VantaUM sells Med Review. The Brief Engine — concierge intake, clinical brief, authorization, and first-level appeal — is included free only when you use Vanta med review under UM's contract. Not a standalone UM product. Not included if you use another shop's med review. VantaHG is IRO and IDR only. Built for independent TPAs, self-insured employers, and the clinical operations inside larger benefit organizations.
VantaUM sells Med Review. When you use Vanta med review under UM's contract, the Brief Engine drops into the way you already work — across the book or on the cases that carry the most clinical time. It is not a standalone UM product, and it is not included if another shop does the review.
Under that contract the workflow is the same: a single clinician carrying each case from concierge intake through authorization and first-level appeal, with documentation prepared to be IRO-ready. Full IRO stays on the VantaHG lane.
Utilization management is where authorization decisions get made, appeals get filed, and documentation has to hold up when it's tested. Most operations split that journey across a queue of reviewers and lose the thread between every stage.
Under UM's Vanta med-review contract, VantaUM runs one continuous workflow: a concierge opens the case, the Brief Engine pre-briefs it, and a single clinician carries it through the authorization and the first-level appeal — leaving a file that's already IRO-ready. Full IRO stays on the VantaHG lane.
The commercial SKU is VantaUM Med Review. Brief Engine / utilization management is included free only when you use Vanta med review under UM's contract — not sold as a standalone UM product, and not included if another shop performs the review. VantaHG is IRO and IDR only. Terms are scoped on a conversation — we do not publish a standalone UM price.
One team, start to finish. Your dedicated clinical team owns your relationship from intake through outcome — one point of contact, full visibility, all the way downstream. And when a case moves to appeal or peer-to-peer, the decision transfers to a fully independent physician who had no part in the original determination. That separation isn’t just our policy — it’s the law, and it’s built into our platform so it can never be skipped. Your team stays with you. The decision changes hands.
When a case escalates beyond first-level appeal to full independent review, that work stays on the VantaHG lane. The file arrives already clean and IRO-ready from the included Brief Engine work. Terms are scoped separately — we do not publish a UM or IRO price here.
Prefer to run it in house? The same workflow can be embedded inside your own clinical operation as a specialized extension of your team. We'll scope the engagement on a brief call.
The whole platform runs your everyday utilization management. But out-of-network is its own discipline — high-stakes, appeal-prone, and unforgiving on documentation — and it's where VantaUM is genuinely differentiated.
For out-of-network work, the same concierge intake, Brief Engine, and single-clinician continuity become a precision instrument: defensible authorizations, first-level appeals owned by the same reviewer, and files documented to independent-review standard. If a case escalates, full IRO stays on the VantaHG lane — not sold as standalone UM, and not included with another shop's review.
It's the capability ASOs and larger benefit organizations come for — and it sits on top of the general UM layer everyone else uses every day.
Talk to us about OON + IRO →“The cases that decide your exposure”
Out-of-network authorization, the appeal that almost always follows, and the documentation that has to survive independent review. This is the slice of UM where specialized clinical ownership pays for itself — and where a clean file is the difference between a defensible decision and an expensive one.
Every case arrives as a stack of raw documents. The slow part isn't the clinical judgment — it's everything that has to happen before a clinician can exercise it.
The Brief Engine collapses that. It ingests the record, matches it against criteria, and hands the clinician a fully pre-briefed case. That's what lets one reviewer move fast, stay consistent, and carry the same case from authorization through appeal — leaving documentation clean enough to hand straight to an independent reviewer.
A dedicated, named coordinator opens each case and assembles the record. They know the criteria, the provider relationships, and the case history. Available. Accountable. Never a portal queue.
Human-firstThe secret sauce. It extracts and classifies the clinical record, cross-references evidence-based criteria, and prepares the full brief before a clinician opens the file. That's what makes the workflow fast and consistent — and the documentation IRO-ready by default.
AI-poweredBoard-certified specialists in active practice — the same reviewer who owns the authorization owns the first-level appeal. Continuity, not a queue. When a cardiology case arrives, a cardiologist carries it the whole way.
Clinical excellenceMost operations split a single case across a queue of reviewers and call it scale. We built VantaUM so one clinician owns the case from authorization through appeal — because continuity is what makes the documentation hold up.
VantaUM · A Wells Onyx Company
Most UM operations were built to process every case the same way. VantaUM was built around clinical ownership — one reviewer per case, from authorization through first-level appeal — with the documentation to back the decision when it's tested. It's why it holds up on everyday UM and shines on your hardest out-of-network cases.
| The Question | Generalist UM Queue | VantaUM |
|---|---|---|
| Who owns a case? | Whoever pulls it off the queue next. Ownership changes at every stage. | One named clinician, from authorization through first-level appeal.Continuity |
| How is the case prepared? | A raw document stack lands on a reviewer's desk. | The AI Brief Engine pre-briefs every case against criteria before review. |
| What happens on appeal? | A different reviewer picks it up cold and rebuilds the context. | The same clinician owns the first-level appeal. No lost context, no relay. |
| How good is the documentation? | Assembled after the fact, when an auditor or IRO asks for it. | Criteria-cited and IRO-ready from the moment the case is reviewed. |
| What if a case escalates to IRO? | Scramble to assemble a defensible file under deadline. | The file is already clean — independent review picks up a complete record. |
| How do we engage it? | Rebuild the capability internally, or buy a one-size-fits-all platform. | Bundled per case, or embedded as a specialized extension of your team. |
This is a live demo of the VantaUM intake and Brief Engine. Submit a case and watch it go from raw documents to a fully pre-briefed, criteria-cited file — the same file a clinician carries from authorization through appeal.
Ready to see how this runs on your actual caseload? Or explore the full guided canned tour with synthetic Southwest TPA data.
A determination is only as strong as the record behind it. VantaUM is built to the standard that matters when a case is tested — URAC-aligned, criteria-cited, and ready for an independent reviewer the moment it's written.
If you want Vanta med review — with the Brief Engine included under that contract — the conversation starts the same way: tell us about your caseload. We do not sell UM as a standalone product, and we do not include it with another shop's review.
Email us directly. No form. No sales queue. You'll hear back from someone who can actually make a decision.