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