SaaS application connects provider contract and member enrollment details for real-time authorizations and referrals, eliminates costs and delays tied to manual utilization management and universe creation
Medecision, the leader in population health and care management solutions, announced today it has launched a new SaaS application, Aerial UM Connector™, that automates authorizations and referrals in order to drive compliance and reduce costs for health plans and TPAs with substantial Medicare and Medicaid populations. The new app ensures regulatory compliance and reduces out-of-network referrals by connecting provider contract details with member enrollment details, presenting care managers with real-time, context-relevant information that increases provider and member satisfaction by improving care delivery. ... |