Working Together to Improve Healthcare
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Working Together to Improve Healthcare

We are proud to recognize the medical providers who had outstanding performances in the QualChoice 2018 value-based care programs. Thank you for helping improve healthcare for our members!

2018-2019 Flu Shot Campaign Wraps Up
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2018-2019 Flu Shot Campaign Wraps Up

Getting a flu shot paid off in more than just health benefits for QualChoice members whose names were drawn from flu shot claims between October 1, 2018 and April 30, 2019.

Change in ACH Provider Payment System
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Change in ACH Provider Payment System

Providers: Effective July 1, ACH payments and the corresponding 835 remittances will no longer be distributed through Optum Bank.

Risk Adjustment Data Validation Audit
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Risk Adjustment Data Validation Audit

HHS has recently initiated audits of health plans subject to risk adjustment under the Affordable Care Act (ACA). QualChoice is included in this audit and we, along with our contracted providers, are required to fully comply.

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.

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.

Reporting Health Coverage on Your 2018 Taxes
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Reporting Health Coverage on Your 2018 Taxes

You must report your 2018 health insurance coverage on your federal tax return. Here are some tips on which forms you’ll need.

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.

Arkansas PCPs Are Improving Healthcare
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Arkansas PCPs Are Improving Healthcare

Congratulations to these medical providers for their outstanding performance in the QualChoice 2017 Comprehensive Primary Care Plus program!

Medical Records Collection for IVA
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Medical Records Collection for IVA

Complete Provider Resource will be contacting QualChoice providers in July to request member records with dates of service from January 1 to December 31, 2017 for the Initial Validation Audit (IVA), in compliance with the Affordable Care Act (ACA). We appreciate your cooperation in this important time-sensitive request, as noted in your plan agreement.