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Calculating the Average Total Number of Employees (ATNE)
The size of an employer group determines benefit design, as well as Center for Medicare & Medicaid Services reporting requirements. Employers are required by state and federal regulations to report their ATNE; its accuracy impacts group health plan benefits.
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Requests for Urgent or Expedited Pre-authorization
PROVIDERS: For urgent or expedited pre-authorizations, please use the Pre-authorization Request Form—Clinically Urgent or Expedited, found at QualChoice.com. The patient must be in an urgent condition when using this form to request pre-authorization of services.
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Spring into Wellness
Spring is here! The changing of the seasons is a great time to adopt new healthy habits or take control of health problems triggered during this time. Here are a few tips to make the season healthier
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Spring Clean Your Eating Habits
Our attention to healthy eating may lapse a bit in the winter. And a little weight gain might be hidden by those cozy—and bulky— wool sweaters. But spring is here, and all the greenery may have you craving a little dietary refresh. A few small changes in your everyday diet can mean a healthier, fitter you. Here are some tips to get you started.
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How to Stay Smoke-free
Quitting smoking is hard. It’s a process that may take time. And after you quit, it can be just as tough to stay smoke-free. Follow these steps to stay a non-smoker.
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Winner of First Flu Shot Prize Drawing
Logan Hoskins, an employee of QualChoice customer Adventure Subaru in Fayetteville, was presented with a check for $2000 by Bonnie Pruett, QualChoice Regional Sales Manager.
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10 Natural Ways to Sleep Better
According to the CDC*, more than one-third of U.S. adults routinely sleep fewer than six hours a night. That’s bad news! The benefits of getting enough sleep include better heart health, less stress, improved memory and weight loss.
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Coverage UDPATE—Mental Health and Substance Use Disorder
MEDICAL PROVIDERS: Please review these updated guidelines for our Outpatient Therapy for Mental Health & Substance Use Disorder medical coverage policy (BI273).
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Stopping Tobacco: Handling Weight Gain after You’ve Quit
Many people put off quitting smoking because they’re worried about weight gain. Many smokers do gain some weight after they quit--but it’s still better to quit as soon as possible.
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Exercising When You’re Under the Weather
Is it safe to exercise when you’re sick? The answer depends on your symptoms and how sick you feel.
