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Description

InterQual® AutoReview is a cloud-based solution designed for healthcare providers aiming to leverage artificial intelligence to analyze real-time data from electronic health records (EHR) for personalized predictions and proactive insights, while seamlessly automating the InterQual® medical review process. By integrating with current workflows, InterQual AutoReview alleviates administrative pressures by automatically fulfilling InterQual medical review requirements using EHR data. This innovative tool enhances the credibility of medical reviews by ensuring they are precise and transparent, incorporating embedded EHR information for each criterion point outlined in the InterQual guidelines. Additionally, this system fosters greater collaboration between providers and payers, ultimately leading to improved patient care outcomes.

Description

Harnessing the capabilities of Medius’ multi-cloud AI platform enables an impressive accuracy and coverage rate exceeding 90% in health intelligence and risk predictions, utilizing only a handful of health variables. By analyzing a limited set of health data points, Medius’ platform efficiently aggregates and mines extensive datasets to produce vital health risk and underwriting insights in mere seconds, achieving remarkable accuracy and coverage that supports providers and payers in their assessments, operational efficiency, and cost-saving strategies. Furthermore, Medius’ proprietary UW Studio™ serves as a comprehensive underwriting platform that revolutionizes the insurance industry, employing various science-driven underwriting ensemble models to meet both business and technical needs, while emulating human-like actuarial reasoning with clinical precision. This innovative approach not only streamlines decision-making processes but also enhances the overall effectiveness of health insurance operations.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Change Healthcare

Founded

2007

Country

United States

Website

www.changehealthcare.com/clinical-decision-support/interqual-autoreview

Vendor Details

Company Name

Medius Health

Founded

2017

Country

Australia

Website

www.mediushealth.org

Product Features

Alternatives

Alternatives