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Connecting Payers and Providers for Smarter Utilization Management

Silos - between technologies and teams, between payers and providers - keep healthcare data from being used to its full potential. We're changing that.
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Aligning cognitive computing behind clinical expertise, we're creating a new framework for healthcare decision-making

Traditionally, payers and providers have been at odds while managing healthcare utilization and spend - Cortex, our smart utilization platform powered by real-time predictive analytics, allows payers and providers to work together with the same information and the same analysis, optimizing outcomes for every person they serve - the patient, the member, the human.

For Hospitals

Predictive analytics for medical necessity, efficiently prioritize case reviews, physician advisor and denials management services.

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For Health Systems

Reframe payer relations, centralize utilization review, undertake UM by exception, supplemental physician advisor coverage.

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For Payers

Decrease provider abrasion, automate case approval with analytics, decrease administrative work due to denied claims.

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Get in touch with our team today.

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