Solution

Industry Content powered by InterQual®

An easy-to-use solution for providers and payers who want to support consistent application of third-party content and policies and improve review workflow. 

 

Structured,interactive guidance to support efficient reviews

Streamline your workflow

Access disparate policies by relying on content from third-party sources converted into a Q&A format and incorporated within your existing InterQual workflow. 

Reduce your administrative burden

Support the consistent and efficient application of medical policies by consolidating content sources and avoiding the need to use or update multiple systems.

Support Medicare alignment

Align your decisions with Medicare NCDs/LCDs and policies by relying on criteria for medical necessity support, quantity and time-frame utilization limits, and non-covered indications and services.

What's included

  • Comprehensive content

    • Medicare Procedures
    • Medicare Durable Medical Equipment
    • Medicare Molecular Diagnostics and Lab
    • Medicare Imaging
    • Medicare Pharmacy
    • Medicare Behavioral Health
    • Third-party content

PRODUCT SUPPORT

Need support for
this solution?

Our outcomes

View all insights

Let’s start a conversation

We’re here to help you find out how this solution could benefit your organisation. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.