Providers of Quad City Community Healthcare are welcome to call customer service during business hours Monday thru Friday 8:00 am to 5:00 pm central standard time by calling our local number at 563-587-5640 or the toll-free number 800-457-4726.  We appreciate the opportunity to work directly with you and your staff to provide information on benefits, claims and pre certification or other information to assist you.

As a local health plan we enjoy working directly with your office, however we have provided online information that may assist you if you prefer.  Click on the links to the right for the information or forms you would like to review or print.  If you need assistance, please contact customer service.

Forms

Provider Claim Inquiry Form
Provider Appeal Form

Practitioner Credentialing and Data Gathering Form
Practitioner Credentialing Release Form
Facility Credentialing Release Form
W-9 Form

Iowa Universal Credentialing Form effective 1.2016