Utilization Management
Seamless Authorizations, Streamlined Workflows, Better Outcomes
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
Helios UM unifies providers, care managers, and utilization management (UM) teams on a single platform to revolutionize UM activities. With the intuitive user experience and powerful automations Helios® is known for, health plans can access all member information in just two or three clicks to align UM and CM, streamline authorizations, drive efficiencies, and gain accuracy and confidence.
Helios® Platform:
An industry leader and top performer in the 2025 Best in KLAS Report.
- 100% Would Buy Again – Customer satisfaction at the highest level.
- 100% Include Helios in Their Long-Term Plans – A platform customers rely on.
- Industry-Leading Customer Retention – A testament to proven value and impact.
- Preferred Over Competitors – Chosen over leading industry alternatives.
- The health intelligence solution built to empower healthcare in a value-based care ecosystem.
- Features: Intuitive workflows, real-time telehealth, patient engagement, and configurable analytics.
The Leading Care Management Platform
Designed as a unified ecosystem of care for the modern care team, Helios provides broad spectrum visibility across the entire healthcare continuum, enabling seamless collaboration, coordination, and care delivery. Helios is available in different product tiers and configuration levels.
Advanced utilization management solution that streamlines utilization reviews, appeals, and grievances, offers automated prior authorization capabilities, improves data accuracy and confidence, and drives cost-saving efficiencies.
Our built-in telehealth tool, Helios Visit enables fully secure and HIPAA-compliant video conferencing, audio calls, instant messaging, and two-way file exchange with members from a computer, smartphone, or tablet without any additional software.
Helios Text enables convenient, secure outbound text message communications to individual members directly from Helios or Helios Go, with pre-configured and customizable message templates.
The mobile app version of Helios platform, Helios Go is uniquely designed for easier in-the-field and on-the-go care management and coordination, and specifically tailored for LTSS, home health and behavioral health needs.
With Helios Hub payors can quickly and easily make all of their data FHIR compatible, while also simplifying their tech stack, reducing costs, and improving team efficiency and data accuracy.
Helios Insight leverages predictive analytics and smart analysis to give payers and ACOs a clear, data-driven path to better outcomes. By identifying trends, assessing risk, and optimizing care strategies, it empowers proactive decision-making in value-based care.