Quality Health Management LLC

QHM staff is available to assist clients via Internet Web viewer, e-mail telephone, and fax. Whether you are an insurance company, self-funded employer group, foreign government, consultant or broker, you may call us directly to find out more about our services. Our Sales Department is ready to assist clients in tailoring a network that meets the needs of your members and your budget. Contact a Sales & Marketing Executive to assist you at 305-821-8430.

Patients may contact the Member Services Department to request assistance with coordination of medical care or via web site request form. QHM representatives are available to schedule and coordinate care with participating providers.

QHM’s proprietary networks are called "QHM Select" and "QHM International". Both networks are comprised of hospitals and physicians directly contracted with QHM.

QHM processes claims but the insurance company or employer listed on the insurance card is responsible for payment.

No, the benefit structure is determined by the insurance plan or employer.

QHM provides a network of providers. QHM processes claims to determine if a preferred provider was used and to apply the contractual discount to the bill. We forward claims to insurance carrier or employer for benefit determination and adjudication.

You may search your network directory or contact a QHM customer service representative via telephone, e-mail or fax to assist you with your search.