Utilization Management

Improved value-based care. Increased patient satisfaction.

HOM’s comprehensive Utilization Management service helps you prevent claim denials and deliver the required care at the right time, improving patient satisfaction.

Utilization Management is a process that evaluates the efficiency, appropriateness, and medical necessity of the treatments, services, procedures, and facilities provided to patients on a case-by-case basis. This process is run by — or on behalf of — purchasers of medical services (i.e., insurance providers) rather than doctors.

HOM understands that members and providers require a solution that solves the time crunch and works seamlessly with their existing system to process requests on time. Our Utilization Management modules can easily integrate with your organization’s management system and solve the issues in no time.

Our software is streamlined to take only 2 minutes to view an authorization request in the portal.

With the software’s real-time updates and notifications and flexible architecture to meet specific requirements, HOM offers a user-friendly interface with a reduced turnaround time. All these features provide benefits to:

Patients: Get lower costs, more effective treatments, and fewer claim denials.
Healthcare Providers: Get fewer claim denials, lower costs, more effective treatments, better data, and better resource deployment.
Insurers: Get lower costs, better data, and the efficient evaluation of new treatments and protocols.

Our Tech

Our technology enables seamless operations and improves procedural efficiency reducing processing time by up to 50% and resulting in higher satisfaction.