Quality Health Management LLC

SERVICES

QHM provides health administration services specifically designed to meet the needs of each individual payer that result in cost containment for clients and customer satisfaction for members. Clients may select from an array of services.

• Cost Containment Services that includes managing and reducing costs of medical services in the United States and internationally.
• Preferred Provider Networks in the United States and Internationally that are comprised of:
  1. U.S. Preferred Provider Network access with over 560,000 physicians and 4,000 hospitals and ancillaries.
  2. "Select" Network access comprised of physicians, hospitals and ancillaries directly contracted with QHM and specifically developed for every client.
  3. International Preferred Provider Network in over 87 countries comprised of physicians, hospitals and ancillaries contracted directly with QHM.
  4. Transplant Network access in the United States
  5. Pharmacy Network Access and Pharmacy Benefit Management
• Claims Services including review, analysis, cost containment, negotiation and adjudication of claims.
• Member Services including scheduling and coordination of care available 24 hours a day, seven days a week.
• Air Ambulance Services
• Medical Case Management and Monitoring
• Oncology Medical Management
• Second Opinion Program
• Auditing Services
• Training and Education
• Consulting
• Subrogation & Recovery Services
• Access to affinity programs with discounts in the areas of pharmacy, dental, vision, 24 hour nurse line, chiropractic & alternative medicine, diabetes management, and hotel & automobile rental.

To learn more about QHM’s services contact QHM’s Sales & Marketing Division at (305) 821-8430 or Toll free at (877) 688-8821.