New Requirements for Availity 270/271 Eligibility Request
Effective December 15, 2020, QualChoice eligibility verification is being provided by Availity. Thank you for your patience as we make this transition from the services of Optum to the Availity system. To protect member information, the following elements are now required for all 270 requests:
QualChoice is closely following advancements in the prevention and treatment of COVID-19, including vaccinations. To prepare for vaccine administration, CMS has begun to publish guidance for providers. Similar to other COVID-19 services, the vaccines will be offered at no cost to your patients. Review QualChoice coverage details and medical codes.
Coverage for COVID-19 Acute Transfers
In an effort to help facilities accept patients during the COVID-19 pandemic, QualChoice will auto-approve the initial seven days for lower levels of care for patients moving from an inpatient hospital setting. Review coverage details.
Members to Receive New ID Cards
New ID cards, effective January 1, are being sent to members this month. The new card will feature the NovaSys Alliance Network logo on the back. There will be no changes to member benefits.
