Consulting Services

AN EXTENSION OF YOUR TEAM

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PROVIDER NETWORK CONSULTING SERVICES

Our clients rate our Quest Consulting Services as the best in the business but don’t take their word for it. See for yourself. Access to a Quest AnalyticsTM Consultant is included with the Quest Enterprise ServicesTM (QESTM). We are here to support you, whether you are a startup navigating your way through the intricacies of building a network or are a well-established plan looking to expand, right-size or design new networks.  Your client success team are experts in provider network data and understand the impact that it has on your access, adequacy and accuracy.  Your success is our success.

PROJECT MANAGEMENT OVERSIGHT

Your dedicated Quest Analytics® Consultant be your subject matter expert to help guide you through your Medicare Advantage, Medicaid and Commercial network filings. Providing assistance with data management, HSD tables, HPMS error messages, exception filings and more.

CUSTOM PROSPECT PROVIDER LISTS

For ease of contracting, you have the ability to upload your prospect list of providers in your commercial network or other. See if a provider you’re already contracted with could fill an adequacy gap, before using the market provider list. We call this smart recruiting.

MONTHLY WORKGROUP MEETINGS

Your Consultant will meet with the team regularly to assist in the developing, planning, monitoring, and achievement of your organization’s ongoing provider data accuracy and network adequacy compliance monitoring initiatives.

OFFLOAD YOUR WORK & SHIFT PRIORITIES

One major benefit of Quest Enterprise Services is that your Quest Analytics Consultant does much of the heavy lifting for you, allowing you to focus on strategic planning and crucial decision-making instead of manually setting up project files and designing analysis.

A PROVEN TRACK RECORD

As you know, regulators are holding health plans accountable for the validity of their provider network data to ensure ongoing consumer protections against things like incorrect information in the provider directory or surprise billing, making provider data accuracy a mainstream issue. Having a continuous data verification process helps reduce your risk.

Your Quest Analytics Consultant will advise you on how to best use Quest Enterprise Services for your verification process by providing you with actionable insights and recommended actions to improve the accuracy of your data. Identifying and understanding the impact of these finable events within your data allows you to focus your resources more efficiently.

A PROVEN TRACK RECORD

Our consultants help our clients every day utilizing the Quest Enterprise Services and Quest Analytics Suite to solve their toughest challenges. READ MORE

TALK TO ONE OF OUR CONSULTANTS TODAY

Learn how our consultants partner with our clients and bring years of strategic experience to your provider network management efforts or RFP responses. Our team knows the challenges you face because they’ve faced most of them standing side-by-side with healthcare, dental, vision and behavioral health plans as well as providers, regulators, consultants, benefit brokers and third-party administrators (TPAs).

Book a strategy session today.

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