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Utilization Management Software (UM)

Beacon’s Utilization Manager (UM) is a HIPAA-compliant SaaS solution that empowers small to medium-sized health plans and payers to standardize, streamline, and automate their referral process seamlessly. With our utilization review software, you can get insights to transform referral workflows and improve care coordination throughout member care.

Key Features

Bi-Directional APIs

Boost the efficiency of your health plans and referral process with Bi-directional APIs from a proven clinical SaaS company. Increase efficiency with eligibility, benefit, and provider information. The module ensures maximum data visibility and control to the healthcare provider.

All Around Integration

This utilization management software module enables Fax, email, and letter integration, improving outcomes for patients, streamlining entry for providers, and equipping clinicians with a 360-degree view of the member.

Robust Reporting

The feature of Robust Reporting integrates a dashboard and library of standard reports, leading the healthcare provider to measure, monitor, and manage performance more effectively with Inbound and Outbound Referral Workflows.

Discover The Perks

Efficiency

Use our utilization management software to increase operational efficiency from a reduction in the referral processing time and efficiency of the referral team

Secure

Reduction in referral leakage for out of network providers

Error Free

Elimination of errors for incomplete or inappropriate referrals

Consistency

Consistent capture of data and update

Smart Tracking

Agile and improved method of root cause and trend tracking

Time Saving

Our utilization management software features time tracking and timeline view featuring CMS Universe tables

Ready To Get Started?

Experience the power of our innovative and trusted health plan utilization management software to meet regulatory requirements with confidence.

Request a Demo

Contact Us

  • 1-800-918-4120
  • info@beaconhcs.com
  • 17011 Beach Blvd, 12th Floor, Suite 1220, Huntington Beach, CA 92647

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© Beacon Healthcare Systems 2023

Additional Modules

Chris Mahoney

Chief Financial Officer
Chris Mahoney is a resourceful and results-driven senior finance executive with 25+ years of CFO-level experience leveraging keen financial expertise to create cost-efficient and sustainable financial results across both small and large corporate organizations. He consistently demonstrates the ability to critically evaluate and respond to rapidly evolving environments while identifying business-critical financial enhancements and developing proactive and actionable improvement initiatives. Chris also utilizes business acumen and cross-functional communication skills to routinely produce sophisticated solutions and align all financial activities with strategic business goals. Chris has acquired and integrated businesses, assisted in raising millions in $30mm equity and debt through private placements, transformed a business from a Perpetual to a SaaS model, assisted in growing businesses from $250mm to $1bn, and has implemented Project Accounting systems, cost, and management information systems.

Ken Stockman

Chief Executive Officer
Ken Stockman, Founder and Chief Executive Officer of Beacon Healthcare Systems, is a seasoned healthcare executive with strong Payer and Provider experience focused on bringing innovative solutions to Government program revenue management, operations, compliance, and risk adjustment. Ken was an early leader in the Medicare Advantage Risk Adjustment industry building a full suite of tools such as Full Enrollment, Member Reconciliation And Part D Platform to support the health plans’ initiatives in 2006 as co-founder and former CEO of Dynamic Healthcare Systems, Inc. His expertise in Risk Adjustment Strategy, Transaction Processing And Analytics positions him as a unique subject matter expert. Additionally, his experience in CMS Transaction Processing And Regulatory Requirements led to the successful design and implementation of industry-leading information systems.