Change Healthcare InterQual Guidelines for Pega Care Management
Easily Integrate with Industry Leading Medical Necessity guidelines.
Seamless integration between Pega Care Management and Change Healthcare InterQual provides clients with access to industry-leading, evidence-based medical necessity guidelines. With this connectivity, the review summary of guidelines generated by Change Healthcare InterQual are maintained within the workflow and stored in the patient record as a basis for approving authorization requests along with real-time, bidirectional interactions with Review Manager.
- Access evidence-based guidelines
- Review UM requirements within the workflow
- Manage Admissions, concurrent review, and discharge planning
- Integration ruleset for easy integration
Compatible withPega Platform 8.7
Product OwnerChip Warburton
Last updatedFebruary 2, 2023
Product CapabilityData Integration