InterQual® Industry Content Navigator

Streamline your medical review process by giving users easy access to industry content, such as The ASAM Criteria® and Medicare policies converted into a structured, interactive tool.

Efficient

Industry Content Navigator provides access to third-party content in your familiar InterQual workflow to improve review efficiency and consistency.

Convenient

Content from CMS and others is converted into our easy-to-use Q&A format. It can be incorporated seamlessly into your existing workflow via InterQual technology solutions.

Structured

Policies that are in disparate sources or are cumbersome to navigate are streamlined and structured.

Included modules

Medicare Content Navigator

This suite provides comprehensive content aligned with Medicare National and Local Coverage Determinations (NCDs, LCDs) and policy articles. The review process is streamlined and presented in an easy-to-use, Q&A format. It helps improve efficiency and consistency in determining the appropriateness for tests, procedures and interventions.
The ASAM Criteria® Navigator

Developed through an exclusive partnership with the American Society of Addiction Medicine (ASAM), this healthcare technology tool provides an easy-to-use, interactive version of their criteria. The criteria are incorporated seamlessly into the existing InterQual workflow to help reduce review times, support review consistency and streamline the prior authorization process.
Concert Genetics Navigator

Increase consistency and streamline the medical review process for genetic testing with Concert Genetics coverage criteria and comprehensive GTU™ test identification system.

The ASAM Criteria is a registered trademark of the American Society of Addiction Medicine.

GTU is a trademark of Concert Genetics.