Expansive Provider Access with AI-Driven Cost Containment.
Quest provides nationwide access to physicians, hospitals, and ancillary care providers.
Delivering substantial, data-driven discounts across all 50 states
Quest provides nationwide access to physicians, hospitals, and ancillary care providers, delivering substantial, data-driven discounts across all 50 states.
Our supplemental provider network supports utilization management companies, third-party administrators (TPAs), commercial insurers, and self-funded employer groups by securing provider discounts on a primary or wrap-around basis, even when patient steerage (logos or benefit differentials) is not available.
AI-Driven Network Optimization – AI analyzes claims data to refine and expand our provider network dynamically, ensuring broader coverage and maximizing savings opportunities.
Real-Time Web-Based Re-Pricing – Our system integrates automated fee schedule analysis, allowing AI to instantly determine the optimal discount for each claim and provide immediate re-pricing data to clients.
Predictive Cost Containment Strategies – AI-powered analytics assess provider rates across multiple geographic regions and tier PPO networks by their cost-effectiveness, continuously identifying the best savings strategies for each claim scenario.
With cutting-edge AI technology, Quest enhances the efficiency of claims processing by automating negotiation workflows, provider identification, and cost evaluations. Our proactive approach ensures clients have access to cost-effective provider networks, reduced claim expenses, and AI-enhanced decision-making tools for better financial outcomes.