Swipe sideways to see the whole screen.
CriteriaIQ RCM, Authorizations tab. Sample data.
The Authorizations screen in CriteriaIQ RCM is where a UR team tracks every authorization, review date, and appeal in one list. Each numbered marker points to one thing it does. Tap a number to jump to its note. Patient names and data are samples.
Counts for total, approved, denied, reviews due, peer to peer, and priority cases. Click Priority to open the list of cases that need attention now.
Search by patient, auth number, or member ID. Filter by status, payor, facility, specialist, or date range, and export to CSV.
A row turns red with a warning when a patient is past their covered days, so it can't get buried.
Days authorized and the start and end dates for each auth, next to the level of care and frequency.
The next concurrent review date for each patient. A missed review is marked OVERDUE in red.
Approved, pending, or denied, plus whether a peer to peer or appeal is in progress for that auth.
Every auth has an assigned specialist. Unassigned cases are grouped at the bottom so nothing slips through.
Reviews due and priority counts sit in the top bar. Click Priority to jump straight to those cases.
14 day free trial. Works alongside the Kipu or BestNotes EMR you already run.
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