Utilization Manager (UM)
Beacon’s Utilization Manager (UM) is a HIPAA compliant SaaS solution that empowers small to medium size health plans and payers to standardize, streamline and automate their referral process seamlessly. With UM, you can get insights to transform referral workflows and improve care coordination throughout the member care.
Boost the efficiency of your health plans and referral process with Bi-directional APIs for eligibility, benefit and provider information. The module ensures maximum data visibility and control to the healthcare provider.
All Around Integration
This module enables Fax, email and letter integration, improving outcomes for patients, streamlines entry for providers, and equips clinicians with a 360-degree view of the member.
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
Operational efficiency from reduction in the referral processing time and efficiency of referral team
Reduction in referral leakage for out of network providers
Elimination of errors for incomplete or inappropriate referrals
Consistent capture of data and update
Agile and improved method of root cause and trend tracking
Real time tracking and timeline view featuring CMS Universe tables
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Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.