Two products, two pricing models
Chrome Extension Full RCM Platform

Running UR or billing for a whole team? You're in the right place. Just reviewing charts one at a time? See Chrome extension pricing instead.

Simple pricing.
No surprises.

All plans include unlimited authorizations, document storage, audit trail, email notifications, and multi-tenant isolation. Cancel anytime.

Every competitor makes you request a demo. We publish our prices — start today, no sales call.

Prefer to see it running first? Book a 20-minute demo → or watch the walkthrough →

Already on Kipu? See how CriteriaIQ RCM compares →

Monthly
Annual Save 15%
What You're Buying

One platform instead of a stack of spreadsheets.

65%
of appealed denials are overturned — most facilities never appeal. CriteriaIQ builds the appeal for you.
11 hrs
lost per specialist, per week, to manual tracking and phone calls — time this platform gives back.
1
source of truth for UR, authorizations, denials, and billing — instead of spreadsheets, email threads, and sticky notes.
How It Works
1
Connect Kipu or BestNotes
API sync, no migration. Active patients flow into authorization records automatically.
2
Track UR & denials in one place
Review deadlines, P2P scheduling, and denial workflows replace the spreadsheet.
3
Recover revenue, faster
Automated appeal letters and analytics turn denials into recovered claims instead of write-offs.
UR Starter
$254
per month, billed annually
For small billing companies managing 1–2 facilities.
Less than the cost of one denied claim going unappealed.
  • 2 UR specialists
  • 1 facility
  • Authorization tracking
  • Denial management
  • Email notifications
  • Document upload
  • Audit trail
Enterprise — Multi-Facility Operators
$2,549
per month, billed annually
For large billing companies and multi-site organizations.
A fraction of one FTE's salary, covering unlimited specialists.
  • Unlimited specialists
  • Unlimited facilities
  • Everything in Professional
  • Criteria Analyzer included
  • Priority support
  • Custom onboarding
  • Dedicated account manager
White-Label
$4,249
per month, billed annually
Resell CriteriaIQ RCM under your own brand to your clients.
One resold client covers the month.
  • Your logo and brand colors
  • Custom domain
  • Everything in Enterprise
  • Resell to unlimited clients
  • Dedicated support line
  • Custom contract terms
  • Co-marketing available

14-day free trial · no credit card required · cancel anytime · billed securely via Stripe

On a different EMR? Kipu and BestNotes sync out of the box — most other behavioral health EMRs with an API can be connected through a custom integration on request. Ask us about yours →

See the math

Estimate what this saves your team

A time-savings estimate, not a promise — drag the sliders to match how your team actually works today.

Authorizations submitted per month75
Minutes spent per authorization today35 min
Average hourly cost of UR/billing staff$28/hr
Time saved per authorization (your estimate)35%
Estimated time back, per month
15 hours
Estimated value of that time
$420/mo

These numbers come from the assumptions you set above, not customer-reported results — we're an early-stage product and don't yet have enough customer data to publish real averages. Adjust any slider to match your own facility.

Check the fit

Where each step of your workflow lives

Use this as a checklist during your trial. Go down the list, find the step in your own process, and confirm it is covered before you commit. Some features depend on your plan, so check the tiers above.

Workflow stepWhat you trackWhere it livesWhat it does
Verify benefitsCoverage dates, deductibles, out of pocket maximums, network statusVOBEligibility checks are documented and linked to the authorization they support.
Request and track the authorizationDates, status, and what the payer approvedAuthorizationsEvery authorization in one place, with automated reminders before it lapses.
Schedule concurrent reviewsKnowing which reviews are due, and whenReviews Due TodayConcurrent review scheduling plus in app and email alerts for due dates and expiring authorizations.
Handle peer to peer and appealsTracking calls, outcomes, and appeal deadlinesAuthorizationsPeer to peer tracking and appeal management sit on the same authorization record.
Check clinical criteriaASAM 4th Edition, Milliman MCG, InterQual BHCriteria AnalyzerAI assisted analysis and phone review scripts. Included with Enterprise, see the tier comparison above.
Bill and track claimsClaim status, submission dates, agingBilling, ClaimsStatus and aging across 0 to 90+ day buckets, alongside UR and denials.
Collect and post paymentsMatching payments to claimsBilling, Collections & Payment PostingPayment posting in the same place as the claims it belongs to.
Report on approvals and denialsApproval rates, denial trends, AR agingAnalytics & MetricsFilterable by date, facility, and payer.
Keep facilities informedFewer where is my auth phone callsClient portalRead only facility login showing the status of their own patients' authorizations.
Pull patients from your EMRRe entering census data by handKipu or BestNotes syncActive patients sync into authorization records using your existing API credentials.

Prefer to see it first? Watch the platform walkthrough or book a live walkthrough.

Not ready for a trial yet?
Get the 3-email rundown on pricing, the BAA, and what switches on day one.
No pitch — just the answers UR directors ask before they start: what happens to their data, how the Kipu/BestNotes sync works, and how to cancel if it's not a fit.
  UR Starter Professional
UR teams up to 5
Enterprise
Multi-facility operators
White-Label
SpecialistsUp to 2UnlimitedUnlimited
Facilities1UnlimitedUnlimited
Authorization tracking
Denial management
Client portal
Kipu / BestNotes EMR sync
API webhooks
Analytics dashboard
Criteria Analyzer included
White-label / resell
Not sure which plan?

Talk to us before you commit.

We'll help you find the right fit for your billing company or facility. No commitment required.

Start Free Trial Book a Demo →
Direct support from the CriteriaIQ team — built and supported by someone who's worked utilization review since 2012, not a ticket queue.