Health Cloud Administration
jManage Care Requests
Give your users the tools to collaborate seamlessly when submitting,
assigning, or processing care requests. Utilization management makes it easier for provider
and payer organizations to gather member and clinical data, streamline care request reviews,
and evaluate requests for medical necessity.
Authorization for care requests typically requires a significant amount of administrative work, both by payers and providers. The review process can be tiresome and time-consuming, with multiple screen switches and data from various sources. To simplify this process, Utilization Management includes a number of guided workflows that help to ensure:
- Services are aligned to medical necessity guidelines
- Care is provided at the right time in the right setting
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Available in: Lightning Experience Available in: Enterprise and Unlimited Editions with Health Cloud |
Learn About Utilization Management
| Get Oriented |  |
Get to know how Utilization Management helps you to process care requests. |
| Data Models |  |
Explore the Health Cloud data model and objects that support utilization management, and learn more about the REST APIs supporting care requests. |
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| Related Permission Set | |
Assign permission set licenses and permission sets to users. |