InterQual® Utilization Management logo

InterQual® Utilization Management

By Change HealthcareProductivity

Rating
Not rated yet
Reviews
No reviews yet
Pricing
Paid
From $1 per company per year
Listed since
2021

About InterQual® Utilization Management

Drive Appropriate Care and Efficiency

With the InterQual® Utilization Management application, case and utilization managers, across hospitals and health plans have access to the latest evidence-based InterQual® Criteria and can efficiently conduct a medical necessity review where they want to, within their workflow.

Hospitals who use InterQual® AutoReview can receive the automated review, with embedded EHR data, within the Health Cloud workflow; reducing administrative burden and allowing case managers to focus on managing and progressing patient care.

To further drive efficiency and transparency, health plans can enable provider access via a portal on Experience Cloud, streamlining the prior authorization process by eliminating faxes, phone calls, and the need to conduct redundant reviews. ​ .

Highlights

  • Increase efficiency and streamline the medical review process by integrating it within your existing workflows
  • Support appropriate care and regulatory requirements with evidence-based criteria
  • Increase payer/provider collaboration by removing costly barriers, providing quicker authorization approvals and providing transparency with evidence-based criteria

Screenshots

InterQual® Utilization Management screenshot 1

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Pricing

Paid, from $1 per company per year.

InterQual® Utilization Management plans
PlanPriceBilled
Default Plan$1 per companyYearly

Compatibility

Salesforce editions
  • Enterprise
  • Unlimited
  • Performance
Lightning Experience
Supported
Salesforce mobile app
Not supported
Salesforce security review
Passed on September 3, 2021
Languages
  • English

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