Solution
InterQual® Connect
An integrated medical review and connectivity solution for payers and providers who want to automate prior authorizations within their existing workflows.
Flexibleintegration to simplify the prior authorization process
Reduce your administrative burden
Streamline the medical review process by integrating automated prior authorizations into your existing workflows and eliminating redundant medical reviews.
Increase payer and provider collaboration
Remove costly interoperability barriers by enabling faster authorization approvals and providing transparency into medical review and authorization criteria.
Reduce your IT burden
Speed deployment and conserve your IT resources by implementing an integrated solution with alliance partners that doesn’t require new hardware or software.
Support medical necessity
Conduct efficient medical reviews by using InterQual® Criteria within your existing UM/CM system workflow or a payer’s provider portal.
What's included
PRODUCT SUPPORT
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Our outcomes
- InterQual® Coordinated Care Discover our cloud-based care coordination solution that helps with complex care management of high-risk members and patients with a single, blended care plan. Learn more
- InterQual® Alliance Partners Join the wide range of leading Health Information Solution companies that partner with InterQual to enable integrated decision support for mutual payer and provider clients. Learn more
- CareSelect® Risk Assessor Discover our EHR-integrated clinical calculator that automates breast cancer risk assessment to drive fast, accurate risk calculation and help reduce burden. Learn more
- CareSelect® See how our complete portfolio of EHR-integrated decision support solutions provides clinicians with the guidance they need within their existing workflows. Learn more