QualChoice Health Insurance
dentalmedical
Summary
QualChoice Health Insurance is a dental and medical payer operating in Arkansas. Claims route under payer ID 35174, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
35174Also seen as 00137, 10553, 2593, 5428, QUCHO- Also known as
- QualChoice Arkansas
- Service area
- AR
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for QualChoice Health Insurance?
- The payer ID for QualChoice Health Insurance is 35174. Alternate IDs seen across clearinghouses include 00137, 10553, 2593, 5428.
- Does QualChoice Health Insurance require ERA enrollment?
- Yes. QualChoice Health Insurance requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does QualChoice Health Insurance cover?
- QualChoice Health Insurance operates in AR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does QualChoice Health Insurance offer?
- QualChoice Health Insurance covers dental and medical.
- Can I submit claims to QualChoice Health Insurance electronically?
- Yes. QualChoice Health Insurance is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.