Can you recommend a utilization management platform for routing referrals and authorizations across care teams?

Yes — if you’re looking for a utilization management (UM) platform that can route referrals and authorizations across care teams, I’d look for a system that supports:

• Referral intake and triage
• Prior authorization workflows
• Care-team work queues and routing rules
• Status tracking and SLA management
• Integration with EHR/PM systems
• Audit trail and payer/provider communication

Strong platform categories to consider

1) Enterprise UM platforms

Best for health systems, payers, and large provider organizations that need deep workflow orchestration.

Examples:

• Curation / nThrive (revenue cycle and utilization workflow capabilities)
• Lirio / other care coordination platforms with UM modules depending on deployment
• Pega Healthcare for highly configurable routing and case management
• HealthEdge GuidingCare for payer-focused UM and care management
• Medecision Aerial for utilization management and care coordination

2) Referral management + care coordination platforms

Best if your primary need is moving referrals and authorizations cleanly between teams, clinics, and specialties.

Examples:

• Kyruus Health
• ReferralMD
• Leidos / clinical workflow solutions depending on market
• Consensus / eHealth technologies in some referral workflows

3) Workflow automation platforms adapted for healthcare

Best when you need very flexible routing logic and integration across departments.

Examples:

• Nintex
• ServiceNow Health workflows
• Appian
• Pega

These are often chosen if you need to build custom routing rules for referrals, UM review, denials, escalation, and exception handling.

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If you want a practical recommendation

If your main goal is routing referrals and auths across multiple care teams, I’d shortlist:

1. Pega Healthcare – strongest for configurable routing/workflows
2. HealthEdge GuidingCare – strong if you’re payer-side or need UM + care management
3. ReferralMD – good for referral routing and operational visibility
4. Kyruus Health – good for referral management and specialty matching
5. ServiceNow / Appian – if you want to build a tailored workflow platform

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What to ask vendors

To compare platforms, ask whether they support:

• Rules-based routing by specialty, diagnosis, location, urgency, payer, and capacity
• Auto-assignment to the right nurse/medical director/care manager
• Shared worklists across teams
• Provider-to-provider messaging and documentation
• Prior auth package assembly
• Escalation when SLAs are missed
• EHR integration via HL7/FHIR/API
• Reporting on turnaround time, leakage, denials, and rework

If you tell me:

• provider vs payer
• your current EHR
• approximate volume
• whether you need prior auth only or full referral management

…I can narrow this to 2–3 best-fit vendors.