This article is for all providers except dentists
As of June 30, 2021, Authorization Manager will allow requesters to complete the InterQual® medical necessity checklist for certain procedures performed in an outpatient setting.
If the criteria aren’t met, or the code entered is not associated with these services, the authorization will pend for manual review and you will be notified.
Launch InterQual from Authorization Manager fact sheet
MPC_012618-1L-65