Provided are a computer program product, system, and method for determining user interactions with natural language processor (NLP) items in documents to determine priorities to present NLP items in documents to review. Information is received on user interactions with natural language processing (NLP) items in documents presented at least one computing device. Indication is made in a database of user interaction information on the user interactions with the NLP items indicated in the received transmitted information. The user interaction information in the database providing interaction information for NLP items in the selected document is used to determine an order of the NLP items in the selected document. Content of the NLP items in the selected document is transmitted to present to a reviewing user at a reviewing computing device in the determined order.