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
Our outcomes
PRODUCT SUPPORT
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- InterQual® Level of Care Criteria Assess the safest and most efficient care level based on severity of illness, comorbidities, complications, and the intensity of services being delivered. Learn more
- InterQual® Optimization Solutions Clinical education, interrater reliability, and solutions for InterQual optimization clients who want to get the most from their InterQual solution. Learn more
- InterQual® Behavioral Health Criteria Discover how to manage the delivery of mental health and substance use care, including initial and concurrent level‐of‐care decisions. Learn more
- InterQual® Technology Explore our interactive desktop, mobile, and cloud options for accessing InterQual® Technology and streamlining the medical review process. Learn more