Technology to Support and Streamline Utilization and Care Management

Our technology solutions provide you with a range of options to give you easy access to InterQual® Criteria and streamline medical review and prior authorization processes.

Choose the InterQual access solution that is best for you

We offer a range of InterQual access options for payers and providers from the simple view to an interactive medical review or mobile access.

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Automate authorization at the point of decision

Our innovative technology, for payers, automates the medical review and authorization process to eliminate unnecessary prior authorization costs and hassle while improving payer/provider collaboration. Whether you need a solution integrated into the systems you already own or one that can standalone, our solutions help streamline the authorization process.

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Get better control of your molecular diagnostic costs

Our solutions help health plans better manage the explosion in number and cost of molecular diagnostics (MDx). Get control of your MDx testing with unique identification and policy management from the McKesson Diagnostics Exchange™, our automated medical review and authorization technology, and InterQual Criteria for MDx to help determine medical necessity.

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Optimize your team’s use of InterQual

  • InterQual Interrater Reliability Suite. Measure how well and how consistently your staff applies InterQual Criteria with this Web-based tool to help improve usage and quality within your organization.
  • InterQual Content Customization Tool. Author and edit guidelines to incorporate locally developed business and medical policies into a single workflow with your licensed InterQual Criteria.