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we use the cloud version and we and since we are appealing claims after they have been denied by the payer so after the fact weamp;#39;re not doing concurrent reviews itamp;#39;s more to substantiate the denials with the criteria that we use that for that purpose Iamp;#39;m noticing more getting paid just because you know the nurses that I work with they have different specialties and they you know you canamp;#39;t know everything about everything so they can use the search bar and pull down the criteria and make sure they have all that information in their letter or print off the criteria as well and include it with their letters we kept seeing denials from the payers and they would use mcg or Milliman as their reasoning why they denied well we didnamp;#39;t have that criteria available to us so if we get a little piece of information weamp;#39;d hold on to it so we had all these little pieces of information but not the actual mcg product itself and I just felt like it would mak