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Blue Advantage Inpatient Policies

Click the link below for access to the criteria used in precertification decision-making for inpatient services for Blue Advantage® patients.

InterQual Criteria 

 

InterQual® criteria, provided by an independent company, is a set of standard clinical guidelines used in healthcare utilization reviews. The criteria are protected under United States and international copyright and other intellectual property laws. InterQual Criteria licensed by Blue Cross is to be used solely for its members.