Meeting Health Plans Where They Are Evolving

HealthHelp Utilization Management

Don’t just adapt to the future of healthcare – shape it. Partner with us for AI and clinical expertise. Together, we’ll build a healthier system.

Making the Most of AI and Smart Technology
 

Our AI and Collaborative Care Model is Transforming Utilization Management.

  • For Patients - Better care Provider coordination Timely treatment
  • For Providers - Instant AI approvals Collaborative care models Minimized friction
  • For Payers - Expansive clinical scope Smart tech / AI Leading NPS score

AI Results

50%

Calls eliminated

4x

Reduction in manual reviews

95%

Clinical AI accuracy

5 min

Approval turn time

Collaborative Care

Collaborative Care

  • Proactive peer outreach
  • Behavior changes vs. denial
  • Practicing physician medical directors
  • Support of over 600 clinicians
Clinically Superior Tech

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

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