Skip to main content

Pega Marketplace Terms of Use

Change Healthcare InterQual Guidelines for Pega Care Management

Easily Integrate with Industry Leading Medical Necessity guidelines.

By using or submitting listings via the Pega Marketplace, you agree to our Terms of Use.


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. 

Key Features

  • Access evidence-based guidelines
  • Review UM requirements within the workflow
  • Manage Admissions, concurrent review, and discharge planning
  • Integration ruleset for easy integration


Installation and Integration Guide




Compatible with

Pega Platform 8.7

Product Owner

Chip Warburton

Last updated

February 2, 2023

Product Capability

Data Integration

Did you find this content helpful?

Want to help us improve this content?

We'd prefer it if you saw us at our best.

Pega Community has detected you are using a browser which may prevent you from experiencing the site as intended. To improve your experience, please update your browser.

Close Deprecation Notice
Contact us