Health Utilization Management (HUM) program
Note: This feature requires additional
implementation work. Additional fees may apply. Contact your Eviti account manager for details.
NantHealth’s Oncology Health Utilization Management (HUM) program ensures that your members receive evidenced-based, medically necessary care for optimal outcomes.
Using board-certified oncologists and the leading oncology evidenced-based library, the NantHealth HUM program reviews care that physicians prescribe for your members and compares it to the evidenced-based literature, national consensus guidelines, and health plan language to ensure optimal outcomes.
As your oncology HUM specialist, NantHealth can do the following:
- Approve or deny treatment plans based on evidence-based guidelines and your health plan language.
- Send approval, denial, and other letters to patients and providers.
- Handle all treatment plan appeals.