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Best Utilization Management Software - Page 5

Emma Stein
ES
Researched and written by Emma Stein

Utilization management software provides hospitals and health care practices a process with which to evaluate health care services and procedures provided to patients to determine their medical necessity. Health care administrators depend on utilization management processes to ensure that their physicians are maintaining a high quality of care and administering effective treatments while minimizing costs. Utilization management review and determination can occur before (prospective utilization review), during (concurrent utilization review), or after (retrospective utilization review) patient treatment has been scheduled and provided; software supports action during any of those three stages. Additionally, utilization management software has the potential to better the working relationship between providers and payers. By leveraging patient data found in EHRs, health care providers can apply real-time data to the review process, adhere to regulations, and optimize revenue cycle management. Registered nurses equipped with utilization management certification, case managers, and physicians are the main players during the review process.

To qualify for inclusion in the Utilization Management category, a product must:

Set up trigger workflows
Automate approvals and authorizations of medical services and procedures
Simplify or automate reviews of medical services and procedures
Aggregate clinical and financial data across a health care organization
Integrate with EHRs or easily leverage EHR data to trigger relevant workflows
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Best Utilization Management Software At A Glance

Highest Performer:
Easiest to Use:
Top Trending:
Best Free Software:
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G2 takes pride in showing unbiased reviews on user satisfaction in our ratings and reports. We do not allow paid placements in any of our ratings, rankings, or reports. Learn about our scoring methodologies.

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71 Listings in Utilization Management Available
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    PatientPing is a care coordination network that connects healthcare providers with real-time notifications wherever patients receive care.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • PatientPing features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    HQ Location
    Louisville, Kentucky, United States
    LinkedIn® Page
    www.linkedin.com
    333 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

PatientPing is a care coordination network that connects healthcare providers with real-time notifications wherever patients receive care.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
PatientPing features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
HQ Location
Louisville, Kentucky, United States
LinkedIn® Page
www.linkedin.com
333 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Improve and standardize patient care with Order Set Advisor – our newest tool that automatically checks your existing order sets and gives you actionable recommendations based on latest evidence and b

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Provation Order Set Advisor features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Twitter
    @ProVationMed
    933 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    184 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Improve and standardize patient care with Order Set Advisor – our newest tool that automatically checks your existing order sets and gives you actionable recommendations based on latest evidence and b

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Provation Order Set Advisor features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Twitter
@ProVationMed
933 Twitter followers
LinkedIn® Page
www.linkedin.com
184 employees on LinkedIn®

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  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    A secure, and effective mobile app used by treatment professionals to keep an individual’s home team informed and contributing to the success of their therapeutic journey.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Rallyest features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Seller
    Rallyest
    HQ Location
    Lehi, US
    LinkedIn® Page
    www.linkedin.com
    2 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

A secure, and effective mobile app used by treatment professionals to keep an individual’s home team informed and contributing to the success of their therapeutic journey.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Rallyest features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Rallyest
HQ Location
Lehi, US
LinkedIn® Page
www.linkedin.com
2 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    SAC Healthcare Technology is a full-cycle integrated health system. The interoperability module allows easily to exchange patient data between primary care, specialized care, and public health. SAC

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 100% Small-Business
  • User Satisfaction
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  • SAC (salud a un clic) features and usability ratings that predict user satisfaction
    10.0
    Ease of Use
    Average: 8.5
    10.0
    Quality of Support
    Average: 8.3
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    SAC
    Year Founded
    2011
    HQ Location
    San José, CR
    LinkedIn® Page
    www.linkedin.com
    20 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

SAC Healthcare Technology is a full-cycle integrated health system. The interoperability module allows easily to exchange patient data between primary care, specialized care, and public health. SAC

Users
No information available
Industries
No information available
Market Segment
  • 100% Small-Business
SAC (salud a un clic) features and usability ratings that predict user satisfaction
10.0
Ease of Use
Average: 8.5
10.0
Quality of Support
Average: 8.3
Seller Details
Seller
SAC
Year Founded
2011
HQ Location
San José, CR
LinkedIn® Page
www.linkedin.com
20 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Visually interact with data for easier insight into ambulatory surgery center or revenue cycle operations. Quickly access key performance indicators (KPIs) to analyze financial performance. Easily ide

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • SSI Analytics features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Year Founded
    1988
    HQ Location
    Mobile, Alabama, United States
    Twitter
    @TheSSIGroup
    656 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    494 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Visually interact with data for easier insight into ambulatory surgery center or revenue cycle operations. Quickly access key performance indicators (KPIs) to analyze financial performance. Easily ide

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
SSI Analytics features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
1988
HQ Location
Mobile, Alabama, United States
Twitter
@TheSSIGroup
656 Twitter followers
LinkedIn® Page
www.linkedin.com
494 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Storemeds.online is an online pharmacy in USA which provides online services for Branded Medicine with low price.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Storemed features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    LinkedIn® Page
    www.linkedin.com
    1 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Storemeds.online is an online pharmacy in USA which provides online services for Branded Medicine with low price.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Storemed features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
LinkedIn® Page
www.linkedin.com
1 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    TAGNOS is a comprehensive platform that hospitals use to operate more efficiently by orchestrating the functional operations of care delivery with applications that support OR and ED patient flow as w

    Users
    No information available
    Industries
    No information available
    Market Segment
    • 100% Small-Business
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • TAGNOS features and usability ratings that predict user satisfaction
    10.0
    Ease of Use
    Average: 8.5
    10.0
    Quality of Support
    Average: 8.3
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    TAGNOS
    Year Founded
    2010
    HQ Location
    Los Angeles, US
    LinkedIn® Page
    www.linkedin.com
    21 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

TAGNOS is a comprehensive platform that hospitals use to operate more efficiently by orchestrating the functional operations of care delivery with applications that support OR and ED patient flow as w

Users
No information available
Industries
No information available
Market Segment
  • 100% Small-Business
TAGNOS features and usability ratings that predict user satisfaction
10.0
Ease of Use
Average: 8.5
10.0
Quality of Support
Average: 8.3
Seller Details
Seller
TAGNOS
Year Founded
2010
HQ Location
Los Angeles, US
LinkedIn® Page
www.linkedin.com
21 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Vālenz Care offers a suite of URAC-accredited services to improve access and target the most appropriate levels of care before services are rendered, resulting in dramatic savings for the plan and mem

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Valenz Care features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2004
    HQ Location
    Radnor, Pennsylvania, United States
    LinkedIn® Page
    www.linkedin.com
    380 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Vālenz Care offers a suite of URAC-accredited services to improve access and target the most appropriate levels of care before services are rendered, resulting in dramatic savings for the plan and mem

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Valenz Care features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2004
HQ Location
Radnor, Pennsylvania, United States
LinkedIn® Page
www.linkedin.com
380 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Personalized healthcare treatment comparison software.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • WiserTogether Return to Health features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2008
    HQ Location
    Washington, US
    LinkedIn® Page
    www.linkedin.com
    3 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Personalized healthcare treatment comparison software.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
WiserTogether Return to Health features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2008
HQ Location
Washington, US
LinkedIn® Page
www.linkedin.com
3 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    The XebraPro clinical decision support technology collects and utilizes all the cognitive strategies of great clinicians while correcting for the cognitive error that's implicated in most misdiagnosis

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • XebraPro features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2014
    HQ Location
    Boulder, US
    LinkedIn® Page
    www.linkedin.com
    2 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

The XebraPro clinical decision support technology collects and utilizes all the cognitive strategies of great clinicians while correcting for the cognitive error that's implicated in most misdiagnosis

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
XebraPro features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2014
HQ Location
Boulder, US
LinkedIn® Page
www.linkedin.com
2 employees on LinkedIn®
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Xsolis is an AI-driven technology company with a human-centered approach, fostering collaboration between healthcare providers and payers through real-time transparency, objective data for increased a

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • Xsolis' Dragonfly (formerly known as CORTEX) features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Xsolis
    Year Founded
    2013
    HQ Location
    Franklin, US
    Twitter
    @Xsolis_Health
    244 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    261 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Xsolis is an AI-driven technology company with a human-centered approach, fostering collaboration between healthcare providers and payers through real-time transparency, objective data for increased a

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Xsolis' Dragonfly (formerly known as CORTEX) features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Xsolis
Year Founded
2013
HQ Location
Franklin, US
Twitter
@Xsolis_Health
244 Twitter followers
LinkedIn® Page
www.linkedin.com
261 employees on LinkedIn®