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            Simplify Authorization Request Reviews with the Utilization Management for Payers App

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            Simplify Authorization Request Reviews with the Utilization Management for Payers App

            The Utilization Management for Payers app provides a comprehensive view of authorization requests that are most important to you. The app shows all open cases, so that you can easily identify high priority and urgent requests, and take appropriate action effectively.

            Required Editions

            Available in: Lightning Experience

            Available in: Enterprise and Unlimited Editions with Health Cloud
            User Permissions Needed
            To use the app: Health Cloud Utilization Management permission set

            The app’s home page provides a quick and unified snapshot to help you start and plan your day for effective operation. From the home page, you can:

            • Use quick access links to navigate to Cases, Care Requests, Care Request Items, and more
            • Create case records, and easily view details of or edit existing cases
            • Create and submit authorization requests
            • View and sort authorization requests by case status, priority, or the requested date and time
            • Search and retrieve case records
            • View a list of tasks and events scheduled for you for the current day
            • Change the case owner to reassign requests to another user
             
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