SAIS

Healthcare technology platforms for health plans, PBMs, and payer operations

SAIS delivers healthcare technology solutions that streamline utilization management, prior authorization, medication therapy management, formulary operations, grievances, compliance workflows, and patient-safety programs.

Healthcare Suite

Solutions and Services

Purpose-built platforms for payer, PBM, pharmacy and clinical operations.

PAHub

Automate and manage prior authorization workflows across clinical, compliance, and administrative processes.

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RxMTM

Manage medication therapy management programs across lines of business while supporting CMS-driven requirements.

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FormularyHub

Create, manage, publish, and administer pharmacy and medical benefit formularies from a centralized platform.

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GrievancesHub

Improve grievance intake, routing, tracking, resolution, and reporting with configurable workflow automation.

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RxSentinel

Support patient safety, medication adherence, pharmacy quality, and compliance-driven monitoring programs.

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Operational Capabilities

Capabilities designed for payer and PBM workflows

Connected workflows, configurable rules, audit visibility and role-based controls across the healthcare operating model.

Prior authorization automation

Streamline authorization intake, routing, review and decision workflows across clinical and administrative teams.

Medication therapy management

Manage medication therapy programs with configurable workflows and operational visibility across lines of business.

Formulary administration

Centralize formulary creation, administration, management and publishing for pharmacy and medical benefits.

Grievance workflow management

Configure grievance intake, routing, tracking, resolution and reporting with workflow automation.

Patient safety and adherence

Support patient safety, pharmacy quality improvement, adherence and quality programs with measurable workflows.

Compliance reporting

Generate accurate compliance reports with automated tracking and visibility into regulatory updates.

Audit trail and governance

Monitor system activities, simplify audits and enforce governance across healthcare workflows.

Role-based workflow visibility

Provide personalized workflow access based on user roles for better control and operational efficiency.

Integration with existing healthcare systems

Connect with existing infrastructure to support seamless interoperability and continuity.

Governance & Compliance

Built for healthcare compliance and operational governance

SAIS healthcare solutions should clearly communicate security, compliance, audit readiness, data governance, and workflow control. Where applicable, highlight HITRUST, HIPAA alignment, CMS program support, audit trails, role-based access, and configurable approval workflows.

Modernize payer operations with SAIS

Bring healthcare workflows, compliance visibility and operational intelligence together on a connected platform.

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