Utilization Management

The Incedo Utilization Management Solution seamlessly integrates Medical, Behavioral, and Pharmacy Utilization Management and promotes medically necessary and cost-effective care determinations for members in the least restrictive settings.

What is the Incedo Utilization Management Solution?

The Incedo Utilization Management Solution provides the tools needed to efficiently manage the complete authorization lifecycle and tracking of prior authorizations across the continuum of healthcare services.

 

The solution offers capabilities to properly identify high-risk, high-need and high-cost members and ensures services are authorized appropriately. Members identified with under/over utilization and high-risk members can be automatically flagged and referred to the Care Management team for potential enrollment in the Care Management program.

Benefits of the Incedo Utilization Management Solution

Integrated Utilization Management

Incedo Utilization Management Solution Features

The Incedo Utilization Management Solution provides a highly configurable and automated approach to managing requests for services, ensuring services are clinically appropriate, and efficiently performing utilization review.

 

The solution offers capabilities to properly identify high-risk, high-need and high-cost members and ensures services are authorized appropriately. Members identified with under/over utilization and high-risk members can be automatically flagged and referred to the Care Management team for potential enrollment in the Care Management program.

Our Customers
Say It Best

MOVING
FORWARD
WORKING

TOGETHER

Consultation & Demo