Quality management
Wellpoint Washington, Inc. maintains a comprehensive Quality Management (QM) program to objectively monitor and systematically evaluate the care and service provided to members. The scope and content of the program reflects the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service, with ongoing proactive evaluation and refinement of the program.
Related information
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
- HEDIS ECDS Prenatal and Postpartum Coding Bulletin 2024
- HEDIS Cat II Coding Bulletin 2024
- HEDIS Desktop Reference Guide for Medicaid Providers 2024
- HEDIS ECDS Coding Booklet 2024
- Critical Incident Report Form
- HEDIS Well Child and Immunization Coding Bulletin 2024
- HEDIS Category II Coding Bulletin 2023
- HEDIS Coding Booklet 2024
- HEDIS ECDS Prenatal and Postpartum Care Coding Bulletin 2023
Provider tools and resources
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity Essentials
- Prior authorization lookup tool
- Prior authorization requirements
- Claims overview
- Member eligibility and pharmacy overview
- Provider manuals and guides
- Referrals
- Forms
- Training academy
- Pharmacy information
- Electronic data interchange
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We look forward to working with you to provide quality service for our members.
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