Best Utilization Management Software in Mexico
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Compare the Top Utilization Management Software in Mexico as of January 2026
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What is Utilization Management Software in Mexico?
Utilization management software is an important tool for helping healthcare providers manage patient care. It can help streamline processes, automate procedures and review treatments to ensure quality and cost-effectiveness. This software also offers features such as pre-authorization requests, clinical criteria checks and concurrent reviews. Finally, utilization management software can help analyze cost savings and outcomes while providing insights into treatment options. Compare and read user reviews of the best Utilization Management software in Mexico currently available using the table below. This list is updated regularly.
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1
BlueNote Communicator
BlueNote Software
Set your office in motion instantly. Whether you need to notify someone that a patient has arrived, a task should be managed, or a room is ready for a provider, one click of a Light is all it takes. Because BlueNotes need to be experienced first, by the people who will actually be using them. The program isn’t simply technology that you can view on a monitor to understand how it really works. Strictly speaking, blue notes are the microtones between the regular notes on a musical scale. You can hear them when they’re played or when someone sings them, but there’s no way to write them down. Blue notes are soul - they are what make all the difference between classical and modern music. There is so much more to our BlueNotes than messaging. The system becomes the living heartbeat of an office, so that everyone knows where kindness is needed, every moment of the day.Starting Price: $835 one-time -
2
Assurance Reimbursement Management
Change Healthcare
An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims. -
3
Therap
Therap Services
Therap is the industry leader in providing electronic records and documentation in long-term care services for people with Intellectual or Developmental Disabilities. Therap is a web-based application suite that was designed to provide a comprehensive solution for the planning, documentation, reporting, communication and billing needs of organizations supporting people with intellectual and developmental disabilities in home and community-based services (HCBS) and other settings. Using secure cloud technology, the Therap system improves the quality of service within day programs, assisted living facilities, ICF/IID facilities, community support programs and state organizations. Daily communication and reporting between the states, administrators, health care professionals, case managers, quality assurance teams and families becomes seamless. -
4
AccuCare
Orion Healthcare Technology
Since 1992, Orion has been providing technology solutions and professional services to improve the workflow for the addictions and mental health profession. The cloud-based AccuCare EHR, Orion’s flagship software product, was designed by a highly experienced team of clinicians and engineers to improve the major areas of your agency, including clinical, financial, billing, administrative, research and analysis. AccuCare includes everything from custom-built screening/assessments, admission/discharge, treatment planning, progress notes, telehealth, e-prescribing, scheduling, electronic billing, custom reporting and more. The AccuCare Web-Based Practice Management System is supported by a dedicated team of specialists, trained to answer every question about your system and how it can be used within your current documentation and billing processes. Customer support is included in your subscription, as well as automatic updates and upgrades based on real customer feedback. -
5
VitalHub
VitalHub
VitalHub’s portfolio of Patient Flow, Operational Visibility & Patient Journey Optimization solutions are designed for complex hospital and integrated health environments. Our technologies empower frontline teams, clinicians, and leadership to improve patient experiences and achieve higher levels of operational efficiency, resulting in safer care for patients. We deliver solutions which optimize patient flow, perioperative care, demand & capacity, virtual consultations, clinic management, and the patient journey. VitalHub solutions improve transparency and communication through real-time whole system visibility, Integrated information for coordinated care, and optimization of patient movement. VitalHub’s EHR suite of solutions go beyond standard clinical data collection, our solutions provide a comprehensive, holistic view of patients and clients at the point of care. -
6
TreeAge Pro
TreeAge Software
TreeAge Pro is the leading tool for building decision trees, Markov models and event-based simulations. TreeAge Software, LLC has been a beacon in decision analysis and health economics for over 30 years. Our team of scientists, engineers, trainers and support associates have grown and developed alongside the decision analytics community to build and refine our flagship software – TreeAge Pro. TreeAge Software, LLC is a privately held company headquartered in Williamstown, Massachusetts. TreeAge Pro is the leading visual tool for creating and analyzing decision trees. Create decision trees of unlimited complexity for any type of decision. TreeAge Pro software is used in a wide array of industries, including healthcare, legal, oil & gas exploration, management consulting, investing, teaching, etc. TreeAge Software has earned the trust of more than fifteen thousand modelers globally, including in the US, Europe, Latin America, Asia, Australia and Africa.Starting Price: $450 one-time payment -
7
Getinge
Getinge
The need for integrated solutions and access to knowledge is essential, as technology evolves and therapies become more sophisticated. As your full-service partner, we support you through the entire clinical pathway, so that you can continue to provide excellent care, without ever compromising on quality and safety. Whether you are producing the cures of today or discovering the cures of the future, preventing contamination from occurring is the common challenge. We are there to support you in ensuring a productive and contamination-free research or production environment. Advanced medical equipment needs the combination of smart financial solutions and preventive service maintenance to ensure maximum uptime. We offer you full cost control and peace of mind, allowing you to focus on what's important, saving lives. As a leading medtech company, we focus every talent and resource towards helping our customers save as many lives as possible. -
8
Midas Health Analytics
symplr
Coordinating care, evaluating and demonstrating quality, identifying risks, and monitoring compliance all require data from multiple sources and systems — and all are key to improving the patient and provider experience. Midas Health Analytics improves operational and clinical performance with solutions that manage risk, control cost, and turn data into actionable insights. Track and trend performance over time, proactively manage and mitigate risk, make data-driven decisions amid constant regulatory changes, and elevate and foster a safe care environment for all. Reach unprecedented operational efficiency when evaluating, interpreting, and demonstrating quality of care performance results to stakeholders in today's complex healthcare ecosystem. -
9
Provation
Provation Medical
Many hospitals, ambulatory surgery centers (ASCs) and health systems experience significant procedure documentation challenges. Most physician documentation methods, including dictation, transcription and EMRs, lack standardization which can lead to inaccurate, incomplete and non-compliant procedure notes. The resulting reports are not searchable or easy to analyze because they are built with unstructured data. Not to mention, insufficient, tedious workflows lead to financial losses and frustrated physicians. Guides physicians through an intuitive workflow navigation tree to offer appropriate selections for quick documentation. Helps organizations meet quality and compliance standards by allowing users to run over 100 reports and analyze structured data reports. Connects directly with endoscopy scopes to collect all relevant images and add them to procedure notes. -
10
OASIS Intelligence
Inovalon
Improve organizational performance and validate OASIS data more efficiently with cloud-based quality reporting and analytics software for home health. Empowering home health agencies to identify actionable opportunities to improve outcomes and star ratings, reduce readmissions, boost referrals, and increase revenue. OASIS Intelligence is the go-to resource for your home health agency’s performance improvement needs. From organizational performance analysis to accurate and rapid validation of OASIS data, our cloud-based application has you covered. Access the most current data available to identify performance trends and gaps, drive faster process improvements, and increase star ratings. Ensure quality and proper reimbursement with automated alerts that help you stay on top of errors and inaccuracies on the OASIS form. View everything from monthly trends and condition-specific analyses to patient-level results with our comprehensive and flexible reporting. -
11
XSOLIS CORTEX
XSOLIS
A new category of utilization management software, CORTEX provides a 360° approach to addressing the intricacies of utilization management and revenue cycle processes. Powered by real-time predictive analytics and machine learning engine, CORTEX ensures that the right cases are handled at the right time, by the right staff or by exception. CORTEX incorporates precision medicine upon a foundation of evidence-based medicine. Machine learning models operate in real-time to better assess your patient population. Our analytics have been deployed in hospitals and health plans across the nation. With clear inpatient cases, CORTEX does the heavy lifting by automating inpatient determinations on cases that meet your unique threshold. For difficult cases, CORTEX offers your staff the insight they need to make a strong determination. This approach offers incredible value to payers and providers alike. -
12
Swoop
Swoop
Privacy-safe DTC and HCP segments that are higher in audience quality and drive greater lift over conventional targeting approaches. Every therapy is specialized and each brand is unique so we don’t believe in traditional condition-based segments. We seek to understand your challenges and business goals when designing custom audiences. Whether you are a market leader, a new entrant facing adherence challenges, or planning to execute a multi-product strategy, we can help you drive results. We maintain the industry's highest standard of performance markers as validated by third parties. And if you reveal your Audience Quality (AQ) benchmark upfront, we guarantee to meet or exceed it. Higher AQ drives greater engagement, optimizes conversion, and ultimately increases script lift, as well as boosts therapy adherence and thus patient lifetime value. We ensure 100% compliance with all laws, policies and guidelines. -
13
One Step
One Step
Built for behavioral health organizations, by a team who is passionate about helping those in recovery. We are fortunate enough to work with some of the best sober living, and recovery coaches. We support these programs by providing the digital tools they need to run data-driven programs that best serve their clients. We build software to help sober living, drug courts, recovery coaches and treatment centers provide the best programs to their clients. Our mission has always been and will always be to help the organizations who dedicate their lives to helping others in recovery. We want to help you run the best program you can by automating all the manual workflows involved with running a behavioral health organization. We help you support your clients using digital tools, and make it easier for you to run your program using an all-in-one system developed just for you. Increase your revenue and your referrals. -
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Acuity Advanced Care
Chordline Health
Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support. -
15
AbleTo
AbleTo
Our virtual therapy and coaching programs can help you reduce feelings of stress, anxiety, and depression, while our on-demand self-care gives you the tools you need to build resilience and cope with everyday challenges. Using evidence-informed tools, you’ll learn how to manage your emotions and feel more in control — no matter what life throws your way. Customizable and protocol-driven cognitive behavioral therapy programs are developed by the leading experts in mental health. Predictive analytics find the people in need of support and drive engagement with strategic marketing campaigns. With the support of our tech platform, clinicians cap costs by matching members to the treatment that best suits their needs. AbleTo’s seamless integration into your health plan’s existing care pathway is backed by the guarantee that you only pay when we provide value. -
16
Icario
Icario
Connect personally and powerfully with people with the leading digital-first platform. Increase above the national average in annual wellness visits. Icario is a health action company so you only pay for outcomes. Icario uses whole-person data, behavioral science, digital-first omnichannel pathways, and smart rewards and incentives to help you connect personally with people. We know what they want, how they like to connect, and what moves them to take action. When people take proactive steps for better health, healthcare organizations get healthier, too. Icario combines your data with ours to create whole-person data, turning lines on a spreadsheet into living, breathing people. Our proprietary behavioral research and quantitative data advance your knowledge of people from clinical to deeply personal. Smart, omnichannel pathways match the right messages and outreach sequences to each individual to drive the right health actions. -
17
IPM.ai
IPM.ai
Specialty and rare diseases have undefined patient populations, with individuals who are undiagnosed or misdiagnosed, healthcare providers who are unaware of disease states and their manifestations, as well as treatment journeys that are not well understood. IPM.ai is an Insights-as-a-Service (IaaS) company that empowers the world’s leading life sciences brands to better understand and improve the lives of patients through the development, clinical study, and commercialization of therapeutic interventions. Maximize commercialization efforts by forecasting market size, competitive landscape, and potential ROI. Uncover ideal patients who are undiagnosed and/or misdiagnosed who may be appropriate for disease interception and therapeutic intervention. Statistically model the number of disease cases present in a particular patient population at a given time. Identify physicians who diagnose and treat ideal patients and influence other health care providers. -
18
iSMAF
CESS
The tools of the SMAF finally reunited in a single shareable information system. Automatic calculation of the SMAF profiles. Reports facilitating the analysis of results and the development of the assistance plan. Simple and easy to use by the health care professionals. Facilitates networking and service organization. No need for software installation. The iSMAF, the fifth major release of our software, is a web software that computerizes proven clinical tools and processes supporting the SMAF tool. The iSMAF edition for Quebec includes the PRISMA-7, the SMAF evaluation grid, the social-SMAF, the Iso-SMAF profiles generator, and the care table. It also includes several functions allowing clinicians and managers to generate various reports on subjects or on groups of subjects. It is, therefore, possible to obtain an overall picture of the establishment, the evolution of profiles, or of one SMAF item through time, or to compare the profile distribution among different subject groups. -
19
Jembi
Jembi
We partner with aid organizations and governments, to design human-centered, open-sourced health information systems. Extracting insights that empower decision-makers, health workers, and patients in Africa. We specialize in digital health information systems for African low-resource settings. We focus on enterprise software and facility hardware. From design to development, then onward to implementation, training, and support. In the future, data analysis for the strategic management of those limited resources. We believe that robust health systems, and the sharing of information, will advance global health. Strengthening our health systems with local people for their own needs. Investing in and developing systems that are within reach of low-income countries. Helping build their capabilities to support their own solutions. We are an African non-profit organization improving global health by developing information systems, partnerships, and local capacity. -
20
Lightbeam
Lightbeam
Lightbeam provides population health enablement by transforming insights into outcomes. Closing care gaps and minimizing risks. Improving quality of care and quality of life. Lightbeam’s proven population health management platform transforms disparate data into a full 360-degree patient picture, bringing true value to value-based care. In today’s value-based care model, managing risk begins and ends with data intelligence. Lightbeam’s powerful population health management platform pulls patient data together in unprecedented ways, unlocking the value that comes from deploying the right data in the right place at the right time. Lightbeam isn’t just revolutionizing how our clients manage value-based care. It’s proving to be a game changer in driving results and saving our clients over 2 billion dollars since 2014 and we’re just getting started. Lightbeam’s tech-enabled services approach seamlessly supports these efforts. -
21
LGI Healthcare Solutions
LGI Healthcare Solutions
We help to improve the performance of thousands of healthcare facilities worldwide, as well as the experience of their staff and patients. A solution that optimizes ambulatory care pathways to bring patients peace of mind. LGI eClinibase increases patient care pathway visibility and reduces waiting times by disseminating information on each episode of care. Eliminate paper and quickly access data on referrals, wait lists, and appointments. Lists and summaries of all episodes of care from one or more clinical administrative systems. Management of referrals, appointments, and patient communications for the entire facility. Management of referrals, appointments, and patient communications for the entire facility. Automatic suggestions for corrections to patient records and duplicate matching. Management of the professional activities agenda (intake management, appointments, clinical documentation, and statistics for the MSSS). -
22
Medworxx
CENTRALSQUARE
Equip your healthcare team with clinical-decision support software that takes the guesswork out of capacity management across the entire hospital. This evidence-based, clinical-decision support system tool helps your facility increase bed turnover and improve the patient experience. Harness the power of predictive analytics and better data to improve care coordination and patient satisfaction. The hospital bed management system provides care teams with visibility into the status of each patient’s journey and enables bed demand and capacity management across the hospital, or from multiple sites within a healthcare delivery system. Empower your physicians, nurses, and clinicians with software that eliminates clinical subjectivity and standardizes data collection. Medworxx generates predictive analytics to leverage data that anticipate trends and provides healthcare professionals with smarter data. -
23
Envolve MSO Healthcare
Envolve
Through valuable partnerships and experience, Envolve drives real healthcare transformation through value-based, affordable care solutions. Envolve MSO services provide organizations with the strategies, people, and processes necessary to provide value-based, affordable care and drive real healthcare transformation. As a leading healthcare management services provider, we bring innovation, experience, and resources to help drive performance in outcomes-focused and value-based reimbursement models. Our healthcare management services allow for better healthcare and efficiency in the delivery of care through best-in-class business administration services, data utilization, clinical excellence, and operational support. Envolve brings significant experience investing in innovative benefit designs for numerous products throughout the country for publicly funded, marketplace, and commercial programs that positively influence individuals' health and quality of life. -
24
Bamboo Health
Bamboo Health
With an innovative suite of solutions and the most interoperable care collaboration network, we are realizing a vision of whole-person care that’s shifting expectations and revolutionizing healthcare. Enabling more informed decision-making and better outcomes starts with a promise, a promise to continue listening, collaborating, and disrupting. It’s the heart of our vision and the reason we are able to drive powerful results across all settings of care. Decide on the right care options and act with certainty with real-time insight and the largest care collaboration network in the nation. Quickly identify the optimal path forward with lightweight solutions that streamline workflows and expedite patient care. Reduce risk, lower costs and accelerate the adoption of value-based care with access to proactive intelligence that until now has been unavailable. Make whole person care a reality with valuable context that includes both physical and behavioral health experiences. -
25
SAC
SAC
We offer a range of comprehensive products and solutions, created by computer doctors who take the online systems data and tools offered to a higher level. Cost-effective system to optimize patient flow, improving productivity, performance, and patient experience. Invest more time in your patients and less on your computer. Reduce absenteeism, presenteeism, and disability in your business. Our system allows you to make a difference and improve the monitoring and promotion of your services effectively. Let us help you take care of your older adults. We offer you the necessary tools to improve the effectiveness and efficiency of your processes. We analyze and develop to suit your requirements. We are health computer professionals who understand and speak the health language. It is the platform that offers you less time administering and more caring for patients. Any advance in technology that serves to improve the life of a human being must be shared. -
26
SSI Access Director
SSI Group
Making the front end your first priority. Integrated front-end solutions to improve patient financial experience and revenue cycle results. Determine address deliverability, minimizing returned mail and unpaid invoices. Reduce input errors by confirming patient identity and demographic information. Verify patient insurance eligibility at the point of service. Maximize revenue and regulatory compliance by verifying medical necessity before service. Automate PA end to end in just seconds. Automate the notification process to ensure timely notice of inpatient hospital admittance to payers. Promptly and accurately communicate patient out-of-pocket expenses. Increase collections by determining propensity to pay and financial aid eligibility. Once overlooked, patient access has become a driving force in hospitals. Our flexible platform provides a powerful synergy of integrated information from multiple verification sources combined with intelligent guidance. -
27
Valenz Health
Valenz Health
Our single end-to-end platform of fully integrated health plan solutions delivers value and simplifies the complexity of healthcare for employers, members, providers, and payers. Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support, and services to avoid more serious and costly health events. With Valenz, you can have a healthier member population while also achieving plan and member cost savings, year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today. With a suite of fully configurable solutions integrated into one ecosystem strategy, the Valenz healthcare ecosystem optimization platform offers extensive visualization of cost, quality, and utilization opportunities. -
28
EazyHMS
Zebricon Technologies
A complete hospital management system is an all-in-one solution for the hospital's all workstation, we are aiming for a paperless system and especially focusing on reducing management efforts to maintain all its work. Keeping in mind of technology trend we committed to allow access from all devices. Designed with the aim to minimize the efforts of the client and increase their productivity towards their work by serving them faster, easier, and correct outcomes. All you need to access the hospital software application is a browser and an internet connection. This is generally available on a wider range of devices and from anywhere in the world, making SaaS more accessible than traditional business software installation. -
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HCS Assessments & Documentation
Health Care Systems
A comprehensive and flexible toolset that enables clinicians to assess, review, document and follow up on patient status. The HCS Assessments Design Kit allows users to create and/or customize clinician-level documentation based on existing or prospective workflows. If your facility currently documents on paper or another EHR, the HCS Assessments Design Kit provides the flexibility to mimic your existing documents while capturing data discretely. The end user can select from a library of existing assessments, build custom assessments, or both. Assessments can be used as a one-time documentation event or as ongoing documentation with configurations that allow the facility to specify data entry as optional or required. Data entry can be accomplished via text input, drop-down select, radio button and multi-select options making customization simple and workflows effective. Below is an abbreviated list of available templates. -
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MyOutcomes FIT
MyOutcomes
FIT eLearning is a new, accelerated, way to learn and implement feedback-informed treatment. Based on the ground-breaking PCOMS evidence-based practice, FIT eLearning is designed to help you gain capabilities and confidence regardless of your learning style. Excellent understanding of PCOMS and FIT. A meaningful outcome and session rating process for clients. Adoption of a simple red, yellow, and green signaling system to keep sessions on track. An ability to map your clinical effectiveness across clients. Identification of your professional baseline. The ability to measure micro improvements in future skills growth. A certificate for 12 hours of online psychotherapy training in feedback-informed treatment. Whether you’re an individual practitioner or part of a larger organization, FIT eLearning helps you develop a culture of feedback and incorporates the outcome and session rating scales (ORS & SRS) into your clinical practice.
