We work to make sure our members get the right healthcare in every care setting. And we strive to support you, the medical provider, with the tools you need to make informed decisions and ensure proper care.

female doctor with young boy in hospital

Online Pre-authorization

Log in to My Account to review pre-authorization services available online.

Sign in to My Account

Pre-authorization by Mail

Complete the pre-authorization request form and receive a response within 2 business days of receipt of form.

Pre–authorization Request Form

Pharmacy Pre-authorization

Some medications require pre-authorization. Review information on pharmacy coverage policies and requirements.

Learn More About Pharmacy Pre-authorization

For help or questions, please contact your QualChoice Provider Representative.

800.235.7111 or 501.228.7111, ext.7004