Viewing Decision Reasons
InterQual® Decision Reasons helps to author consistent communications to members and providers that include clear and specific clinical reasons for decisions regarding medical necessity when making a final non-determination decision.
View Decision Reasons in a decision-tree review
-
Select DECISION REASONS.
The Decision Reasons content includes a patient education statement that introduces the clinical scenario, including the requested level of care.
- Select a plus sign
to expand a Decision Reasons section and select a minus sign
to collapse it.
- When you have finished viewing Decision Reasons, continue with any of the following:
- Select Change Subset to view criteria for a different subset
- Select Previous to return to the Subset Overview screen
-
Select Menu to exit the workflow and then, optionally, select an option from the navigation pane
View Decision Reasons in a Q&A review
-
Select DECISION REASONS.
The Decision Reasons content includes a patient education statement that introduces the clinical scenario.
- Select a plus sign
to expand a Decision Reasons section and select a minus sign
to collapse it.
- When you have finished viewing Decision Reasons, continue with any of the following:
- Select Change Subset to view criteria for a different subset
- Select Previous to return to the Subset Overview screen
-
Select Menu to exit the workflow and then, optionally, select an option from the navigation pane