Prenatal and Postpartum Care
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

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
  • Posted

Requirements for Availity 270/271 Eligibility Check

Review the requirements for Availity 270/271 eligibility processing.

COVID-19 Acute Transfers
  • Posted

COVID-19 Acute Transfers

Auto Approvals in Effect for Initial Seven Days