QualChoice Health Insurance
QualChoice Health Insurance is a payer organization operating in Arkansas. For an ASC, what matters isn't the logo. It's how QualChoice Health Insurance pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete QualChoice Health Insurance analysis
Tell us where to send it. Our team will prepare an analysis of QualChoice Health Insurance covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How QualChoice Health Insurance pays
See how QualChoice Health Insurance reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
QualChoice Health Insurance's presence spans Arkansas. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for QualChoice Health Insurance and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive QualChoice Health Insurance's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking QualChoice Health Insurance up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with QualChoice Health Insurance
- Payer ID
- 35174 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to QualChoice Health Insurance through a clearinghouse.
- Eligibility verification
- Coverage and benefits for QualChoice Health Insurance members are verified before the date of service, through a clearinghouse using payer ID 35174or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with QualChoice Health Insurance directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of QualChoice Health Insurance the way it pays.
- What is QualChoice Health Insurance's payer ID?
- QualChoice Health Insurance's electronic payer ID is 35174. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to QualChoice Health Insurance through a clearinghouse.
- How do ASCs verify eligibility for QualChoice Health Insurance members?
- Eligibility and benefits for QualChoice Health Insurance members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 35174) or through the payer's provider portal.
- Does QualChoice Health Insurance require prior authorization for ASC procedures?
- Prior-authorization requirements for QualChoice Health Insurance are set per plan and per procedure. Confirm whether an authorization is required with QualChoice Health Insurance directly before the date of service.
- What type of payer is QualChoice Health Insurance?
- QualChoice Health Insurance is a payer organization operating in Arkansas.
- How does QualChoice Health Insurance compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where QualChoice Health Insurance pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is QualChoice Health Insurance paying my ASC below market?
- Put your own QualChoice Health Insurance contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.