AI-as-a-Service for Utilization Management

Accelerate Your Utilization Management Programs with AI

Increase the efficiency of your utilization management (UM) programs with powerful AI services that return reliable recommendations in seconds.

Confident UM Decisions in a Fraction of the Time

Health plans spend valuable time and resources on utilization management programs to ensure high-cost services are medically necessary and appropriate. Without efficient workflows and reliable insights to speed up the authorization process, providers can experience delays in care, which negatively impacts patient experience and health outcomes.

Apixio’s AI-as-a-Service for Utilization Management offering provides digital assistance by delivering predictive prior authorization decisions within your organization’s existing workflows. As a result, your teams can streamline administrative decision-making and improve provider and member satisfaction.
Make Authorization Decisions In Seconds
Leverage AI-Powered Insights In Existing Workflows
Customize Results And Data Delivery Methods
Benefits

Faster Authorizations

Make decisions in seconds instead of days and reduce manual reviews by up to 50%.

Personalized Recommendations

Customize models based on your organization’s past data and authorizations.

Flexible Delivery Methods

Plug AI-powered predictions into your existing UM review workflows with flexible APIs.

Accurate Decision-Making

Ensure your UM teams accurately authorize services based on supporting clinical evidence.

Features

AI models generate predictive prior authorization decisions

Plan-specific models trained on past decisions created within 60 days

Flexible APIs tailored to your organization’s workflow needs

User-enabled controls to fine-tune models

Configurable reporting dashboard

Automate Your Utilization Management Programs with AI

Explore how Apixio can support your organization’s utilization management and workflow needs.