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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
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