Should we use the iEXCHANGE Web application or iEXCHANGE IVR system for precertification of outpatient or inpatient stays?
A. Outpatient – No, outpatient services do not require Precertification. View detailed list of Precertification Requirements. Inpatient – All inpatient stays must be initiated through iEXCHANGE. Often the transaction can be authorized based on a few data elements without additional information being required. In the event your case is not immediately approved by iEXCHANGE, your case will be referred to the Utilization Management Department for review.
