With InterQual Connect™, payers can easily automate all authorization requests, even those requiring medical review, within their existing systems. Providers receive quicker authorization approvals for most requests and payers only need to touch the exceptions that can’t be approved automatically—no more duplicative medical reviews or wasting precious staff time on routine authorizations. - InterQual Medical Review & Authorization: InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web service, with proven and secure connectivity. - A Unique Solution: The only integrated solution to enable full auto authorization, including medical review. - Uses Existing IT Infrastructure: No new hardware, software or IT staff required. - Easy to Implement: Time to value can be as little as 60 days when using a certified Change Healthcare Alliance Partner. - Provides Fast, Secure Connectivity: Uses the proven authorization gateway. - Keeps Users in Existing Workflows: Providers submit an authorization request, and payers receive the request and medical review from within their current UM/CM workflow. - Delivers Real-time InterQual Access: Just-in-time content from our cloud platform helps ensure you get the latest version, but you can choose when to make the switch. - Aligns with InterQual Hospitals: Payers benefit from the shared clinical language with thousands of InterQual hospitals plus a direct connection to those hospitals already on the InterQual Connect cloud. - Supports Payer/Provider Collaboration: Helps reduce the costs and hassle of prior authorization, while providing full transparency of payer criteria to providers. - Medical Review Service: Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s provider portal. You get the same leading evidence-based InterQual Criteria combined with our modern, user-friendly interface. The SaaS platform helps you reduce your IT burden, providing realtime access to content. You receive software and content upgrades automatically without waiting for installation and validation, but still maintain control of when to switch to the newer content. You also gain the freedom to make the Medical Review Service available throughout a networked system, such as a multi-hospital and outpatient network or multi-location payer. The Medical Review Service works with any modern browser. - Secure Authorization Connectivity: Our cloud platform and authorization gateway enable the creation of a secure network of connected payers and providers by providing a common language, standard API protocols, access controls and routing rules. Providers transmit an authorization request, complete with an InterQual medical review, through the gateway directly to a payer. The payer system then applies business rules and the InterQual Criteria to this request, and instantly delivers the authorization status back through the gateway to the provider. The gateway has been deployed as part of our cloud solutions, and currently supports thousands of authorization transactions per week between connected payers and providers. It is optimized for our interoperable (XML) medical review format, and can also support the HIPAA X12 278 transaction standards.

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

The Clinician Journey with Avo Assistant:

• Reviews Patient Chart: Clinician reviews the patient chart prior to encounter, receiving an automated chart snapshot and best next step summary in the EHR based on the patient records and institutional guidelines.
• Records Patient Conversation: Clinician meets with the patient and records the conversation on mobile using Avo’s scribe technology, or using existing ambient software. 
• Generates Documentation: Clinician goes back to workstation and in one-click auto-generates documentation in any format, thanks to easy prompting available behind-the-scenes in Avo Builder.
• Submits Orders and Billing Codes: Clinician uses Avo Pathway to check protocol for admitting this patient and pends orders based on the latest evidence. Clinician submits note with MEAT criteria for accurate billing. 

Avo’s clinician support platform empowers healthcare organizations to standardize care and reduce burnout by effortlessly incorporating guidelines and protocols into the clinical workflow. By centralizing the latest information and transforming it into actionable tools in the EHR (or outside of it), Avo simplifies everyday tasks like pre-charting, care planning, documentation, ordering, and more. 

Avo’s foundational product, Avo Pathway, is a medical reference tool that comes with a free library of digitized society guidelines and top calculators. In addition to customizing pre-built templates from leading medical societies and academic medical centers, health systems can leverage their own content to turn pages of guidelines and protocols into useful clinical tools.  

Avo’s time-saving AI product, Avo Assistant, is an end-to-end clinical workflow tool that helps healthcare organizations reduce burnout by automating every day tasks like pre-charting, care planning, documentation (with ambient listening) and ordering. 

The platform is EHR integrated and powered by its "no-code" Avo Builder, which allows systems to use drag-and-drop functionality to customize Avo products. After a quick one-time install, updates can be published immediately without needing IT support. 

Avo was built for clinicians, by clinicians. Randomized control trials have shown that Avo saves clinicians 50% of their time on average and has improved admission delays to the ED by 30%. Importantly, nearly 100% of Avo users advocate for more Avo use cases after implementation. At Avo, we believe there is a better way to standardize care - with love, not alerts. 

• Easily create and customize clinician tools with a versatile “Builder”: Create interactive clinician tools that can be deployed across a variety of use cases by leveraging “drag and drop” features and templates that pull in relevant evidence-based guidelines and patient information into the workflow to help drive clinician efficiency and aid in decision making. 
• Simply deploy and maintain clinician tools in the EHR with little-to-no technical resourcing: Implement quality improvement, cost reduction, and reimbursement initiatives in the clinical workflow without requiring months of IT resourcing; after a simple initial install, tools can be created and updated with 0 technical resourcing. 

• Drive meaningful clinician adoption with love, not alerts: Drive clinician adoption of organizational initiatives with a tool that clinicians love to use because it empowers them to be more efficient and stay up-to-date on the latest evidence without adding technical or administrative burden to their workflow. 
• Affordable: Competitive pricing that is unmatched in the AI scribe market to meet the needs of smaller hospitals and clinics. 
• Comprehensive: Intelligently combines past medical records, lab results, and evidence-based guidelines to generate new documentation that reflects the next best steps for patient care (when EHR integrated).
• Languages and Participants: 50+ languages and accurately captures interactions with 3+ participants (i.e., child, parent, translator, and clinician).