Stay Informed and Stay Healthy
Support Your Children’s Mental Health
  • Posted

Support Your Children’s Mental Health

The past year has been rough on our kids. Social isolation, virtual learning, missing celebrations and milestone events has been as upsetting and stressful for them as it has for adults. Here's what experts recommend for helping children cope and when to seek professional help.

What You Need to Know About Referrals and Pre-authorization
  • Posted

What You Need to Know About Referrals and Pre-authorization

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.

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.

Where to Go for Care
  • Posted

Where to Go for Care

When you or a member of your family needs medical attention, knowing the right place to go for care are critical to getting the care you need and getting the most from your benefits. Review these tips so you will know where to go to get the care you need ahead of time.

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.

Reporting Health Coverage  on Your 2020 Taxes
  • Posted

Reporting Health Coverage on Your 2020 Taxes

Here are some tips on which forms you’ll need if reporting health coverage on your taxes.

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

COVID-19 Vaccine Coverage
  • Posted

COVID-19 Vaccine Coverage

The Centers for Medicare and Medicaid Services (CMS) has released an interim final rule addressing COVID-19 vaccine coverage.