Utilization Management
Verify eligibility, optimize reviews, and streamline appeals and grievances.
Care Management
Enable preventative care, manage medical interventions, and efficiently report on program outcomes.
Medication Management
Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.
Quality Management
Improve outcomes, lower costs, and adhere to standards, such as HEDIS, Stars, and PQA.
Specialty Pharmacy