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Concurrent Review Assistant
Utilization Review Nurse
FeaturedA concurrent review tool that matches inpatient clinical data against medical necessity criteria (InterQual, Milliman). Automates continued stay reviews, flags observation-to-inpatient status change triggers, generates payer-ready clinical summaries, and tracks review timelines with SLA compliance. Includes split-panel evidence view for clinical documentation review.
Features
Clinical criteria matching (InterQual/Milliman)
Continued stay review automation
Status change trigger detection
Payer-ready clinical summary generation
Review timeline tracking
Split-panel evidence viewer
Tags
Concurrent ReviewUtilization ManagementMedical NecessityInterQualInpatient
Ready for real data?
Take this prototype to production with SSO, RBAC, HIPAA-compliant infrastructure, and your own data integrations.
SOC 2 Type II
SSO & RBAC
EHR / claims integrations
Custom model fine-tuning