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Get Started with Health Cloud Utilization Management
Utilization Management makes it easier for provider and payer organizations to gather member and clinical data, streamline care request reviews, and evaluate requests for medical necessity. It ensures seamless collaboration, reduces cycle times, and lowers expenses while providing appropriate care. Explore a trial org and then learn about what’s included, what setup we recommend, and how to get ready for your implementation.
Get Oriented |
Dive In: Learn About Recommended Core Features Manage Authorization Requests in a Payer’s Office Manage Authorization Requests in a Provider’s Office Automate Workflows and Enable Self-Service with Business Rules Drive Interoperability with a Da Vinci FHIR R4 Aligned Data Model and APIs |
Go Deeper: Learn About Features for Specific Business Needs Prioritize Authorization Requests Using Analytics Dashboards Use Entitlements to Manage SLA Compliance for Each Review Stage Determine SLA Breach Likelihood and Drive Proactive Actions with Predictive Analytics |
Extend Further: Learn About Additional Capabilities & Add-Ons Automate Workflows and Reduce Decision Time by Using Business Rules Engine Get Started with Analytics for Healthcare for Utilization Management |
Get Ready for Your Implementation Plan and Prepare for Health Cloud |
Know Your Resources & Get Help Trailhead: Utilization Management in Health Cloud |
