Utilization Review Software

Behavioral health UR software
built by a UR professional.

CriteriaIQ is the only behavioral health utilization review platform built by someone who spent 20 years doing UR. Every feature solves a real workflow problem.

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Two Products

Chrome Extension
or full RCM platform.

Criteria Analyzer

Chrome Extension for Kipu EMR

AI-powered medical necessity analysis directly inside your Kipu workflow. ASAM, MCG, InterQual, and LOCUS analysis in under 60 seconds.

19 analysis buttons covering all criteria frameworks and LOCs
Phone review scripts and appeal letters
Works on your existing Kipu account — no EMR change needed

Start Free Trial from $149/mo

CriteriaIQ RCM

Full UR Management Platform

Complete utilization review management for behavioral health billing companies. Multi-tenant, multi-facility, with client portal.

Authorization tracking, concurrent reviews, denial management
Eligibility verification, client portal, analytics
Kipu EMR sync and API webhooks

Why CriteriaIQ

The only UR tool built
by a UR clinician.

⚕

ASAM 4th Edition

All six dimensions scored with explicit risk ratings and authorization probability. Initial and concurrent review.

🧠

Milliman MCG

MCG behavioral health criteria for Residential, PHP, and IOP. SI/IS domain scoring with PHQ-9 and GAD-7 integration.

📋

InterQual BH

InterQual Behavioral Health criteria with explicit lettered sub-criterion citations. Inpatient, PHP, and IOP.

📞

Phone Review Scripts

Ready-to-read scripts for peer-to-peer and concurrent review calls. Organized by criteria framework.

✍

Appeal Letters

Framework-specific appeal letters citing the exact criteria used to deny. One click from any analysis.

🔒

HIPAA Compliant

BAA provided on all plans. PHI processed in-memory only. Full audit trail on every access.

Ready to save 47 minutes per authorization?

14-day free trial. No credit card required. Works on your existing Kipu account today.

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Behavioral health UR softwarebuilt by a UR professional.

Chrome Extensionor full RCM platform.