Intelligent Utilization Management

Automate the entire prior authorization process in months, significantly reducing administrative burden on provider and health plan staff as well as time-to-treatment for patients

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Prior authorization is an effective cost-control tool for health insurers and plays a key role in patient safety. However, it is often a cumbersome process, ridden with time-consuming back-and-forths between Healthcare Providers (HCPs) and health plan liaisons.

Today, many of these interactions are over-reliant on manual, inefficient workflows, resulting in dissatisfied HCP staff, delayed care, and higher-than-necessary operational costs for health plans. This is where Unqork can be transformative.

Lower administrative burden

Empower HCPs and their staff to receive approval for a patient’s treatment in as few as eight real-time clicks (relative to multiple hours of calls with the health plan’s Medical Liaisons), thereby boosting satisfaction

Reduced operational costs

Decrease manual touchpoints by a third, and therefore call center costs (equating to over $8 million in YoY savings for large health plans)

Faster time-to-treatment

Improve the patient experience, both in terms of fewer obstacles and delays to treatment, and more timely communications throughout

Unqork in Action

Patient facing onboarding provides questions that automate screening based on custom logic.

Watch the Demo

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Key Capabilities


Dynamic interface for HCP Q&A

Procedure group-agnostic UI template that dynamically displays externalized content and manages the HCP experience


Dynamic microservices for HCP Q&A

Procedure group-agnostic microservices that request specific “packages” of content and business rules that outline content to render, navigation, controls, etc. for that procedure


Automated workflows

Automatically identify procedures and drugs that require prior authorization and invoke guided workflows with smart forms for providers


Alerts & notifications

Provide real-time status updates along with notifications and reminders to both HCPs and members


Tailored tashboards

Provide real-time access to data and information with tailored dashboards for health plan staff and leadership

No-Code Insider

Digital Front Door

Optimize patient engagements and exceed patient expectations for high-quality digital experiences—without writing a single line of code.

Read the eBook

"We are confident in Unqork's ability to help us connect with those we serve.”

Ken Gibbs, CEO


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