VantaUM pairs a world-class concierge team and elite same-specialty physicians with AI engineered to eliminate friction in the middle — so every human in the process can stay focused on what only humans can do.
The legacy players built their platforms 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.
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.