With more than 30 years of experience in behavioral health , InfoMC Health understands the clinical, operational, and regulatory complexities of managing behavioral health services and coordinating care across physical, behavioral, and social needs. This expertise is reflected in the incedo8 platform, which supports:

• Integrated medical, behavioral health, and social needs assessments

• Configurable workflows for behavioral health case management, utilization management, and claims administration

• Individualized, person-centered care plans informed by assessments and member needs

• Coordination across mental health, substance use, physical health, and social services

• Connected case management and utilization management workflows that improve visibility and coordination across teams

The next-generation incedo8 platform provides the flexibility to adapt to each organization’s unique clinical, operational, and regulatory requirements. With configurable workflows, business rules, and self-service capabilities, organizations can tailor the solution to their specific programs and processes without relying on extensive custom development.

• Configurable workflows, business rules, data requirements, and program-specific processes

• Intuitive self-service tools to modify configurations and respond to evolving operational needs

• Flexibility to accommodate changing CMS requirements, reporting standards, and regulatory mandates

The next-generation incedo8 platform combines intelligent automation, configurable workflows, and real-time visibility to reduce administrative burden, improve productivity, and support more efficient clinical and operational processes.

• AI-Assisted authorization approvals that reduce manual review while maintaining clinical oversight

• Automated workflows and intelligent request routing that streamline processes and direct work to the appropriate teams

• Real-time alerts, notifications, and dashboards that help teams prioritize tasks, manage caseloads, and monitor performance

The incedo8 platform connects care management and utilization management through shared member information and integrated workflows, giving teams greater visibility across the member journey. By connecting these functions, organizations can improve coordination, reduce administrative burden, and support more informed clinical decisions.

• Identify members who may benefit from care management through integrated utilization management screening and referral processes

• Connect care management and utilization management workflows through configurable business rules and automated processes

• Provide a shared member profile that gives authorized teams visibility into member information, care plans, authorizations, and services

The incedo8 platform provides comprehensive reporting and data management capabilities that give healthcare organizations greater visibility into clinical, operational, and regulatory performance. With configurable reporting, customizable data elements, and access to information across care management and utilization management workflows, organizations can:

• Generate standard, ad hoc, and custom reports to monitor performance and support data-driven decision-making

• Capture, track, and report on configurable data elements to meet organizational and program-specific requirements

• Monitor key performance indicators, track compliance, and support state, CMS, and other regulatory reporting requirements

InfoMC Health maintains a comprehensive security and compliance program designed to protect sensitive healthcare information and meet the demanding requirements of healthcare organizations. Our cloud-based infrastructure incorporates industry-recognized security frameworks, independent assessments, and configurable access controls, including:

• HITRUST CSF Certification: Demonstrates adherence to rigorous security and risk management requirements for protecting sensitive healthcare information.

• SOC 1 Type 2 and SOC 2 Type 2 Reports: Provide independent assurance regarding applicable internal controls, security practices, and operational processes.

• HIPAA and 42 CFR Part 2: Security and privacy safeguards designed to support the protection of sensitive health and substance use disorder information.

• NIST Security Framework: Security controls aligned with recognized standards for managing cybersecurity risks and protecting sensitive information.

• Role-Based Security: Configurable access permissions, authentication controls, and audit trails that help protect member information and maintain data integrity.

The next-generation incedo8 platform supports secure, bidirectional data exchange across healthcare systems, enabling organizations to connect clinical, operational, and administrative information. Built on a modern, API-first architecture, the solution supports industry standards and flexible integration options, including:

• Standards-based interoperability using FHIR, HL7, X12, and configurable data exchange formats

• Integration with EHRs, health information exchanges (HIEs), third-party applications, and state and payer systems

• Secure exchange of member, clinical, authorization, and care management data to support coordinated workflows and regulatory requirements