Pega Integration Solution for Change Healthcare InterQual Connect
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 the InterQual review are maintained within the workflow and stored in the patient record as a basis for approving authorization requests along with real-time, bidirectional interactions within the InterQual Medical Review Service SaaS solution.
Pega Integration Solution for Change Healthcare InterQual Installation and Integration Guide
With these features, you can do the following:
- Access evidence-based guidelines
- Review UM requirements within the workflow
- Manage admissions, concurrent review, and discharge planning
- Use an integration ruleset for easy integration
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