Quest Analytics, the leader in provider network management solutions and services, will attend AHIP 2023 this week and showcase its Accuracy Services Solution, a part of Quest Enterprise Services™ (QES™). Quest Analytics’ Accuracy Services is the industry’s leading solution for provider directory accuracy, uniquely linking regulatory compliance with a health plan’s member experience, network integrity and network performance within a unified platform. It provides health plans with the insights and efficiencies needed to build high-performance networks.
“The integrity of a health plan’s provider network is based upon the integrity of its data,” said Steve Levin, CEO, Quest Analytics. “Our Accuracy Services solution improves a health plan’s provider data quality to improve member and provider experiences, increase operational efficiencies and ensure regulatory compliance.”
With the QES Accuracy solution, health plans can:
- Improve operational efficiency – Reduce internal outreach costs and improve provider response rates; Consolidate disparate processes for individual practitioners, small provider groups, large delegated groups, and health systems; Improve claim payment accuracy and reduce recovery costs.
- Streamline data review – Eliminate lengthy data backlogs and reduce manual review costs; Provide more timely updates to downstream systems by automating data ingestion via a flexible API; Respond quickly and easily to audits and stakeholder questions with high transparency into data changes, sources and events.
- Comply with NSA and other regulatory requirements – Maintain accurate, current information in provider directories with demonstrable, rolling 90-day outreach to all outreach-able providers; Easily identify ineligible and nonpracticing providers, practitioners who are no longer at service locations, and closed service locations; Obtain summary and detailed views of verification dates and sources, outreach dates and communication channel.
In addition, at AHIP 2023, Quest Analytics’ Chairman Roger Holstein will lead a session on June 14, 2023, from 11 a.m. – 11:45 a.m. PST entitled, Cacophony or Symphony: Eliminating Bias and Noise to Improve Outcomes. The presentation will explore how bias and noise in decision-making lead to unintended consequences and greater variation in care.
To learn more about Quest Analytics’ Accuracy Services, visit Quest Analytics’ booth #1717 at AHIP 2023, click here.
