Skip to main content

Evidence-based criteria and technology for clinical decision making

Our innovative clinical content, technologies, solutions, and services have helped reduce the administrative burden, enhance payer-provider relations, and improve care quality. Our solutions support those committed to the passionate pursuit of quality outcomes without unnecessary cost.

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Already a customer? Find your support portal.

Clinical Decision Support Solutions

InterQual Criteria

Our comprehensive solution offers clinical decision support designed to strengthen patient outcomes and reinforce appropriate utilization.
Learn more

Industry Content Navigator

Structured industry content to support consistent application of third-party content and policies and improve review workflow.
Learn more

InterQual Delivery

Streamline the medical review process with a variety of access options for using InterQual® Criteria.
Learn more

InterQual AutoReview

A medical review automation solution that increases utilization management (UM) efficiency and review accuracy.
Learn more

InterQual Coordinated Care

An integrated, cloud-based care coordination solution for complex care management.
Learn more

Related healthcare insights

View all

Article

We follow the science and defend against bias

See how Optum follows the science where it leads, validating the research we find to uphold the clinical integrity of InterQual content.

On-demand webinar

Adventist West’s success through redesigning and automating UM

Discover how to leverage automation for centralized, exception-based utilization management.

Article

Achieving equitable care: The shift to race-neutral equations

Discover how the InterQual team facilitated the timely adoption of new industry guidance for promoting health equity in clinical practice.

Product information and resources

  • PDF

     

    Case study

    InterQual case study

    Explore how a large national health plan leveraged InterQual® solutions as the catalyst to transforming their UM and CM programs.

    Download