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Utilization Management & Prior Authorization Application

Ensure clinical consistency.

Support prior authorizations and ensure clinical consistency on a low-code platform that makes approvals easy. With Appian you can reduce manual, one-off approvals for faster consent and provider reimbursement, leading to not only increased provider and internal employee satisfaction, but helping improve your member outcomes as well.

Features at a glance:
  • Easily automate routine approvals for consistency, accuracy, and speed
  • Integrate authorization data into a single interface to log in once, rather than logging into multiple systems
  • Store sensitive protected health information (PHI) in the HIPAA compliant Appian Cloud
  • Efficiently manage and assess the cost of healthcare benefits and their criteria with Appian Records
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Brief: Clinical Prior Authorization

Brief: Utilization Management

Use Case: Utilization Management