UM Solutions - meeting Health Plans where they are growing
Pain Stops Here.
We eradicate pain from clinical interactions and strengthen results with proactive provider and member outreach.
The HealthHelp Difference
Our Clinical Solutions are available as a delegated or outsourced model, managed on our clinically-intelligent platform (Web Consult), and easily integrated with existing payer workflows.
- Payers get optimal outcomes, provider relations and member experiences
- Providers get proactive outreach, less hassle, fewer denials
- Patients get the right care at optimal cost
Collaborative Care
- Proactive peer outreach
- Behavior changes vs. denial
- Practicing physician medical directors
- Support of over 600 clinicians
Clinically Superior Tech
- EMR, Interqual, HealthPlanet, API integration
- >80% Automation / >70% portal adoption
- Predictive analytics / AI
- Smart tech with clinicians in the loop
Clinical Integrity
- Expert clinical team managing rules
- Evidence based guidelines with clinical depth
- Rigorous specialty oversight of programs
- 20+ years improving provider relations
- Proactive peer outreach
- Behavior changes vs. denial
- Practicing physician medical directors
- Support of over 600 clinicians
- EMR, Interqual, HealthPlanet, API integration
- >80% Automation / >70% portal adoption
- Predictive analytics / AI
- Smart tech with clinicians in the loop
- Expert clinical team managing rules
- Evidence based guidelines with clinical depth
- Rigorous specialty oversight of programs
- 20+ years improving provider relations