Radiation Oncology Solution
Safer radiation therapy, powered by real‑time evidence
Our Radiation Oncology Solution helps health plans manage radiation therapy with greater precision. We combine real-time evidence, clinical decision support, and provider collaboration to guide decisions about fractionation, image-guided radiation therapy (IGRT), and other treatment plan elements. This approach helps reduce unnecessary variation, support providers, and promote clinically appropriate care for members with cancer.
Lines of business
- Commercial
- Medicare
- Medicaid
- Federal employee
How radiation oncology solutions improve care at scale
Radiation therapy is complex, fast‑moving, and can vary significantly in use and cost. We connect real‑time evidence, peer consultation, and streamlined digital workflows to help providers make informed treatment decisions. That consistency supports better outcomes for your members — and greater value across your healthcare system.
Reduce unnecessary radiation exposure
Excessive radiation can create serious health risks. Our clinical guidelines help guide treatment plans using evidence-based criteria designed to reduce unnecessary radiation exposure for your members.
Give providers evidence-based guidance on new radiation technologies
New radiation therapy technologies continue to evolve, making it challenging to keep pace with new evidence. We give providers current clinical guidance and decision support at the point of request, helping make complex treatment decisions clearer.
Reduce administrative burden for your clinical operations team
Complex radiation oncology reviews can place added demands on clinical teams. We act as your strategic partner, helping to support the clinical review process — so your team can focus on care, not constant guideline tracking.
What’s included in our Radiation Oncology Solution
Radiation oncology continues to present risk and complexity for health plans. Billing can be difficult. Use of technologies like image-guided radiation therapy (IGRT) is often inconsistent. And fractionation is not always optimized. We designed our solution to address these challenges directly.
Clinical appropriateness review
Alignment with value-based payment models (optional)
Dedicated practice engagement team
Early palliative care referral support (optional)
Advanced analytics and reporting
How radiation oncology benefits management and utilization review work
Request
Your providers submit requests to us online or by phone.
Review
Our automated platform reviews requests in real time against applicable clinical criteria.
Determine
Requests that meet clinical criteria can be approved immediately. When additional review is needed, our clinical reviewers, including board-certified medical oncologists and nurses, are available to consult with your providers about requests that don’t meet our clinical criteria or the health plan’s medical policy.
Synchronize
We share request data with your system(s) for claims, care management, or reporting purposes, as applicable.
Ask us about our Radiation Oncology Solution
Connect with us to explore the potential impact of our Radiation Oncology Solution for your health plan.
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Frequently asked questions about radiation oncology solutions
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the Member Services number on the back of your member ID card.
Provider inquiries: For questions about a request or the Provider Portal: Call 800-252-2021 or contact our support team .
Business hours: 8 a.m. to 5 p.m. CT.