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Interqual vs McKesson ClaimsXten comparison

Optum and McKesson are both solutions in the Medical Insurance Claims Software category. Optum is ranked #1, while McKesson is ranked #3. Optum holds a 21.6% mindshare in MICS, compared to McKesson’s 14.4% mindshare.
Interqual
  • 231 Views
  • 231 Comparison Views
McKesson ClaimsXten
  • 148 Views
  • 148 Comparison Views

Review summaries and opinions

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Categories and Ranking

Interqual
Ranking in Medical Insurance Claims Software
1st
Average Rating
0.0
Number of Reviews
0
Ranking in other categories
No ranking in other categories
McKesson ClaimsXten
Ranking in Medical Insurance Claims Software
3rd
Average Rating
0.0
Number of Reviews
0
Ranking in other categories
No ranking in other categories
 

Mindshare comparison

As of January 2026, in the Medical Insurance Claims Software category, the mindshare of Interqual is 21.6%, down from 40.7% compared to the previous year. The mindshare of McKesson ClaimsXten is 14.4%, down from 31.4% compared to the previous year. It is calculated based on PeerSpot user engagement data.
Medical Insurance Claims Software Market Share Distribution
ProductMarket Share (%)
Interqual21.6%
McKesson ClaimsXten14.4%
Other64.0%
Medical Insurance Claims Software
 

Top Industries

By visitors reading reviews
Healthcare Company
22%
Insurance Company
11%
Government
9%
Pharma/Biotech Company
7%
No data available
 

Company Size

By reviewers
Large Enterprise
Midsize Enterprise
Small Business
No data available
No data available
 

Comparisons

Ram Technologies HealthSuite vs Interqual Logo
Ram Technologies HealthSuite vs Interqual
Compared 100% of the time
More Interqual Competitors
No data available
 

Also Known As

Interqual
ClaimsXten
 

Overview

McKesson InterQual is an Evidence-Based Clinical Criteria that provides support covering medical and behavioral health across all levels of care as well as care planning and complex care management. InterQual's comprehensive portfolio includes five content suites: InterQual Level of Care Criteria, InterQual Behavioral Health Criteria, InterQual Care Planning Criteria, Content Powered by InterQual and InterQual Coordinated Care Content. InterQual Criteria connects and aligns payers, providers and other organizations with evidence‐based clinical intelligence that helps care management decisions, support care, manage medical resources.

Optum
McKesson ClaimsXten is a solution for clinically-based claims auditing that offers rules creation and firing that enable payers to process each claim under the specific terms and conditions of each benefit plan. ClaimsXten combines with McKesson Total Payment platform, a comprehensive library of McKesson clinical rule content, and a services team of medical claims experts to provide your organization with more medical and administrative savings opportunities. With full-service, technologically advanced ClaimsXten, offers a standard fee-for-service claim code editing
McKesson
 

Sample Customers

Iowa Medicaid Enterprise
MeritCare Health System
See our list of best Medical Insurance Claims Software vendors.

We monitor all Medical Insurance Claims Software reviews to prevent fraudulent reviews and keep review quality high. We do not post reviews by company employees or direct competitors. We validate each review for authenticity via cross-reference with LinkedIn, and personal follow-up with the reviewer when necessary.