Solution

InterQual® Technology

A variety of access options for providers and payers who want to use InterQual Criteria and streamline the medical review process.
 

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Technologyoptions to view criteria and streamline medical reviews

Optimize your workflow

View InterQual criteria at your desktop or on the go by using our convenient options for mobile delivery and  reference-only access with locally installed and web-based applications.

Improve care team collaboration

Grant network providers access to InterQual criteria subsets by implementing an intuitive, reference-only format through their provider portals. 

Streamline the care review process

Guide clinicians through the criteria and enable the prioritization, sharing, and scheduling of follow-up reviews by following clearly defined workflows.

What's included

  • Access options for InterQual® Technology

    • Get locally-installed, reference-only access to view features, informational notes, and citations (included with your license)
    • Rely on a simple user interface for Android™ and iOS (Apple®) mobile devices to access InterQual Level of Care Criteria, without needing a data connection (included with your license)
    • Opt for affordable, cloud-based access to InterQual Criteria, delivered in a reference-only format with a simple, easy-to-use interface
    • Give network providers an easily navigable, reference-only view of InterQual Criteria via their provider portals

  • Applications to streamline InterQual medical reviews

    • Combine InterQual Criteria access with data management, aggregated reporting, and review transmission capabilities via our Review Manager solution
    • Perform interactive InterQual medical reviews without revealing protected health information with our cloud-based Anonymous Review solution
    • Automate the prior-authorization and medical review process with our cloud-based Medical Review Service, integrated into your existing UM/CM system 

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Our outcomes

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Article

Cloud Access Speeds Delivery for Clinical Decision Support

Article

Cloud Access Speeds Delivery for Clinical Decision Support

Find out how evidence-based criteria and cloud delivery is helping save lives.

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On-demand Webinar

InterQual Procedures & Retrospective Monitoring Criteria

On-demand Webinar

InterQual Procedures & Retrospective Monitoring Criteria

Explore how InterQual® Procedures Criteria and InterQual® Retrospective Monitoring Criteria supports medical appropriateness and quality improvement.

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Article

Electronic Prior Authorization Rule Public Policy Brief

Article

Electronic Prior Authorization Rule Public Policy Brief

Read the public policy brief to learn more about the original CMS regulation, the potential impact if re-enacted, and what to consider when planning.

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