Solutions Utilization Management

Understanding clinical context now takes seconds

Onos shifts your utilization management resources from time-consuming manual chart review to immediate clinical decision-making, minimizing administrative burden and delays in care.

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The Challenge

Your current processes were designed around paperwork, not clinical decisions

Despite extensive prior authorization processes, behavioral health costs continue to rise.

Authorizations require manual review across fragmented systems and unstructured data. The associated administrative tasks add burden to your clinical teams and the providers they collaborate with, making it harder to maintain continuity of high-quality care.

Dashboard graphic titled “Average Chart Review Time” showing monthly bars decreasing from January through December. May through December is highlighted as “Onos Impact.” A floating metric card reads “Average reviews per clinician per day: 11.3” with an upward arrow.
Outcomes with Onos

Faster reviews, stronger quality-focused decisions, less administrative burden

Onos is configured to your plan's clinical standards and workflows, upgrading your UM process from manual to intelligent.

5 ×

faster clinical chart reviews

1.8 ×

improvement in provider response rate

50 %

improvement in administrative workload
How Onos Helps

The full clinical picture for every authorization review

Onos’s clinical intelligence automates the curation of actionable clinical summaries, so your team can minimize delays and prioritize decision-making around high-quality care pathways that reduce costs.

Medical chart interface highlighting three sections of clinical documentation, with callouts identifying Diagnosis, Assessment, and Progress information.

Automated documentation extraction

Onos pulls relevant clinical data from progress notes, assessments, and treatment plans regardless of format or system.

Line chart comparing a member’s treatment progress with a clinical pathway benchmark over four weeks. Both measures decline, while the member remains above the benchmark throughout.

Longitudinal member view

Get a centralized view of treatment history, authorizations, assessment scores, and dosage trends so your teams always have a complete clinical picture.

Dashboard with low-to-high scales for Screening Completion, Visits, Member Progress, and Readmission Rates. All four indicators fall in the lower-to-middle range.

AI-powered decision support

Compare therapy requests and treatment goals against your plan’s clinical guidelines in real time to accelerate your clinical team’s approval or modification decisions.

Central Onos platform icon connected by dotted arrows to four workflow stages: Intake Automation, Second Review by MD, Concurrent Review, and Appeal.

Workflow optimization

Consolidate your processes into one system for all UM reviews, allowing Onos to act as your single source of truth while still sharing information back across systems. Initial authorizations, re-authorizations, second reviews by MDs, and appeals are all managed within Onos.

Trusted by the largest health plans in the country
“Payers have clinical guidelines for a reason, but it’s hard to know when and where those guidelines are being applied when the notes are hidden in mounds of paperwork. By automating clinical summaries and bringing clarity to guideline adherence, Onos has transformed what UM looks like.”
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Dr. Doug Nemecek, CMO for Behavioral Health at Evernorth Health Services

Ready to transform your approach to utilization?

The clinical intelligence platform that brings clarity to utilization across all levels and sites of care in behavioral health.

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