Value-Based Care Programs 2018 Year End
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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.

Winner of Flu Shot $1000 Prize Drawing
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Winner of Flu Shot $1000 Prize Drawing

Jimmy Dean, an employee of QualChoice customer Dreamline Manufacturing in Cabot, was presented with a check for $1000 by Martha Borders, QualChoice Sr. Account Service Representative.

Requests for Urgent or Expedited Pre-authorization
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Requests for Urgent or Expedited Pre-authorization

PROVIDERS: For urgent or expedited pre-authorizations, please use the Pre-authorization Request Form—Clinically Urgent or Expedited, found at QualChoice.com. The patient must be in an urgent condition when using this form to request pre-authorization of services.

Winner of First Flu Shot Prize Drawing
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Winner of First Flu Shot Prize Drawing

Logan Hoskins, an employee of QualChoice customer Adventure Subaru in Fayetteville, was presented with a check for $2000 by Bonnie Pruett, QualChoice Regional Sales Manager.

Value-Based Care Program Updates
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Value-Based Care Program Updates

Thank you to our CPC+ and PCMH program participating providers for helping us improve healthcare! Please review these updates to the programs.

Coverage UDPATE—Mental Health and Substance Use Disorder
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Coverage UDPATE—Mental Health and Substance Use Disorder

MEDICAL PROVIDERS: Please review these updated guidelines for our Outpatient Therapy for Mental Health & Substance Use Disorder medical coverage policy (BI273).

Final AutoAuth Drawing Winners
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Final AutoAuth Drawing Winners

Thank you for the great participation in our AutoAuth® online pre-authorization system! We’re proud to offer you this improvement, to help make healthcare better.

Congratulations, November AutoAuth Prize Winners!
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Congratulations, November AutoAuth Prize Winners!

Thank you to all providers who are using our AutoAuth® online pre-authorization system! To encourage even more use, we’ve been drawing names from users of the system and awarding cash gift cards!

HEDIS Medical Records Review
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HEDIS Medical Records Review

Healthcare Effectiveness Data and Information Set (HEDIS) is a set of standardized performance measures designed to enable consumers to compare performance across health plans.

Value-Based Care Program Reminders
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Value-Based Care Program Reminders

Thank you to our CPC+ and PCMH program participating providers for helping us improve healthcare! To complete our 2018 programs, please remember these points.