Diagnostic Imaging Utilization Management
Ensure appropriate MRI, CT, and ultrasound with guideline-aligned decisions, smart automation, and rapid peer-to-peer when it matters.
Program Impact
0 %
Appropriate Imaging
0 %
Automated Approvals
0 %
Avg TAT ≤24h
0 %
Avoided Redundant Scans
MRI & CT guideline alignment over time
last 12 monthsUpward trend reflects alignment for MRI/CT across MSK, Neuro, and Cardiac cohorts.
Snapshot
- Median decision time17m
- Peer-to-peer within 2h96%
- Member rescheduling rate-12%
- Radiation exposure avoided18%
Modules
Guideline Engine
ACR Appropriateness Criteria® mapped to payer policies and local pathways.
Ordering Support
Inline criteria prompts reduce rework and phone tag.
Auto-Auth
Deterministic rules and ML triage for straightforward cases.
Peer Review
Rapid subspecialty review and same-day P2P.
Member Safety
Duplicate study detection & contrast risk checks.
Insights
Provider-level appropriateness and turnaround transparency.
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