Accurate, Objective Decision Support & Innovative Capabilities

No matter where or to whom health care is delivered, whether a payer or provider, the priority is the same: providing quality care efficiently.

The foundation of the InterQual portfolio is our market-leading clinical criteria, InterQual®— which helps payers and providers consistently apply evidence-based clinical decision support to promote appropriate, medically necessary care. Our technology solutions help reduce administrative cost by streamlining medical reviews and enabling auto-authorization, while our network of alliance partners allows payers and providers to incorporate clinical decision support into their existing workflows.

Our solutions can help you make clinically appropriate medical utilization decisions by enabling:

Thousands of organizations – payers, providers, government agencies – use our Decision Management Solutions. With nearly 40 years of development, InterQual was the first to provide health care organizations with trusted evidence-based decision-support criteria. Our extensive team of clinical experts and technology specialists continue to provide the most updated medical decision support criteria available as well as lead the way with innovations that help reduce administrative costs and improve quality care.