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Understanding Your Explanation of Benefits (EOB)
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..
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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.
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5 Spring Health Myths
Spring is finally under way! That means more chances to enjoy the outdoors and improve your health. But spring can also bring some health challenges and misconceptions. Let’s take a look at five common spring health myths and why they’re more fiction than fact.
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10 Fitness Tips That Work
Less than a quarter of Americans meet national physical activity guidelines, says a new report from the Centers for Disease Control (CDC). May is National Physical Fitness and Sports Month; what better time to focus on being active and becoming healthier! If you’re thinking about making some lifestyle changes, consider these 10 simple fitness tips.
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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.
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Health IQ Challenge: Facts for Soon-to-Be Moms
Pregnancy might seem like the perfect time to sit back and relax. But it can be a great time to get active. With your doctor’s care, the right nutrition and exercise, you can stay fit and healthy
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Calculating the Average Total Number of Employees (ATNE)
The size of an employer group determines benefit design, as well as Center for Medicare & Medicaid Services reporting requirements. Employers are required by state and federal regulations to report their ATNE; its accuracy impacts group health plan benefits.
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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.
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Spring into Wellness
Spring is here! The changing of the seasons is a great time to adopt new healthy habits or take control of health problems triggered during this time. Here are a few tips to make the season healthier
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Spring Clean Your Eating Habits
Our attention to healthy eating may lapse a bit in the winter. And a little weight gain might be hidden by those cozy—and bulky— wool sweaters. But spring is here, and all the greenery may have you craving a little dietary refresh. A few small changes in your everyday diet can mean a healthier, fitter you. Here are some tips to get you started.
