Transition to InterQual® Criteria

InterQual Fact Sheet

 

Download PDF of Fact Sheet

View Pre-Service Review Frequently Asked Questions 

How to Access InterQual Criteria

  • The InterQual criteria is available to clinicians through SmartSheetsTM on Wellmark.com.
  • The SmartSheets are secure content, so you will need to log in to view.
  • You will need to be assigned the Utilization Management Procedures & DME role to view the SmartSheets.
  • Your designated security coordinator (DSC) can assign this role, if appropriate.
  • View the SmartSheets .
  • DME providers and out-of-state providers can receive the SmartSheets via fax by calling 800-552-3993.
 
 
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