Pega Marketplace
InterQual Connect Integration Services for PCM
InterQual Connect to Pega Care Management (PCM) Connector Implementation and Enhancement Services
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Overview
Coforge delivers seamless implementation of and enhancements to the Pega Care Management and the Change Healthcare InterQual® connector solution. This solution 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 with the InterQual Medical Review Service SaaS solution. This connector was built by Coforge to seamlessly support the integration between Pega Care Management and InterQual Connect.
Key Features
- Seamless implementation and configuration of InterQual Connect to Pega Care Management
- Access evidence-based guidelines through real-time, bidirectional interactions with the InterQual Medical Review Service SaaS solution
- Review Utilization Management guidelines within the workflow
- Manage authorization requests, admissions, initial and concurrent review, and discharge planning
- Integration ruleset for easy integration
- App Studio Configuration page for client specific integration points
- Enhancements to the integration designed to meet specific client requirements
Partner Name
Coforge
Tags
- Pega Products: Pega Care Management Pega Customer Service for Healthcare
- Industry: Healthcare
- Product Capability: Data Integration Enterprise Application Development Project Delivery
- Pega Version compatibility: 8.8 8.7 8.6
- Geography: Americas, EMEA, Asia Pacific
Offering Type
Packaged Service Offering