Utilization Management
Every review,ready beforethe window closes.
Build prior authorization packets, concurrent reviews, payer forms, and live review talking points from the chart, and check them for medical necessity before sending them in.
3x
Concurrent reviews cleared
per UR day
As reported by Circle customers
Approval happens during the call. You’ll have all the evidence you need, ready to go.
How it works in your daily routine.
Prior authorization
Packets built from the chart
Circle compiles the clinical information each payer needs and flags any missing details before you send the request.
Prior authorization packet
- Complete
Medical necessity summary
Built from intake and assessment
- Complete
Payer form fields
Prefilled from the record
- Missing
Withdrawal risk evidence
Vitals from day 1 not yet attached
- Not due yet
Submission
Ready after one item
Built into every review.
Dozens of payers, kept separate
Each payer’s forms, criteria, and deadlines are kept separate, whether the plan uses ASAM, LOCUS, InterQual, MCG, or its own medical policy.
Deadlines in view
You’ll see upcoming reviews and expiring authorizations before they become urgent.
Live review talking points
UR teams join each call with the evidence organized in the order the reviewer needs.
Appeals included
Appeal letters are prepared from the record, with a checklist of what each payer expects attached, and ready for clinician review before the filing deadline.
What customers have measured.
3x
Concurrent reviews cleared per UR day
As reported by Circle customers
+112%
More care authorized per review
As reported by Circle customers
30 min
To prepare an appeal
As reported by Circle customers
Explore further
Solution
Payer Relationship System
What every payer expects, standing with each, and the prepared context to act.
Solution
Documentation
Notes, plans, and assessments guided by what reviewers expect.
Solution
Pre-Bill and Record Reviews
Documentation gaps caught before billing, and records ready for payer reviews.
Who we serve
Substance Use Disorder (SUD)
Placement, participation, approvals, and billing kept in agreement.
Know what each payer expects. Act before revenue is at risk.
See how Circle fits alongside the systems already in place.
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