Stronger Together: Delivering AI-driven Utilization Management

WNS-HealthHelp has joined forces with Availity to simplify one of healthcare’s most complex processes:

Utilization Management (UM). By integrating our AI-powered clinical engine and specialty program expertise with Availity’s intelligent platform and extensive network, we enable smarter, connected UM, delivering enhanced healthcare outcomes.

What This Partnership Delivers:

  • Smarter Prior Authorizations: Leverage WNS-HealthHelp’s proprietary clinical guidelines and AI expertise, and Availity’s platform for near real-time decision support
  • Expanded Clinical Expertise: Gain access to delegated UM programs and specialist teams across multiple care categories
  • Enhanced Provider Experience: Elevate provider engagement with national-level reach and a collaborative approach
  • Augmented Outcomes: Redefine the standards of UM and drive improved quality, efficiency and value

This collaboration accelerates prior authorization decisions in near real-time, guided by codified medical policies and clinical documentation. Providers benefit from faster, clearer answers and reduced administrative burdens, while payers gain access to smarter care coordination, reducing delays, denials and friction.

With WNS-HealthHelp’s proven capabilities and Availity’s unmatched network, connecting over 95% of payers and 3 million providers, we are redefining what’s possible in modern healthcare management.

Transforming Utilization Management with AI-driven Intelligence

Together with Availity, we are making Utilization Management smarter, prioritizing enhanced patient outcomes, optimized provider workflows and creating a more efficient healthcare ecosystem.

Discover how your healthcare organization can transform Utilization Management and shape the future of healthcare. Get in touch with us today.

About Availity

Availity empowers payers and providers to deliver transformative patient experiences through the seamless exchange of clinical, administrative and financial information. As the nation’s largest real-time health information network, Availity connects with over 95% of payers, 3 million+ providers and 2,000+ trading partners—driving collaboration and shared value across the healthcare ecosystem.
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About WNS-HealthHelp

HealthHelp, a unit within WNS, is a trusted healthcare technology platform for health plans’ clinical programs for over 25 years. Our unified suite of Advanced AI powered technology platform-based solutions simplifies medical complexity and workforce challenges, and enhances provider relations and member journeys (i.e., customer experiences). Our uniquely designed UM and clinical solutions were developed to fit into health plans’ existing clinical programs to advance outcomes and success. We work in partnership to understand health plan commercial and Medicare clinical programs, and determine where our solutions can advance outcomes and lower cost. There is no one size fits all, and we know how to expediently deliver the best tailored solution for a specific health plan’s needs.

About WNS

WNS (Holdings) Limited (NYSE: WNS) is a digital-led business transformation and services company. WNS combines deep domain expertise with talent, technology, and AI to co-create innovative solutions for over 600 clients across various industries. WNS delivers an entire spectrum of solutions including industry-specific offerings, customer experience services, finance and accounting, human resources, procurement, and research and analytics to re-imagine the digital future of businesses. As of December 31, 2024, WNS had 63,390 professionals across 66 delivery centers worldwide including facilities in Canada, China, Costa Rica, India, Malaysia, the Philippines, Poland, Romania, South Africa, Sri Lanka, Turkey, the United Kingdom, and the United States.
For more information, visit www.wns.com.

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