Utilization Management

Virginia Premier is committed to supporting providers by valuing the quality of care that our physicians and practitioners give to our members. Requests for authorization of member benefits are coordinated by the Utilization Management department. InterQual (IQ) criterion is used to make the determination of medical necessity for requested benefits. For more information, call 888-251-3063.

PAL Search Tool

Click to download the PAL General Rules or access the search tool:

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