Triage
Intelligent intake and routing for incoming cases. Capture every detail at the front door, classify it instantly, and move it to the right team with the context they need to act.
Platform
Acuity is the unified system of record and workflow engine for managed care. Six modules, one source of truth, every team working in step.
Modules
Each module stands on its own. Together, they form a single platform that mirrors how managed care actually moves a case forward — from first notice through final claim.
Intelligent intake and routing for incoming cases. Capture every detail at the front door, classify it instantly, and move it to the right team with the context they need to act.
Dedicated workflows for guiding members through the care journey. Clear ownership, consistent communication, and a single timeline that tracks every interaction.
Clinical case oversight and care coordination tooling. Built for the people doing the work — structured documentation, clear handoffs, and visibility across the case lifecycle.
Structured medical-necessity review workflows with the guardrails reviewers need and the audit trail compliance teams expect — without the manual overhead of legacy systems.
Provider directory, credentialing, and network management in one place. Source of truth for every provider relationship, kept current and ready for the next case.
Automated medical bill audit and repricing pipelines. Catch what manual review misses, apply rules consistently, and close the loop with downstream payment systems.
A modern claims system designed around the work itself — structured intake, configurable workflows, and a clean record of every action from first report to resolution. Built to be the operational backbone, not another silo.
Acuity connects to the systems you already run on — claims platforms, EHRs, provider directories, payment rails, and document repositories. Data flows where it needs to go, automatically, with a full audit trail.
A state-of-the-art provider search and management system built for the way networks are actually run. Search by provider type, city, ZIP code, physician name, or group name — and manage every provider relationship in one place.
Credentialing, contact management, and a full contract repository in a single configurable dashboard. Stand up and operate networks as an MPN (Medical Provider Network) or EPN (Exclusive Provider Network) without stitching together separate tools.
Ancillary Services coordinates with the ordering medical provider to deliver your injured worker’s durable and home medical equipment directly to the injured worker’s home.
The work doesn't happen inside a single tool — it crosses intake, clinical, network, billing, and claims every day, and it almost never lives in just one system. Acuity is designed around that reality: one platform, one record, integrated with what you already use, every team operating from the same truth.
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