We receive frequent questions and appeals related to high-tech imaging. EviCore National, LLC manages our high-tech radiology requirements, which are specified in the Medical Management section of the QualChoice Provider Manual.
Effective January 1, 2019, QualChoice now covers transitional care management services. These services may be required for patients who are discharged from a facility stay, to help with the transition back to their usual living situation and decrease the likelihood of readmission. Review details in Provider Manual.
Member Termination Policy Update
We have updated our retroactive termination policy. Employers now have 10 calendar days after month-end to send requests for termination effective the last day of the previous month.
QualChoice is compiling data for reporting on our 2018 clinical outcomes to demonstrate performance against the Healthcare Effectiveness Data and Information Set (HEDIS) standards.
Complete Provider Resource personnel are contacting offices on our behalf by fax and telephone to coordinate record collections. Learn more.
It Pays to Use AutoAuth!
Thank you for using our AutoAuth® online pre-authorization system. Congratulations to these lucky users who won our drawings over the last several months!
$100 Cash Gift Cards
Central Clinic for Women, Little Rock
CHI St. Vincent, Hot Springs
The Woman's Clinic, Little Rock
Cornerstone Medical Clinic, Harrison
St. Mary's Regional, Russellville
NEA Baptist Clinic, Jonesboro
$600 Grand Prize Gift Card
HerHealth Clinic, Washington Regional, Fayetteville