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:

• Streamline and accelerate authorization and UM workflows 
• Create and manage authorization requests during the authorization process, saving time and money
• More effectively manage inpatient and outpatient utilization costs
• Configure the application to automatically request additional information unique to a provider’s needs
• Add, view and extend inpatient and outpatient authorization requests for services