Reminder: BCN uses InterQual criteria as guidelines in reviewing acute inpatient medical admissions

This is a reminder that Blue Care Network uses McKesson's InterQual^® criteria as guidelines in reviewing acute inpatient medical admissions and that BCN's medical directors make the final determination about the most appropriate level of care based on their medical judgment.

Additional information about the InterQual criteria and about the process for reviewing these admissions is found in the Care Management chapter of the BCN Provider Manual.

Posted: July 2017
Line of business: Blue Care Network