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Burlington, MA, USA

Care delivery

Founded by industry veterans, HealthFortis Associates’ mission is to partner with payers and providers on improving utilization management efficiency and providing patients with instant pre-certification decisions. We do this by leveraging AI and productivity solutions that reduce the time, cost and delays of traditional utilization management. HealthFortis Associates offers software and professional services– everything you need to operate a complete utilization management service – whether you are a health plan or at-risk provider network. Our cloud-based service matches physicians with preferred, in-network specialists; facilitates communication among individual caregivers and with the UM team; makes instant pre-certification decisions and streamlines UM workflow with groundbreaking appeals, letter and reporting capabilities. Backed by a dedicated customer team, HealthFortis Associates provides a complete end-to-end utilization management system for today’s payer-provider collaborations.

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