Welcome Providers & Administrators
We value our healthcare providers and the care they bring to our members.
Registered providers may sign in to MyAccount to conduct many QualChoice transactions conveniently and securely online.
Top Provider News
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Countdown to Online Pre-authorizations!
We’re excited to announce that we will launch online pre-authorization via the MCG Cite AutoAuth module later this month [ … ]
- Posted
Online Pre-authorizations Coming Soon!
We are proud to announce that we will soon launch a convenient new online pre-authorization tool. Automated pre-authorization via the MCG Cite AutoAuth module will be accessible through the My Account [ … ]
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How We Make Coverage Decisions
We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs [ … ]
Resources & Tools
- Provider Welcome Kit
- Downloadable Forms and Information
- Medical Policies
- Current Drug Formularies
- Services Requiring Pre-Authorization
- CareCore Criteria for Imaging
- eviCore Healthcare Radiology Utilization Guide
- Provider Quick Reference Guide
- Accessing Secure Email
- Provider Manual
- Electronic Transaction information
Our Paperless Initiative
QualChoice is working to reduce our impact on the environment. As part of our paperless initiative, enrollment in Electronic Funds Transfer (EFT) is required for participating providers.
Enroll today through Alegeus Technologies
Email Alegeus Provider Services
877.389.1160
Provider Communications
Quality Results
This quarterly electronic newsletter provides comprehensive news and information to make working with QualChoice easy for you.
Provider Action Alerts
Time-sensitive administrative and billing updates, medical policy revisions, etc. delivered electronically.
Partner with QualChoice
Call or email to join our network or to find out more information about physician and facility credentialing.
800.235.7111 or 501.228.7111, ext. 7004
providerrelations@qualchoice.com
Provider Relations Representatives