Skip to main content

5 step InterQual evidence-based development process

The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team. 

5 minutes

5 step InterQual evidence-based development process

The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team of physicians, registered nurses and allied health professionals. Our process also involves   peer review by our national clinical review panel of more than 1,000 independent, multidisciplinary experts.

Learn about the five-step process:

  1. Research--Identify content for development and updating
  2. Critical appraisal--Teams Identify content for development and updating
  3. Content development--Physician-led groups Identify content for development and updating
  4. Peer review and validation--Independent clinical review panel drawn from more than 1,000 experts provides authoritative peer review
  5. Quality assurance and release--Clinical team conducts final quality assurance check and releases content

Related healthcare insights

Article

We follow the science and defend against bias

See how Optum follows the science where it leads, validating the research we find to uphold the clinical integrity of InterQual content.

Article

Time to outsource workers compensation payments

Learn how outsourcing payments could help you stay competitive and compliant.

Article

Defining the future of alternate-site infusion pharmacy care

Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.