Proven Provider Network Management for Commercial Health Insurance

The Leading Healthcare Network Management Partner

Helping you measure, manage and monitor provider network performance

Our SaaS-based Quest Enterprise Services links network adequacy and provider directory accuracy for the first time in one platform across all business lines.

It’s time to take your network from adequate to competitive with smarter tools and actionable insights that drive performance, help win RFPs and help you respond to accreditation requests with confidence.

Give your commercial sales team a competitive edge with automated network analytics:

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Market Analytics
  • Reduce out of network utilization by showing the average time and distance members have to travel for care
Sales Analytics
  • Show your network breadth based on specialties important to each client
  • Demonstrate the capacity of your network at the point of sale
  • Provide clients with an understanding of your appointment availability
  • Track your network’s performance overtime
Accuracy Analysis
  • Offer SLAs and leverage opportunities based on the demonstrated accuracy of your provider directory
  • Reduce surprise billing by promoting and prioritizing search results with providers who have verified their information

Conquer Compliance

Commercial network regulations vary by state and by how you define your commercial network. With an increasing focus on access to care in America, regulations around network adequacy and provider directory accuracy for individual and commercial plans are evolving.

With more pressure to eliminate surprise billing and mental health parity, give your plan a competitive advantage by managing the risk before it becomes a problem.

Measure both network adequacy and directory accuracy. Manage with smart tools and actionable insights. Monitor performance and drive improvement.

Managing Down Risk

Commercial network regulations vary by state and by how you define your commercial network. With an increasing focus on access to care in America, regulations around network adequacy and provider directory accuracy for individual and commercial plans are evolving.

With more pressure to eliminate surprise billing and mental health parity, give your plan a competitive advantage by managing the risk before it becomes a problem.
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Adequacy + Accuracy In One Platform

By running all of your networks through a single provider network management platform, you’ll gain a better understanding of the strength of your network and the impact of your providers across business lines. You’ll create cross-departmental efficiencies, cut costs and have a realtime lens into how your network compares to the market.

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Solve Your Provider Directory Accuracy Challenges Today

Our team is ready to help you address the challenges provider data presents. We want to help you take your member experiences to the next level and avoid regulatory risks, like audits, and meet the mandates around surprise billing.

Contact us today to book a strategy session to understand and provide guidance to limit your exposure.

Book a Strategy Session