Testing the connector during a concurrent review
You can test the connector during a concurrent review and access the guidelines.
Pega Integration Solution for Change Healthcare InterQual Installation and Integration Guide
- Log in to Pega Integration Solution for Change Healthcare by entering the CareManagerRM operator and the password that you specified.
- Click
- Click Patients to search for and select a patient.
- Click .
- Complete the steps for the patient, requesting provider, servicing provider, and facility in the first four steps of the wizard.
- In the Manage notification step of the wizard, enter the admission details. Select at least one diagnosis code, and then click Continue.
- Review all the information, and then click Finish.
- Click the case to expand it, and then click Concurrent Review. The Concurrent Review calls the Change Healthcare InterQual Guidelines and searches with Diagnosis Code ICD 10: 150.9 code type. It shows all the guidelines associated with the diagnosis code. Review Manager displays the appropriate subsets from its product suite based on the diagnosis code that was passed.
- Enter information for the Discharge date and the Discharge LOC fields.
- Click Save to display the transaction ID.
- Click Submit.
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