Provider Data Accuracy & Healthcare Directory Solutions | Quest Analytics
Provider Data Accuracy & Directory Compliance
Achieve accurate provider data and audit-ready directories with a dynamic, transparent, and proven approach.
QES Accuracy
Your solution for reliable provider data
Healthcare organizations increasingly rely on provider data accuracy to facilitate seamless operations. Accurate provider data is fundamental for improving patient care and ensuring regulatory compliance. Our solution meets these critical needs by focusing on transparency and effectiveness.
A Dynamic, Compliant Approach to Provider Data Validation
We offer a dynamic methodology to help you adapt to evolving industry requirements. By incorporating real-time data validation processes, we ensure continuous accuracy and reliability. This strategy minimizes errors and inconsistencies, thereby safeguarding the integrity of your data.
Improve Operations and the Bottom Line
Automate provider outreach and verification processes to achieve cost reduction and regulatory compliance. Our multiple-modal outreach strategy, featuring a 90-day rolling outreach schedule, ensures ongoing accuracy and operational efficiency.
Defendable Provider Data Integrity
Meet federal and state requirements for provider directory accuracy with a compliant provider outreach and verification program. Gain analytics on provider outreach and responsiveness to develop a documented, defendable, and auditable process that consistently addresses the evolving regulatory standards.
Achieve Superior Provider Data Integrity
Integrated into the Quest Enterprise Services®(QES®) provider network management platform, QES Accuracy ensures healthcare data precision by validating and updating provider details. It uses outreach, attestations, and machine learning to maintain compliance and operational efficiency, offering a reliable data integrity solution. Trust in our market-proven expertise for unmatched provider data integrity.
Reduce Provider Abrasion
Simplify provider verification to enhance the provider experience with BetterDoctor®. Our platform presents a streamlined solution, allowing individual and small practices to attest to multiple health plans simultaneously in a single portal. For large group practices and health systems, we offer the capability to submit a unified roster for all providers, thus eliminating the necessity of completing numerous separate attestations.
Enhanced Member Access and Satisfaction
Improve the member experience by ensuring accurate provider data for successful first-time searches, simplifying access to healthcare.
Popular Features
Experience the transformative power of QES® Accuracy – your ultimate solution for enhancing provider data accuracy. With features designed to streamline operations, validate vital data, and deliver actionable insights, you can significantly boost the integrity of your networks and drive better outcomes.
Location-Centric Outreach
Embrace a proactive, location-centric outreach and practitioner-at-location attestation strategy to ensure accurate provider data and enhance network trust and decision-making.
Provider Portal
Enhance provider collaboration and streamline data management with our user-friendly portal that pre-populates content and allows for individual and group attestations during a single outreach.
Large Group Health Systems Roster Processing
Streamline large-scale health system roster updates, ensuring timely compliance and data accuracy with industry protocols.
Provider Claims Activity
Quickly identify providers clinical activity based on relative patient volume versus their peers and determine if providers in your network may be ghost providers.
Machine Learning Confidence Scores
Generate scores through an industry-leading state-of-the-art machine learning model that predicts a practitioner’s association with a specific location and assigns a level of confidence to that prediction.
Enhanced Accuracy Reporting
Accelerate updates with reporting functionality that identifies discrepancies, tracks, and compares network changes over time. These tools help keep directories accurate, compliant, and aligned with the latest insights.
Outreach Metrics
View provider outreach data in a user-friendly interface, which enhances management, minimizes compliance risks, and enables compliance with regulatory audits.
Accuracy API
Seamlessly integrate provider data management with our API, enhancing system compatibility and data reliability for healthcare networks.
QES® Accuracy in Action
Discover more about how QES Accuracy can help you improve the quality of your provider data accuracy so you can help members and beneficiaries connect with the right providers.
Ghost Networks Impact Health Plans and Health Systems
Stay ahead of regulatory requirements and improve your members’ experience by eliminating ghosts within your network.
Explore how ghost networks impact provider accuracy
Large Group Health Systems Efficiencies
Maximize Your Return on Investment with QES Accuracy. Enhance data accuracy, reduce costs, and improve member experiences.
See how large health systems streamline provider data
Dental, Vision, and Behavioral Health
QES Accuracy strengthens ancillary plans by ensuring up-to-date provider data, aiding member access, and meeting compliance.
Discover accuracy improvements across specialty networks
Extend Confidence Across Your Network for Comprehensive Compliance
Strengthen your provider network at every stage by combining QES® Accuracy with additional tools. Gain actionable insights, increase operational efficiency, and build stronger networks. By integrating these tools, you’ll simplify workflows, reduce risk, and make more informed decisions—ensuring your healthcare networks excel at every stage of the lifecycle.
QES Adequacy
Combine QES Accuracy with QES Adequacy to achieve effortless measurement, management, monitoring, and modeling of your network adequacy supporting compliance while helping ensure your members can access the right providers for their unique needs.
Explore network adequacy solutions
QES Competitive Insights
Pair QES Accuracy with QES Competitive Insights to drive impactful decisions across the provider network lifecycle. QES Accuracy provides insights on provider attestations, while QES Competitive Insights offers strategic market intelligence. Together, these data insights help you enhance network performance, improve member satisfaction, and deliver long-term value to your organization.
Learn how competitive insights improve network performance
QES Provider Claims Insights
Enhance data insights by combining the strengths of QES Adequacy, QES Accuracy, and QES Provider Claims Insights. Together, these tools provide the provider information you need to stay compliant, improve operational efficiency, and optimize network performance.