Built for US infusion therapy clinics

Turn evidence into a packet your payer can act on.

Criterune extracts the findings that matter, matches them to payer-specific medical-necessity criteria, and prepares approval-ready authorization packets and appeal drafts for staff review.

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Human review stays in the loop. Every time.

Packet review

Infusion continuation
Evidence linked
Diagnosis + treatment history04 links
Payer criteria mapped07 / 07
Staff reviewNext
Audit trail readyCR-2048

Authorization work is clinical work with an administrative tax. Criterune is built for the teams carrying both.

Specific

To the payer and denial reason

Traceable

Back to the patient record

Reviewable

By the staff who know the case

The Criterune workflow

Less hunting. More defensible decisions.

A focused evidence-to-authorization layer for clinics where a missing detail can delay treatment or put reimbursable revenue at risk.

  1. 01

    Gather the record

    Bring together notes, labs, treatment history, and the documentation already in the chart.

  2. 02

    Map the evidence

    Criterune finds relevant findings and lines them up with the payer criteria that matter for the request.

  3. 03

    Review the packet

    Staff get a traceable authorization packet or appeal draft with linked evidence ready for human review.

What the packet carries

A clearer line from chart to authorization.

Criterune is designed around workflow reliability without asking clinics to surrender clinical oversight.

Payer-aware criteria
Match documentation to specific medical-necessity requirements instead of searching through policy PDFs by hand.
Traceable evidence links
Keep every important assertion anchored to the patient record so reviewers can see where it came from.
Appeal drafts for the denial reason
Respond to the reason a claim was denied with a focused draft your team can refine and approve.
Workflow-ready by design
Plan for EHR and FHIR integrations, specialty templates, and denial-pattern tracking as your clinic scales.

Start with your authorization workflow

Make the next packet easier to defend.

Tell us where your team spends the most time today. We’ll show you how Criterune can fit around the review process you already trust.

criterune-6@polsia.app