Join Us at HLTH 2024! Find us at kiosk #3370-26 in the Club Startup pavilion at The Venetian Expo (Level 2).
Simplify Clinical Reviews and Approvals with AI
Automate intake, evidence retrieval, clinical recommendation, and peer review to improve efficiency and compliance.
What Are UM AI Agents?
UM Agents streamline the review and approval process for clinical services, ensuring accurate, timely, and policy-compliant decisions.
Our UM AI Agents
Intake Agent
Receives and triages input from various channels along with AI OCR for all attachments and creates a case intelligently.
Streamlines multi-channel intake with intelligent document processing and automated case creation.
Validation Agent
Validates member, provider, benefits, any customer specific policies and calls the outreach agent.
Ensures comprehensive validation of all parties and policies before processing decisions.
Clinical & Recommendation Agent
Gathers and summarizes relevant clinical data and provides recommendations. If approvals allowed, takes to closure and calls outreach agent.
Delivers evidence-based clinical insights with automated closure for approved cases.
3-Step Automation Process
Data Intake
Intelligent Processing
Output & Integration
Where UM Agents Shine
Assisting Clinical Reviews and Approvals
Clinical Case Triage
Evidence Retrieval & Summarization
Rule-Based Determinations
Peer-to-Peer Reviews
Audit-Ready Recommendations
Why Choose Us
Ready to Simplify Utilization Management?
Automate clinical reviews, approvals, and recommendations with UM AI Agents.
Ready to Simplify Utilization Management?
Automate clinical reviews, approvals, and recommendations with UM AI Agents.
