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Documents & Forms

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Quality Pool Distribution Plan

UHA’s distribution plan for its Quality Pool and Challenge Pool earnings. The purpose of the plan is to inform UHA’s Participating Providers, including Social Determinants of Health and Equity (SDOH-E) and public health partners, about UHA strategies and processes for distribution of Quality Pool funds.

Consensus WCHA 2025–26 Respiratory Virus Season Immunization Recommendations

Professionally Administered Drug (PAD) Grid

Healthy Start Ages 9 -12 Postcard

Payspan/Zelis Customer Service FAQs

Provider Reconsideration and Claim Dispute Form

Claims Support NDC Validation Process

Submitting Provider Enrollment Requests

Appendix A Telehealth Code Descriptions