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Washington State Department of Labor & Industries


Qualis Health has partnered with the Washington State Department of Labor & Industries (Washington L&I) to provide utilization review services for its Workers' Compensation Program. The success of this program depends on the collaborative relationship between providers, Washington L&I and Qualis Health. Qualis Health provides services to make sure eligible injured workers get the appropriate care where and when they need it.


Services We Provide for Washington L&I

Utilization reviews are conducted on a prospective, concurrent and/or retrospective basis employing Washington L&I's Medical Treatment Guidelines, if applicable; otherwise, Qualis Health applies InterQual criteria.

Qualis Health reviews inpatient admissions, a select list of outpatient procedures, specified advanced imaging studies and physical medicine services.


Announcements

Qualis Health Provider Portal User Guide Updated
March 23, 2015: The Qualis Health Provider Portal User Guide has been updated. You can also find it on the Provider Resources page.

Transition to Qualis Health Provider Portal Effective January 2
As of January 2, 2015, we transitioned to the Qualis Health Provider Portal, a new platform for electronically submitting utilization management (UM) reviews. What this means for you:

  • Enter review requests into the Qualis Health Provider Portal
  • Any review requests entered into iEXCHANGE will not be processed


If you accessed our old system (iEXCHANGE) via OneHealthPort, you don't need to register. Your user account(s) will simply be transitioned to the Qualis Health Provider Portal.

If you accessed our old system (iEXCHANGE) via a direct weblink, you must register for OneHealthPort and the Qualis Health Provider Portal. Go to the OneHealthPort website to complete both of these registrations.

Contact Us

Initiate a Review

Phone:
(800) 541-2894
(206) 366-3360

Fax:
(877) 665-0383

»email Qualis Health Provider Portal Help

»sign up for email alerts

Contact Washington L&I

Provider Hotline

(800) 848-0811

»visit the Washington L&I website

»Medical Treatment Guidelines


»more contact info