Utilization Management Software Cost Calculator

*How are you planning to use this software?

We need software for internal use

We are developing software for commercial distribution

Both

*What best describes your current utilization management setup?

Spreadsheets, email, shared folders

EHR and manual tracking (no dedicated UM tool)

Existing UM platform (needs to be replaced)

Existing UM platform (needs to be extended)

*How many users within your organization will need access to your UM platform?

*How many client organizations do you plan to target with your UM product?

*Which software version do you need?

MVP only

A full-scale solution

MVP now, a full-scale solution later

Not sure

*How should UM be organized?

One shared work queue

Multiple work queues (by facility, service line, or payer)

Advanced routing (rules, escalations, and special cases)

Not sure

*Which UM workflows should the system support?

*Do you need assistive AI tools for your solution?

No

Yes, for intake assistance (extract key details from documents, normalize case data)

Yes, for completeness checks (flag missing or incorrect documents, draft follow-ups)

Yes, for review support (draft clinical or case summaries, recommended next steps)

Yes, for decision support (suggest relevant internal policy or criteria and supporting evidence)

Not sure

*What reporting complexity do you need?

Basic (turnaround time, backlog, outcomes)

Operational drill-down (by queue, reviewer, payer, service line)

Advanced (trends, bottlenecks, capacity planning)

Not sure

*Do you have any tech stack preferences, incl. cloud platforms?

No

Not sure

*Do you have any preferences for the deployment model?

Cloud

On-premises

Hybrid (cloud and on-premises)

Not sure

Anything else you’d like to add? (optional)

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*Full name

*Company name

*Work email

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Estimate the Cost of Your Utilization Management Software (Provider-Side)