Healthcare Provider Contact Forms
To comply with Medicare guidelines, our medical reviews must be completed within tight timeframes. In addition, we often distribute important Medicare-related announcements to, or request Medicare claims-related information from, healthcare facilities.
It is important that our contact database is kept up to date.
Please help eQHealth Solutions maintain accurate records by informing us of any changes regarding the personnel designated as your official QIO Contact or Discharge Appeals Contacts. Simply download the appropriate form, make the necessary updates, and email it back to us. (Instructions on how to complete the forms, sign and email are included at the end of each form.)
For more provider information about Beneficiary & Family Centered Care please refer to this document:
This Web site is produced by eQHealth Solutions, the Quality Improvement Organization (QIO) for Louisiana,
under contract 500-99-LA02
with the Centers for Medicare & Medicaid Services (CMS). The contents presented do not necessarily reflect CMS policy.
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