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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.
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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.
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Tips for Summer Safety
Summer comes with more freedom – to go on vacation, spend time outdoors, relax and enjoy good company. Spirits are high, but so are the risks to your health and safety. Dehydration, boating accidents and sunburn are a few leading summer-related threats.
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Fit, Fun and Free Activities for Kids
Summer break means plenty of free time to play, but studies show that kids today are less active than ever. When school ends, kids tend to gain weight faster, increasing their risk of obesity. Without their daily recess, kids become stationary, which can lead to a number of health problems.
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Add Some Color to Your Summer Diet
As summer progresses, you’ll notice brighter colors and leafier greens in your grocery store and local farmers market. The abundance of fresh fruits and veggies makes it a great time to try new food options. And you may decide to makes those options part of your diet long after the season is over!
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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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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
