Leading the Way in Provider Network Management

Why Quest Analytics®?

The right healthcare starts with the right provider network—and the right provider network starts with Quest Analytics.

For over 20 years, we have been the trusted partner in provider network management, partnering with health plans, health systems, regulators, and providers to deliver accurate information and ensure reliable provider networks, ultimately improving patients’ access to care.

Quest Enterprise Services® (QES®) supports every stage of your network lifecycle—from strategy and execution to ongoing performance optimization. As an enterprise solution, QES provides the tools and insights needed to build, manage, and optimize your entire provider network and product portfolio.

QES for Regulators enhances your ability to oversee network adequacy and provider directory accuracy by delivering automated network reviews, actionable market insights, and comprehensive data trends. By leveraging QES, you gain the tools to make more informed decisions about participating healthcare provider networks and implement meaningful improvements that enhance patient access to care.

BetterDoctor® is the most trusted name in provider data verification. We simplify provider data validation for individual providers, small groups, and large health systems while sharing data updates with partnering health plans. This process enhances the accuracy and reliability of provider directories while reducing administrative burdens.

Our Mission

We’re dedicated to creating better provider networks that allow every American to access high-quality healthcare. By delivering actionable insights and advanced solutions, we empower you to manage networks confidently while improving experiences across the healthcare ecosystem.

Our Legacy

We are the standard setter. Since our founding over two decades ago, we have led the industry in measuring networks. We invented many of today’s accepted measures including Network Adequacy, Network Access, Network Disruption, and Network Accuracy.

Today, we work with the largest state and federal regulators as well as 90% of health plans, impacting 90% of Americans. Our expertise is not just recognized — it’s relied upon.

Our Approach

We believe that the right solutions come from true collaboration. By working together with you, we build tools that fit your needs and address challenges. Our solutions are designed with usability, impact, and efficiency in mind—helping you stay focused on what matters most.

Network Compliance

The industry standard for network adequacy assessment, offering clear insight on network compliance to regulator standards; serving all lines of business with proven templates to address existing and emerging enhanced network adequacy standards. We are the preferred tool for regulators and healthcare professionals.

Network Performance

Elevate business performance by integrating provider and facility quality and efficiency data, market information, and member content to analyze, benchmark, and optimize your network. Your proprietary content can be added for even deeper insights, ensuring a seamless connection between data analysis and strategic decision-making.

Data Integrity

Ensure the integrity of your provider networks through a robust, multi-step interrogation and verification process, leveraging our exclusive BetterDoctor® portal for provider and group attestations, proprietary nationwide network information, and integrated public source content to maintain the most current network information and comply with regulatory requirements, such as the No Surprises Act and Medicare Advantage Provider Directory Accuracy.

Sales Efficiency

Streamline RFP responses for Employer Groups by enabling sales specialists to craft customized access reports quickly, enhance sales efficiency, reduce turnaround times, and free up specialist network design teams.

Advanced Decision Applications

Enhance the network management team’s modeling capabilities by providing insights into network performance and scenarios including features for provider impact projection, exception management, cross network impact; workflow options include API integration and notifications.

OUR DATA DIFFERENCE

What sets our data apart is not just what it contains, but where it originates. Our foundational data comes directly from network files submitted by payers for the purpose of complying with regulatory requirements, which is in turn validated by regulators and thus best represents a true reflection of the networks. Our proprietary, direct from the source, access is not dependent on publicly available machine-readable files or selectively presented information from online directories. When we enrich that data with elements such as BetterDoctor’s attestation and verification processes, affiliation, and claims information we unlock insights by leveraging unfiltered data available only through Quest Analytics. We use this same data advantage to train our machine learning models, ensuring our artificial intelligence is grounded in authentic, real-world data and delivers uniquely valuable insights.

The Power of Community

We partner with over 400 organizations, ranging in size, type, specialty, and line of business. From this community we actively solicit feedback, insights, and challenges. This wealth of knowledge is leveraged and shared among our client community, strengthening the entire healthcare ecosystem.

Trusted Partner of CMS and States

We’ve worked closely with CMS for nearly 15 years to improve the quality of Medicare Advantage and Qualified Health Plan networks nationwide. We’re a trusted resource for more than 30 state regulatory departments and independent review organizations across multiple lines of business, including the largest departments in the nation.

Our Client Services Advantage

Our Client Services team is an extension of your team. They work alongside you to support regulatory compliance, provide years of industry expertise, assist with quality reviews, provide submission support, reporting, and audit preparation. It is part of the reason our health plan partners consistently give us one of the top Net Promoter Scores in the industry.

Working together to improve member experiences and outcomes, one network at a time.