
UTILIZATION MANAGEMENT SOLUTION
Utilization management software that drives faster authorizations, streamlines processes, and aligns with care management in a single, easy-to-use platform.
Aligning UM & CM in a Single Solution

Key Features of HELIOSum
12+ Million
Managed lives through HELIOS
Up to 93%
Increase in care team efficiency
Up to 92%
Care team productivity gains
37 Million
Total interactions in HELIOS

A Partner Ecosystem Designed For Superior Utilization Management
Thanks to a partner ecosystem that includes Edifecs, Change Healthcare (InterQual) and MCG among others, you can integrate clinical guidelines for enhanced accuracy and compliance, automate prior authorizations, and more. Other integrations also enable streamlined electronic prior authorizations and appeals.
Watch a Quick Demo of HELIOSum
Ensure health plan members get the clinically-indicated services, prescriptions, or products they need, when they need them.
See how HELIOSum could help you achieve faster authorizations; streamline reviews, appeals, and grievances; reduce risk and staff workload, and more.


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Automated Prior Authorization Integration within HELIOS
Although a well-intended tool for utilization management (UM), prior authorization has come under fire for creating red tape, resulting in friction between payers and providers as well as delays in patient care. To solve this, VirtualHealth and Edifecs, Inc., partnered to provide automated prior authorization to HELIOS users, enabling the prior authorization process directly within the platform versus users managing multiple platforms. Learn more about automated prior authorization in HELIOS.
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We understand that choosing medical management technologies can be a big decision. That is why we provide a highly consultative and refined approach that allows you to learn, ask questions, and identify if our HELIOS solutions are a good fit. Click below to set up a time to chat with our team or to get more information about any of our HELIOS products.
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