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Automates and integrates authorization and utilization management processes.

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

 

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