Working Together to Improve Healthcare

Top Provider News

Change in ACH Provider Payment System
  • Posted

Change in ACH Provider Payment System

Providers: Effective July 1, ACH payments and the corresponding 835 remittances will no longer be distributed through Optum Bank. [ … ]

Risk Adjustment Data Validation Audit
  • Posted

Risk Adjustment Data Validation Audit

HHS has recently initiated audits of health plans subject to risk adjustment under the Affordable Care Act (ACA). QualChoice is included in this audit and we, along with our contracted providers, are [ … ]

Value-Based Care Programs 2018 Year End
  • Posted

Value-Based Care Programs 2018 Year End

Thank you to CPC+* and PCMH** program participating providers for working with us to improve healthcare! Please review these reminders as we prepare to wrap up another successful program year. [ … ]

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Resources & Tools

Utilization Management/Pre-Authorization Tools

Our Paperless Initiative

QualChoice is working to reduce our impact on the environment. Enrollment in Electronic Funds Transfer (EFT) is required for participating providers.

Enroll today through Alegeus Technologies



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Quality Results

This quarterly email newsletter provides comprehensive news and information to make working with QualChoice easy.

Provider Quick Alerts

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 Provider Relations Representatives