Online Provider Manual
is Complete!
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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
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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.
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ARBenefits Requires Pre-Certification
Reminder: ARBenefits now requires pre-certification for all inpatient hospital admissions. Read More
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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.
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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
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QualChoice & Industry News
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QualChoice in Arkansas Health Insurance Marketplace
QualChoice is participating in 5 of the 7 exchange regions of the state. Read More
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Mike Stock -- One on One 
Read an in-depth interview with QualChoice CEO Mike Stock in the January/February issue of Healthcare Journal of Little Rock. Read More
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ClaimCheck Plus Modifier Tips
Make sure modifiers are valid for procedures; if they are not, the claim line will be denied. Read More
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