Software

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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What's included in InterQual Technology

  • Streamline InterQual reviews with Medical Review Service

    • Perform interactive InterQual medical reviews, integrated into your existing UM/CM workflow
    • Use the most current, InterQual cloud-based criteria
    • Share medical reviews electronically between providers and payers
    • Access automatically created medical reviews generated by InterQual AutoReview

  • Safeguard PHI with Anonymous Review

    • Perform interactive InterQual medical reviews in a user-friendly interface that complements the case manager’s workflow
    • Use the most current, InterQual cloud-based criteria
    • Complete reviews without specifying patient data, helping you comply with government DICAP requirements  

  • Conveniently access InterQual criteria

    • Access InterQual criteria from anywhere with convenient mobile access*
    • Get locally-installed, reference-only access with InterQual View*
    • Opt for affordable, cloud-based access with InterQual Online, delivered in a reference-only format with a simple, easy-to-use interface
    • Give network providers an easily navigable, reference-only view with InterQual Transparency

    *included with your license

Technologyoptions to view criteria and streamline medical reviews

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Interactive InterQual software to streamline the medical review process

Streamline the medical review and prior auth process with the interactive Medical Review Service SaaS solution integrated into your existing UM/CM system. Use our InterQual software to help improve efficiency and accuracy of utilization reviews. Plus, protect sensitive PHI with the Anonymous Review option.

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Convenient access options to meet any need

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

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A transparency solution to enable payers to share criteria with providers

Use our InterQual software to comply with state regulations and adhere to NCQA guidelines by making your clinical decision-making criteria transparent to providers. InterQual Transparency is an integrated cloud-based solution that provides physicians and members with intuitive, reference-only access to the InterQual criteria within payers’ provider portals.

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  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

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Our outcomes

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