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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
InterQual Connect™
InterQual Connect™

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Categories

Solutions

Description

Product Description:
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.
About Change Healthcare:
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.
Product Description:

Deliver convenient, quality care asynchronously

Bright.md’s asynchronous telehealth solution lets providers treat low-acuity conditions virtually, without a real-time interaction—all while driving patient satisfaction and quality outcomes. With evidence-based clinical content and seamless integration into your existing workflows, Bright.md automates administrative work to allow providers to practice at the top of their license.

What is Bright.md?

Bright.md is a complete, white-labeled solution for health systems to empower their patient population with self-service online tools that guides them to the optimal type of care based on their concern, and when determined appropriate, take a thorough symptom assessment to receive a diagnosis and treatment plan from their own providers. 

Self-service symptom assessment

Enable an accessible care option 24/7 for common conditions via a patient initiated, online symptom assessment to gather all necessary information for 130+ treatable diagnoses.

Clinical decision support and automated chart note

Treat low-acuity conditions quickly and efficiently, while preserving clinical judgment and autonomy with Bright.md’s evidence-based clinical decision support for diagnosing. Bright.md translates the patient interview into a chart-ready SOAP note and makes it readily available via MDM interface for integration as an encounter in the EHR (Epic, Cerner, Athena).

Online care finder

Achieve positive patient outcomes at lower costs with digital navigation that guides patients to the optimal venue of care, right from your website or portal.

Bright.md is trusted by enterprise health systems around the country including Presbyterian Healthcare Services, Baptist Health, UnityPoint Health, Prisma Health, Mercy Health, and OHSU.

About Bright.md:

Bright.md’s asynchronous telehealth solution lets providers treat low-acuity conditions virtually, without a real-time interaction—all while driving patient satisfaction and quality outcomes. With evidence-based clinical content and seamless integration into your existing workflows, Bright.md automates administrative work to allow providers to practice at the top of their license.

Health systems around the country, including Baptist Health, Prisma Health, UnityPoint Health, CoxHealth, OHSU, ProHealth Care, and many more, choose Bright.md to improve patient access to quality care, alleviate administrative burden on providers, stay competitive with a convenient, consumer-centered experience, and reduce costs of delivering low-acuity care.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Bright.md is accessed via SSO with EHR portal credentials. Patient interviews are available on-demand from a mobile or desktop with just a 3G connection, in English and Spanish.

Bright.md provides an asynchronous virtual care solution in which a patient completes an online symptom assessment, which is reviewed by a provider who recommends a treatment plan and diagnosis. Data required for treatment is collected via a series of clinical interview questions that the patient provides answers to via multiple choice, open text, or by uploading a photo relative to their concern. Allergies, medications, and problem list for the patient is brought in from the EHR and made visible to the provider who is providing treatment.

Bright.md translates the patient interview into a chart-ready SOAP note and makes it readily available via MDM interface for integration as an encounter in the EHR. Bright.md presents all necessary information for the provider to confirm the diagnosis, change the diagnosis, or escalate the patient to a higher modality of care if they feel that treatment cannot be provided asynchronously.

Technical support is provided to our health system customers directly. We offer 24/7 support for our provider users and program administrator users.

Bright.md is staffed by health system providers, typically using a centralized care team that manages virtual visits. We can support multiple provider pools that may specialize in certain types of conditions, so patients awaiting treatment are segmented by condition.

Bright.md provides in-depth reporting to our customers to measure their utilization and success over time. Specific reporting metrics include: Provider efficiency Interview utilization Common diagnoses Patient satisfaction and feedback Prescription volumes Escalation rates

Bright.md provides the software solution for health systems to treat 130+ diagnoses virtually, without the use of video (asynchronous telehealth). Patients complete an on-demand interview at any time that captures a thorough symptom assessment while ruling out potentially emergent conditions, just like a face-to-face visit with a clinician. Patients receive questions based on their answers, and if an emergent condition is suspected, the patient is escalated out, with recommended next steps configured by your system. Clinical decision support provides a recommended diagnosis and treatment plan derived from evidence-based guidelines, along with a SOAP formatted chart-note logged as an encounter in your EHR—allowing providers efficiency while preserving autonomy and clinical judgment. Once the provider completes the asynchronous visits, the patient receives a complete after visit summary with treatment instructions and education, along with any prescriptions sent electronically to their preferred pharmacy.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

Urgent Care

Expand your urgent care capacity with convenient, self-service asynchronous telehealth that attracts and retains patients to your system

Asynchronous treatment provided for conditions commonly seen in urgent care setting including:

  • Bladder infection
  • Burn
  • Cold/Cough/Flu/COVID-19
  • Ear pain
  • Eye pain
  • Head lice
  • Mastitis
  • Mouth sores
  • Rash
  • STI exposure
  • Yeast infection

Primary Care

Treat patients faster, on their schedule, and preserve your providers' in-clinic time by redistributing low-acuity patients to online asynchronous treatment.

Asynchronous treatment provided for conditions commonly seen in primary care setting including:

  • Acne
  • Allergies
  • Birth control
  • Constipation
  • Depression/Anxiety
  • Erectile Dysfunction
  • GERD
  • Hair loss
  • Low back pain
  • Migraine/Headache
  • Smoking cessation

Behavioral Health

Take on the mental health crisis, and enable more people to seek the help they need with convenient, proven asynchronous care for anxiety and depression.

Using validated screening tools such as the GAD7, and PHQ9, Bright.md can diagnose and treat common mental health disorders including:

  • Generalized anxiety disorder
  • Mild depression
  • Mixed anxiety and depression
  • Major depressive disorder

Digital Front Door

Alleviate patient confusion and overwhelmed call centers with digital navigation that guides patients to the optimal care venue based on patient reported symptoms.

Navigate, by Bright.md is configured with 100+ conditions for patients to select when seeking care guidance. The most common conditions patients are seeking care for include:

  • Cold/Cough/Flu
  • Covid testing
  • Sore throat
  • Covid symptoms
  • Sinus
  • Ear pain
  • Anxiety/Depression
  • Annual physical
  • UTI
Pediatric use cases:

Parents and caregivers can easily receive convenient, accessible care for their dependents using Bright.md. We offer unique pediatric interviews (specially developed for the needs of pediatric patients) for the following conditions:

  • Acne
  • Burn
  • Ear concerns
  • Eye concerns
  • Head lice
  • Rash
  • URI
Users:

Enterprise health systems looking to solve challenges around provider shortages and burnout, rising consumer expectations, and access to equitable care.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Ambulatory EMR, Patient portal, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, athena

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Our content is evidence-based and updated regularly based on the latest clinical guidelines. It is developed, constantly evaluated and updated based on user data and feedback, and maintained by a team of physicians, writers, and editors. Our Interview is available in English or Spanish with medically-certified translation, and all of our content is created at a 4th-grade reading level, removing medical jargon and using images as easy guides. 

Because we've been building and refining our clinical content for more than eight years, improving with reviews and feedback from clinician leaders at some of the top health systems in the country, we've built a clinical content engine that cannot be replicated.

One of the Lead Clinicians at one client shared that he reviewed all of our content in detail and was "extremely impressed", sharing that it would "take thousands of hours of clinician time to even attempt".

Differentiators vs Competitors:

Robust, Proprietary Clinical Content

With Bright.md, your providers are reviewers of content, not creators. Our evidence-based content containing 29 unique interviews, and treating 130+ diagnoses, is developed and maintained by a team of board-certified physicians to keep yours focused on delivering care to patients.  

Self-Service Administration

Respond quickly to changing demands with real-time access to custom care routing, interview activation, and more.

Bi-directional EHR Integration

Drive long-term care delivery efficiencies with asynchronous visits that are integrated into your clinical operations workflow.

Bright.md uses standard HL7 protocols and FHIR APIs to sync information that decreases the administrative burden on providers, while creating easy access for patients. 

Keywords

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Downloads

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Company Details

Founded in 2007

Founded in 2014

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