For payers
Utilization managementthat earns trust.
Receive decision-ready requests, automate first-pass clinical review with a written rationale, and give providers the transparency that turns friction into partnership.
Faster decisions for members.Clearer reasons for providers.
What we handle
- 01
Decision-ready intake
Incoming requests checked for completeness against your medical policies before a reviewer opens them.
- 02
Clinical review
Criteria evaluated against the attached clinicals, with the rationale and citations written out.
- 03
Provider transparency
Live status, clear determinations, and gold-carding for the providers who earn it.
38 sec
Median first-pass review
100%
Decisions with a written rationale
4 of 4
Criteria evaluated automatically
Built on Just Healthcare intelligence
Intelligence you can audit.Security before everything.
Explore the intelligence- 01Artificial intelligenceFrontier models that read policy and the chart, and write out their reasoning.
- 02Security firstPHI stays inside encrypted, controlled infrastructure. Never used for training.
- 03Human in the loopConfidence thresholds decide what completes on its own and what a person reviews.
Other solutions
- ProvidersEvery clinic, focused on care.
- PharmaciesEvery prescription, cleared to dispense.
- Prior authorizationAuthorizations that finish themselves.
- Revenue cycle managementA revenue cycle that runs itself.
- Workflow efficiencyGive every team its time back.
- DrugsSpecialty therapies, approved on time.
- Services & ProceduresEvery procedure, cleared before it is scheduled.
Ready to modernize utilization management?
See how decision-ready intake and automated first-pass review change turnaround times and provider relationships.