InterQual outage impacts prior authorizations nationwide

InterQual, managed by Change Healthcare, is experiencing a national outage. This outage impacts prior authorization processes for providers and payors across the country.

GuidingCare submissions will pend

You can continue to submit your prior authorization request through GuidingCare. However, requests for services which would typically walk you through a series of medical necessity questions will skip this step and pend for review upon submission, rather than automatically approving.

Stay tuned

While we don’t have a timeline from Change Healthcare for resolution, we’ll post an update to our Provider Manual when InterQual is operational again.