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Automating and integrating authorization and utilization management (UM) processes can improve efficiency, lower costs and get members the services they need more quickly. CareAdvance Provider®, working in tandem with Clinical CareAdvance®, creates a pre-integrated connection between health plans and physician offices to automate the authorization process. Pre-integration with Clinical CareAdvance makes provider and member data available in real-time, and Clinical CareAdvance’s integration with core care management systems extends the functionality even further, enabling a fast and automated exchange of information.
CareAdvance Provider allows health plans and providers to: