Encouraging Patients to Accept & Return In-Home Lab Test Kits
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Encouraging Patients to Accept & Return In-Home Lab Test Kits

In-home lab testing is a convenient and accessible service to members that can make a valuable addition to any provider practice. An in-home lab test kit often warrants quicker test results, while

Prenatal and Postpartum Care
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Prenatal and Postpartum Care

As a healthcare provider, you understand the importance of prenatal and postpartum care for your patients. Seeking this care early in the pregnancy and attending all the recommended visits can increase successful outcomes for both the parent and child(ren).

Bonnie Pruett Promoted to Statewide Account Manager
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Bonnie Pruett Promoted to Statewide Account Manager

QualChoice congratulates Bonnie Pruett on her promotion to statewide Account Manager.Bonnie has worked in the health insurance industry for 31 years, most recently as Regional Sales Manager. In the 11

Individual and Small Group Metallic Plans Chart Chase Program
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Individual and Small Group Metallic Plans Chart Chase Program

QualChoice is required by the Centers for Medicare & Medicaid Services (CMS) to submit complete diagnostic data regarding members enrolled in our individual and small group metallic health plans.

2020-2021 Community Impact Report
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2020-2021 Community Impact Report

The 2020/2021 Community Impact Report is the story of how we work to fulfill our purpose: Helping Arkansas Live Better. We believe healthier individuals create more vibrant communities.

Post-Payment DRG Clinical Validation Audits
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Post-Payment DRG Clinical Validation Audits

Beginning February 1, 2023, QualChoice will perform post-payment DRG clinical validation audits of facility claims.

Outpatient Surgery? Consider an ASC
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Outpatient Surgery? Consider an ASC

There are more options available today to get quality health care at a lower cost. If you need outpatient surgery, an Ambulatory Surgery Center (ASC) may be an option to consider.

National Imaging Associates Online Training for Providers
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National Imaging Associates Online Training for Providers

QualChoice recently announced an agreement with National Imaging Associates, Inc. (NIA) to manage diagnostic and cardiac imaging services. Providers are encouraged to register for one of the upcoming online training sessions provided by NIA.

High-Tech Imaging Change
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High-Tech Imaging Change

National Imaging Associates, Inc. (NIA), a subsidiary of Magellan Health, will manage QualChoice diagnostic and cardiac imaging.

Requirements for Availity 270/271 Eligibility Check
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Requirements for Availity 270/271 Eligibility Check

Review the requirements for Availity 270/271 eligibility processing.