InterQual Outage Impacts Prior Auths Nationwide

June 9, 2023

A message this morning from Priority Health:


As you may know, InterQual, managed by Change Healthcare, is experiencing a national outage. This outage impacts prior authorization processes for providers and payors across the country.


GuidingCare submissions will pend

You can continue to submit your prior authorization request through GuidingCare. However, requests for services which would typically walk you through a series of medical necessity questions will skip this step and pend for review upon submission, rather than automatically approving. 


Stay tuned

While we don’t have a timeline from Change Healthcare for resolution, we’ll keep you informed and will let you know when InterQual is operational again.



Kelli Stedge, MBA

Consultant, Provider Strategy & Solutions