60-70%
Reduction in review time
EvidenceIQ
Evidence You Can Sign.
A governed evidence solution for payers, independent reviewers, and provider appeals teams. It searches only approved sources, shows both sides, and leaves a receipt.
From First Question to Signed Receipt
Watch an appeal, an independent review, a workers’ comp review, and a policy alarm run on one solution.
Every Decision Needs Defensible Evidence.
When an insurer says no to a procedure or drug, someone has to check what the research says. The work varies by reviewer, and later it is hard to prove what was read and who signed.
From the Medical Director to the CIO
Medical Director / VP Utilization Management
Today
Your decisions carry deadlines and specific reasons, while reviewers search sources one by one.
With EvidenceIQ
A cited brief for every case, with both sides shown, so your physicians stay in charge and every reason is explainable.
Today
Your decisions carry deadlines and specific reasons, while reviewers search sources one by one.
With EvidenceIQ
A cited brief for every case, with both sides shown, so your physicians stay in charge and every reason is explainable.
How EvidenceIQ Prepares Every Decision
Only Your Approved Sources
Your team sets the sources, recency window, and citation rules. Anything off the shelf is blocked and logged.
Evidence For and Against
Supporting and opposing evidence are ranked under each criterion, with study type and recency shown.
A Receipt for Every Decision
Each run records the shelf version, sources searched, items blocked, and who signed, ready to export for audits and appeals.
The Rule the Decision Relied On
Policies split into individual criteria, each in plain English, with the criterion the denial relied on flagged for evidence.
The Right Rulebook for Every State
The claim’s state selects the mandated guideline. Licensed text goes to a nurse to confirm in the guideline.
A Watch on Every Policy
A weekly re-check flags new trials, FDA actions, and coverage decisions that could change a policy, and drafts the update brief.
What Sets EvidenceIQ Apart
Runs in Your Cloud
Your sources, rules, and models sit in your own environment, free to change as your needs change.
A Person Always Signs
EvidenceIQ prepares the evidence and scores each criterion. A clinician makes the decision and signs it.
A Working Framework on Day One
Each client starts from a built framework and adds its own sources, rulebook, and outputs, from appeal letters to policy briefs.
Impact Story
40%
Decrease in processing errors
3x
Improvement in reviewer throughput
An agent that prepares clinician review packages cut prior authorization review time by 60-70%.
Reviewers worked across fragmented records and policy documents, finding the right criteria by hand. We built an agent that organizes the record, retrieves policy content and medical necessity criteria, and prepares a review package for the clinician, from pilot to production in under 30 days.
Read Case Study
Frequently Asked Questions
Let’s Talk!
Bhupesh Nadkarni
Head, Healthcare
We build it. You own it.
Our Offices
New York
Dubai
India
