• Interqual Criteria Manual 2016 Book

Interqual Criteria Manual 2016 Book

InterQual aligns payers and providers with actionable, evidence-based clinical intelligence to support appropriate care and foster optimal utilization of resources. The foundation of the InterQual solution is our market-leading clinical Criteria, which helps payers and providers consistently apply evidence-based clinical decision support. Our Delivery options help reduce administrative cost by streamlining the medical review process. And our Optimization services ensure you get up and running quickly and efficiently and can use InterQual effectively. And build on this foundation with technology to automate the creation of the medical review and automate the prior authorization process, enabling exception-based UM.