Innovaccer recently announced the launch of Innovaccer Galaxy UM, an AI-powered utilization management platform designed for health plans. This new solution aims to automate the end-to-end utilization management lifecycle. Many health plans currently struggle with manual workflows like fax and phone. Consequently, this AI-powered utilization management platform uses agentic AI to streamline prior authorizations.
The system uses advanced natural language processing to analyze unstructured clinical documents. It then evaluates medical necessity against payer-specific policies in real time. By reducing manual intervention, the AI-powered utilization management platform helps organizations meet CMS compliance requirements. This launch marks a significant step toward autonomous healthcare operations.
Improving Clinical Efficiency and Accuracy
The platform uses an “only auto-approve, never auto-deny” approach to facilitate clinical oversight. There is also a feature of automated turnaround tracking. There are audit trails as well. Moreover, the use of automation helps in making quicker decisions. This technology helps health plans identify avoidable utilization.
“Utilization management should enable better care, not delay it,” said Abhinav Shashank, cofounder and CEO of Innovaccer. “With Galaxy UM, we are bringing together AI and clinical intelligence to streamline prior authorization.”
Innovaccer Galaxy UM is currently available in limited beta. The company expects general availability later in 2026. This platform is built on Innovaccer’s Health Cloud for unified data access. It continues Innovaccer’s mission to automate administrative work across the healthcare enterprise. The solution helps payers drive measurable margin expansion and better outcomes.
Explore Health Tech Insiders for the latest medical innovations and reliable strategic insights driving the future of technology-driven healthcare transformation.
News Source: Businesswire.com
