Now with Billing Integration

Stop Losing Revenue
to Documentation
Failures

CriteriaIQ is the revenue cycle platform built exclusively for behavioral health — AI-powered authorization documentation, utilization review tracking, and end-to-end billing integration. From the first criteria analysis to the final payment.

Book a Free Demo → Access the Platform
15–30%
Revenue lost to doc failures
3×
Faster authorization documentation
100%
HIPAA compliant & audit-logged
The Problem

Behavioral health revenue
disappears in three places

Most facilities and billing companies are losing significant revenue to the same three problems — without even knowing it.

📋
40%
Authorization Denials from Weak Documentation
Insurance companies deny authorizations when clinical documentation doesn't clearly meet medical necessity criteria. Specialists spend hours writing — and still get denied.
⏱
72hrs
Average Time Lost on Manual UR Documentation
UR specialists spend up to 72 hours per week manually documenting ASAM, MCG, and InterQual criteria — time that could be spent on actual patient advocacy.
💸
$47k
Average Annual Revenue Lost Per Specialist
When billing and UR work in silos, authorized days go unbilled, appeals get missed, and claims sit unsubmitted. Every gap costs money.
The Platform

Three products.
One revenue cycle.

CriteriaIQ covers every stage of the behavioral health revenue cycle — from the first criteria analysis in Kipu to the final payment posted in billing.

🧩 Chrome Extension

Criteria Analyzer
for Kipu EMR

Run instant AI-powered medical necessity analyses directly inside Kipu. ASAM 4th Edition, Milliman MCG, InterQual BH, and LOCUS criteria — fully documented in seconds, not hours.

  • ASAM 4th Edition dimensional analysis with rating codes
  • Milliman MCG and InterQual BH criteria documentation
  • AI-generated phone review scripts for insurance calls
  • One-click appeal letter generation
  • Automatic push to CriteriaIQ UR — zero double entry
  • Works inside Kipu EMR with your existing workflow
Learn more about Criteria Analyzer →
ASAM Analysis Complete
Overall Assessment
Meets Criteria — 3.7 RTC
Dim 1
Level 4
Dim 2
3.7
Dim 3
3.5
Dim 4
3.1
✓ Phone script generated  ·  ✓ Sent to CriteriaIQ UR
📊 Web Platform

CriteriaIQ UR
Utilization Review

The authorization command center your UR team has been waiting for. Track every auth, manage P2P reviews and appeals, flag priority cases, and hand off seamlessly to billing — all in one HIPAA-compliant platform.

  • Authorization tracking across all levels of care
  • Peer-to-peer review scheduling with doctor and facility staff details
  • Expedited appeal tracking with outcome analytics
  • Reviews Due Today with overdue alerts
  • Concurrent review workflow with one click
  • Priority case alerts with days-past-coverage tracking
  • 12 clinical email notification templates
  • Multi-facility, multi-tenant — one platform for your whole portfolio
Learn more about CriteriaIQ UR →
🚨 2 Priority
⚠ 4 Reviews Due
Johnson, Marcus A.
⚠ 3d past
Rivera, Sofia M.
P2P
Okafor, Emeka T.
Approved
Williams, Dana K.
Pending
💳 Billing Integration

Integrated
Billing Management

When UR completes, billing takes over — without any data entry. Full claim lifecycle tracking with billed amounts, allowed amounts, EOB notes, and remittance tracking. Know exactly where every dollar is at every stage.

  • Full UR record visible to billing in read-only
  • Claim status tracking (Not Submitted → Paid)
  • Billed, allowed, paid, and adjustment amounts per claim
  • EOB and remittance note tracking
  • Claim number and payer claim ID management
  • Date submitted and date paid tracking
  • Filter by facility and claim status
  • AR summary dashboard with total billed vs. collected
See pricing for billing add-on →
$248k
Total Billed
$187k
Collected
7
Pending
Johnson, Marcus A.
✓ Paid
Rivera, Sofia M.
Submitted
Okafor, Emeka T.
Not Submitted
How It Works

The complete revenue cycle
in four steps

01
🧩
Analyze in Kipu
Open a patient in Kipu EMR. The CriteriaIQ Chrome extension reads the chart and runs an AI-powered ASAM, MCG, or InterQual analysis in seconds.
02
⊕
Push to UR
Click "Send to CriteriaIQ UR" and the patient's data — name, DOB, payor, diagnosis, level of care — is instantly created as an authorization record. Zero double entry.
03
📊
Track & Fight
Monitor authorization status, schedule P2P reviews with insurance doctors, file expedited appeals, and track every outcome — all in CriteriaIQ UR.
04
💳
Bill & Collect
When the patient discharges, the billing team sees the full UR record instantly. Track claims from submission to payment with full AR visibility.
Pricing

Simple, transparent pricing

All plans include HIPAA compliance, audit logging, and unlimited authorizations. Annual plans save 15%.

Starter
$299/mo
For small facilities and solo UR specialists getting started with structured authorization tracking.
  • ✓ CriteriaIQ UR platform
  • ✓ 2 UR specialist seats
  • ✓ 1 facility
  • ✓ Authorization tracking
  • ✓ Reviews Due Today
  • ✓ Email templates
  • — Billing integration
  • — Analytics & Metrics
  • — Chrome extension
Get Started
Professional
$699/mo
For behavioral health billing companies managing multiple facilities and a full UR team.
  • ✓ Everything in Starter
  • ✓ 10 UR specialist seats
  • ✓ 5 facilities
  • ✓ Billing integration
  • ✓ Analytics & Metrics
  • ✓ Priority case alerts
  • ✓ HIPAA BAA included
  • — Chrome extension
  • — White-label
Book a Demo
Enterprise
$1,499/mo
For large billing companies and MSOs managing unlimited facilities with full platform access.
  • ✓ Everything in Professional
  • ✓ Unlimited specialists
  • ✓ Unlimited facilities
  • ✓ Criteria Analyzer (Chrome)
  • ✓ Kipu EMR integration
  • ✓ White-label option
  • ✓ Dedicated account manager
  • ✓ Custom onboarding
  • ✓ API access
Contact Sales

+ $75/additional specialist seat  ·  + $75/additional facility  ·  + $199/mo Criteria Analyzer add-on  ·  Annual billing saves 15%

Social Proof

Built for the people
doing the work

★★★★★

"We used to spend 3–4 hours per patient writing ASAM documentation. CriteriaIQ does it in under 2 minutes and the quality is better than what our team was producing manually."

JR
Jennifer R.
Director of Utilization Review, Behavioral Health Facility
★★★★★

"The P2P tracking alone has saved us thousands. We used to lose track of peer review schedules constantly. Now everything is in one place and nothing falls through the cracks."

MC
Marcus C.
UR Specialist, Behavioral Health Billing Company
★★★★★

"Having billing and UR in the same platform changed everything. Our billing team sees exactly what was authorized, when, and why — and claims go out faster than ever."

SL
Sarah L.
Revenue Cycle Manager, Multi-Facility Operator

Ready to close the revenue gap?

See how CriteriaIQ can transform your utilization review and billing operations in a 30-minute demo — no commitment required.

Book a Free Demo → Access the Platform

HIPAA compliant · No credit card required · Setup in under 24 hours