Interqual AutoReview

JSON twin: https://www.healthaidb.com/software/interqual-autoreview.json

Company Name

Interqual

Product URL

https://www.interqual.com/auto-review

Company URL

https://www.interqual.com

Categories

• clinical Decision Support
• utilization Management
• administrative Operations
• ai Clinical Documentation Integrity
• healthcare It
• Automation
• Artificial Intelligence

Summary

InterQual AutoReview is an AI-driven solution that automates medical necessity reviews by extracting and analyzing real-time clinical data from electronic health records (EHRs), streamlining utilization management processes.

Description

InterQual AutoReview leverages artificial intelligence and robotic process automation to extract structured and unstructured clinical data from EHRs, generating InterQual medical reviews upon patient admission or on-demand. It integrates directly into existing case management systems, embedding EHR data to provide transparent and defensible documentation, thereby reducing administrative burdens and enhancing review accuracy in utilization management.

Api Available

unknown

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 9001:2015
• CMMI level certification
• ISO 27001 certification
• SOC 2 compliance
• PCI DSS requirements

Company Founding

2011

Company Offices

• United States
• Canada
• United Kingdom
• Australia
• Germany
• France
• Netherlands
• Sweden
• Norway
• Denmark

Compliance

• HIPAA
• SOC 2
• ISO 27001

Customers

• Change Healthcare

Data Residency

US/EU regions

Data Standards

• ICD-10
• SNOMED CT
• CPT
• HCPCS
• LOINC
• NDC
• RxNorm
• RadLex
• MEDCIN

Deployment Model

• SaaS

Features

• Automated medical reviews
• Integration with EHR systems
• Real-time clinical decision support
• Clinical values extraction from EHR
• Utilization management workflow integration
• Case management system integration
• Evidence-based decision support
• Clinical appropriateness assessment
• Complex care management support
• Prior-authorization process automation

Id

SW1576

Integration Partners

• EHR systems

Integrations

• EHR systems
• Case management systems
• GuidingCare

Languages Supported

• English
• Spanish
• French
• German
• Dutch
• Swedish
• Norwegian
• Danish
• Finnish
• Belgian Dutch
• Swiss German
• Austrian German
• Italian
• Spanish (Spain)
• Portuguese
• Irish
• New Zealand English
• Japanese

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Clinical decision support
• Prior-authorization process automation

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW1576

Product Name

Interqual AutoReview

Ratings

• 4.5 out of 5 on G2

Regions Available

• United States
• Canada
• United Kingdom
• Australia
• Germany
• France
• Netherlands
• Sweden
• Norway
• Denmark
• Finland
• Belgium
• Switzerland
• Austria
• Italy
• Spain
• Portugal
• Ireland
• New Zealand
• Japan

Related Urls

• https://elion.health/products/interqual-autoreview

Release Year

2007

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• General Medicine
• Emergency Medicine
• Surgical Services
• Cardiology
• Orthopedics
• Neurology
• Oncology
• Pulmonology
• Gastroenterology
• Infectious Diseases
• Pediatrics
• Geriatrics
• Obstetrics And Gynecology
• Urology
• Endocrinology
• Rheumatology
• Dermatology
• Psychiatry
• Ophthalmology
• Otolaryngology

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• case managers
• healthcare administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Accurate and efficient way to manage patient care.
• Long retime time implement and see return.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "Interqual AutoReview",
  "company_name": "Interqual",
  "product_url": "https://www.interqual.com/auto-review",
  "company_url": "https://www.interqual.com",
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  "description": "InterQual AutoReview leverages artificial intelligence and robotic process automation to extract structured and unstructured clinical data from EHRs, generating InterQual medical reviews upon patient admission or on-demand. It integrates directly into existing case management systems, embedding EHR data to provide transparent and defensible documentation, thereby reducing administrative burdens and enhancing review accuracy in utilization management.",
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  "regions_available": [
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  "deployment_model": [
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  "data_standards": [
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  "api_available": "unknown",
  "system_requirements": "",
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    "ISO 9001:2015",
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    "ISO 27001 certification",
    "SOC 2 compliance",
    "PCI DSS requirements"
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  "security_features": [
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    "RBAC",
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    "Audit logs",
    "2FA",
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  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [
    "Change Healthcare"
  ],
  "user_reviews": [
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  ],
  "ratings": [
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  "support_channels": [
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  "release_year": "2007",
  "integration_partners": [
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  "id": "SW1576",
  "slug": "interqual-autoreview",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
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}