Power Your Strategy with Connected Data

The Quest Enterprise Services® (QES) platform integrates third-party data from strategic partners into your provider data and network workflows. These additional insights empower clinical, contracting, and member steerage teams to collaborate more effectively. With enriched insights from claims and clinical data, you can evaluate provider performance, optimize referrals, and design smarter networks.

Whether refining your current network or expanding into new markets, QES is a powerful platform that helps you design and manage networks strategically.

Smarter Networks Start with Smarter Data

Strategic Network Building

Incorporate third-party data to enhance your network decisions. By gaining additional insights into provider performance, such as patient outcomes, treatment adherence, and cost-effectiveness, you can identify top-performing providers and recognize those who may be underperforming. This approach allows you to create high-quality networks that deliver improved care and outcomes.

Stronger Clinical and Steerage Alignment

Bridge the gap between clinical and member steerage teams. Integrated data ensures everyone works from the same playbook, improving referral management, member experience, and overall network performance.

Smarter Patient Referral Management

Improve referral and utilization management by building and optimizing networks with advanced provider intelligence. Access granular, reliable provider performance data to match patients with the best physicians for their needs, improving care coordination and outcomes.

More Competitive Provider Networks

Design networks that stand out. Third-party data insights help you identify top providers to deliver the access and quality care today’s members expect.

Better Patient Experience

When networks are built with accurate data, patients benefit. Integrated insights help ensure members receive high-quality, cost-effective care, strengthening satisfaction and loyalty.

About Our Third-Party Data Partners

Powering Smarter Networks with Trusted Third-Party Data

By integrating elements of Arcadia’s CareJourney Provider Performance Index (PPI) solution into QES Provider Claims Insights (PCI), you gain claims-derived performance metrics that enrich your provider profiles with cost, quality, and episodes of care indicators. Supports smarter network design, value-based care strategies, and improved member access. Learn more about Arcadia CareJourney at arcadia.io and carejourney.com.

Motive integrates physician-developed Appropriateness Tier data into QES Provider Claims Insights (PCI), to help you identify high-value physicians based on clinical evidence. Supports cost reduction, trusted network development, and improved provider performance. Learn more about Motive at motivepw.com.

Explore Enhanced Insights

Ready to explore how third-party data can transform your network strategy? Talk with one of our experts to learn more. Schedule a complimentary consultation now!

Quest Enterprise Services® (QES®)