Ensure the Effective Utilization of Healthcare Resources
TruCare provides a comprehensive, integrated Utilization Management (UM) module which supports the ability to synchronize with administrative systems, provider portals and the full scope of operational processes needed to maintain regulatory compliance, integration with clinical guidelines and automated workflow processing. TruCare Utilization Management integrates prospective, concurrent and retrospective data on the same platform as the member’s care management initiatives. Automated processing rules, work queue assignments and next steps in the review process can be defined for specific services, member populations or other organizational alignment of administrative or clinical teams. The TruCare UM module eliminates redundancy and ensures healthcare resources are utilized consistently, efficiently and effectively.