Provider QP8-13 Healthcare Effectiveness Data Information Set (HEDIS) medical record reviews are in process Read More
Provider QP16-13 Effective July 1, 2013, newest version of InterQual criteria being utilized Read More
Provider QP3R1-11 Revised New turnaround time for urgent pre-certification/pre-authorization request (PDF) Read More
Provider QP22-13 Behavioral health recovery request for underpayments of MA and Ph.D. level claims Read More