While QualChoice does not require referrals, some services require pre-authorization (pre-approval). Find out ahead of time if the services you need call for a pre-auth. Your claim could be denied if pre-authorization was needed and you didn’t get it before you received care.
QualChoice is making it easier for Arkansans to get the medical care they need through telemedicine (telehealth). This allows members to visit a doctor, nurse practitioner or physician assistant remotely.
As a QualChoice member, you will receive an EOB every 14 days if you have had any claims during that time. Review the EOB closely and compare it to the receipt or statement from your doctor.* Keep it for your records, along with your medical bills..