivery, change management and strategy formulation. He is currently responsible for Business Development for Healthcare, Insurance, and F&A services.

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