[PDF] Provider Quick Reference Guide

Provider Quick Reference Guide

ARBenefits.org or QualChoice.com. For Arkansas State and Public School Retirees who are Medicare-eligible and their covered family members. Provider 

Provider Quick Reference Guide

1. To receive a User ID and password complete the. Provider Portal Administrator and User Access Forms. On QualChoice.com

Arkansas Medical Society 12th Annual Insurance Conference

5 oct. 2015 posted on QualChoice provider portal by the end of the year). • Payments made quarterly through our normal claims payment process.

Member Handbook

They can provider your member ID number and help you sign up for the. My Account member portal at QualChoice.com. Sign in to My Account if you'd like to print a 

Provider Appeal Form

Appeal requests must be received on this Provider Appeal Form. The request must include QualChoice provider number Little Rock

New ID Cards

insurance through HealthCare.gov or Arkansas Works are in member eligibility through the My Account provider portal at. QualChoice.com.

Provider Network Territory Map

shannon.anderson@qualchoice.com Provider Relations: 501.228.7111 Ext. 7004

Network Provider Appeal Form

The request must be completed in its entirety and include QualChoice provider number date(s) of service

Ambetter Balanced Care 7 (2021) (QualChoice)

1 janv. 2021 Underwritten by QCA Health Plan (Arkansas Health and Wellness) ... Generally you must pay all of the costs from providers up to the ...

Products and Services

All the benefits of an Arkansas-based firm here to help you succeed Online access to claims

Provider Quick Reference Guide - QualChoice

For Pre-AuthorizationOnline — QualChoice com after provider log-in select Pre-authorization for Radiology Services Phone — 800 533 1206; Monday–Friday 7:00 a m –7:00 p m Request pre-authorization at least 5 business days prior to date of service to allow for follow-up/review time Provider NPI # is required File claims with QualChoice

QCA22-AR-H-290 - Provider Portal User Access Form - QualChoice

NIA-RadMD - QualChoice

1 Log in at QualChoice com 2 Call Customer Service: Monday – Friday 8 a m to 5 p m 501 228 7111 or 800 235 7111 (outside central Arkansas) Claims Submission Provider should submit claims to QualChoice Provider NPI# is required NIA-Rad MD Pre-authorization Visit www RadMD com Call 866 249 1587 Monday – Friday: 7:00 a m to 7:00 p m

Visit wwwevicorecom eviCore Pre-authorization - QualChoice

Use one of the following options: 1 Log in at QualChoice com 2 Call Customer Service: Monday – Friday 8 a m to 5 p m 501 228 7111 or 800 235 7111 (outside central Arkansas) Complaints/Grievances Members providers or radiology providers may register a complaint with QualChoice by calling the toll-free number on the member’s ID card

QualChoice Health Insurance is making it easier for Arkansans

QualChoice Health Insurance is making it easier for Arkansans to get the medical care they need through telemedicine and telephonic technologies Telemedicine technology allows members to see a doctor nurse practitioner or physician assistant remotely by using an audio-visual communication system

QCA22-AR-H-288 - Pre-authorization Request Form - QualChoice