QualChoice Health Insurance Spring 2014

Alerts & Reminders

Online Provider Manual

is Complete!

We are happy to announce that our online Provider Manual is now complete! Read More

Be Sure to Use In-Network Services

Referring patients to out-of-network laboratory or pathology groups violates your provider's agreement with QualChoice, and causes patients to pay significantly more for these services. Read More

Fee Schedules

Effective April 1, 2014, QualChoice will adopt the 2014 Resource Based Relative Value System (RBRVS) Relative Value Units (RVUs). RVUs are used as a basis for fee schedule calculations. If you have any questions regarding your contracted fee schedule, please contact your Provider Relations Representative.

ARBenefits Requires Pre-Certification

Reminder: ARBenefits now requires pre-certification for all inpatient hospital admissions. Read More

Verbal Approvals for Authorization Requests

As a QualChoice network provider, you will receive a verbal approval when requesting an authorization. Please inform your patient at that time that the request has been approved. Thank you for your cooperation.

CareCore Pre-Authorization Process

Effective January 1, CareCore National, LLC, manager of our high-tech radiology pre-authorization, no longer accepts faxed case initiations for QualChoice members. New cases must be initiated at the physician web portal at CareCoreNational.com. Read More

Updated Drug Formularies

Updated Basic, Core and Enhanced formularies, effective January 1, have been posted, as well as the Essential Formulary for all ACA Qualified Health Plans -- Gold, Silver, Bronze, Catastrophic.

QualChoice & Industry News

QualChoice in Arkansas Health Insurance Marketplace

QualChoice is participating in 5 of the 7 exchange regions of the state. Read More

Mike Stock -- One on One