An automation solution for providers who want to leverage clinical data from their EHR to automatically complete accurate, defensible InterQual medical reviews.
Streamline operations by receiving automated medical reviews within your utilization management/case management (UM/CM) system workflow.
Allow utilization review nurses to focus on the cases that require their expertise by eliminating up to 75% of the time it takes to conduct manual reviews.
Promote transparency and help reduce potential denials by using automated medical reviews that eliminate data-entry errors by extracting clinical values from your EHR.
Support accurate level of care determinations by matching clinical data to discrete InterQual criteria points for defensible medical necessity decisions.
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