Choose Your Role in
Self-Funded Healthcare
We built three different experiences — one for each person who actually moves the needle.
Let us handle first-level authorizations with AI that actually works. Clean files, faster decisions, zero added lift on your side.
Give your producers a real weapon. Partner with us to help your clients win self-funded accounts your competitors can't match — and keep them longer.
We built a completely different way to deliver healthcare — one that removes the daily friction employees hate and gives you something genuinely different to bring to your organization.
Most UM platforms were built in a different era — before AI could compress physician review time, before concierge coordination was operationally viable at scale. We built VantaUM from a blank page with those tools available from day one.
The TPAs that partner with us now don't inherit someone else's technical debt. They help shape a platform designed around how UM should actually work.
First-level utilization management is the part of your operation that consumes the most time, produces the most friction, and carries the most compliance risk — without adding clinical value to your book.
VantaUM handles it entirely. We intake every prior auth request, run it through clinical criteria, route it through our nursing tier, and get a determination back — typically in hours, not days. You receive a clean file and a decision. Nothing else changes on your side.
Your producers are selling self-funded accounts against carriers who've been in the market for decades. The question on every plan sponsor's mind: what do I get from you that I can't get elsewhere?
VantaUM is the answer. Partner with us and bring your clients a modern, URAC-accredited utilization management layer that holds up under scrutiny — faster decisions, better member experience, and clinical compliance that actually protects the plan.
Become a broker partner →Your employees don't distinguish between their health plan and their employer. When a prior authorization takes five days and nobody calls back, that's a benefits failure — and it lands on you.
VantaUM changes what's possible. Same-day authorization decisions. A named coordinator who actually picks up the phone. A clinical process that treats every case like it belongs to someone who matters — because it does.
This is what genuinely different looks like in self-funded healthcare. Not a better portal. A completely different experience.
Talk to us about your population →"The daily friction employees hate"
Waiting 5 days for a prior auth answer. Getting a denial letter with no explanation. Being told to call back. We built VantaUM specifically to eliminate this — because it's fixable, and nobody else bothered to fix it.
Every other UM platform automated the easy parts and declared victory. They left physicians staring at intake queues, coordinators managing software tickets, and members waiting for a human who never comes.
We built differently. AI handles intake, evidence matching, routing, and documentation — invisibly, instantly. So the clinician opens a pre-briefed case ready for judgment. The coordinator is free to actually take care of people.
A dedicated, named coordinator assigned to each plan. They know the plan's policies, the provider relationships, and the member population. Available. Accountable. Never a call center rotation.
Human-firstOur ingestion engine extracts and classifies clinical documentation, cross-references evidence-based guidelines, and prepares the full case brief before a physician ever opens the file. Review time compressed dramatically — judgment preserved entirely.
AI-poweredBoard-certified specialists in active practice. Not generalists in a queue — same-specialty physicians who understand the clinical picture. When a cardiology case arrives, a cardiologist reviews it.
Clinical excellenceEvery platform that replaced a clinician with an algorithm made the care cheaper. Very few made it better. We built VantaUM to do both — and we refused to sacrifice one for the other.
VantaUM · A Wells Onyx Company
Legacy platforms were built to process volume. VantaUM was built to serve members, protect providers, and give plans a UM partner they can actually stand behind.
| The Question | Legacy UM | VantaUM |
|---|---|---|
| Who reviews complex cases? | Nurses working a volume queue. Physician involvement is the exception. | Same-specialty, board-certified physicians in active practice.Always |
| How do I reach someone? | Call center. Ticket submitted. Wait for a callback. | Named concierge coordinator. Direct line. Same day response. |
| What role does AI play? | AI auto-approves and auto-denies. The human is an exception handler. | AI handles intake, routing, and documentation. Every consequential clinical call is human. |
| What if I disagree? | Submit an appeal. Wait. Navigate a process designed to discourage escalation. | Peer-to-peer with a same-specialty physician available immediately. Clear, fast escalation. |
| How is compliance managed? | Separate compliance team. Documentation created after the fact. | AI generates URAC-compliant documentation in real time. Audit-ready from day one. |
| What channels does this unlock? | Commercial configurations only in most cases. | URAC accreditation unlocks Medicaid, VA, and self-insured employer channels. |
This is a live demo of the VantaUM intake and clinical routing engine. Submit a case and see how AI compresses the middle — so the clinician receives a fully pre-briefed file, not a raw document stack.
Ready to see how this runs on your actual member population?
Apply for Early AccessMost UM vendors serve the commercial market and stop there. URAC accreditation positions VantaUM as a credentialed partner for the most regulated, highest-value programs in American healthcare.
We are selectively onboarding founding TPA partners who want to shape what great UM looks like — and be positioned as a clinical quality leader before anyone else gets there.
Email us directly. No form. No sales queue. You'll hear back from someone who can actually make a decision.