CLIENT ACCESS
QHM offers customized solutions that include patient referral support, claims repricing, and comprehensive cost containment strategies. Our approach helps promote a positive health experience for patients while maximizing savings for the client.
COST CONTAINMENT
QHM cost-containment services address and apply to the entire medical event – before, during and after.
Before the Medical Event
– Pre-certification and Admission Authorization
– Network Identification and Negotiation
– Cost Estimate of Care
– Medical Second Opinions
– Catastrophic Case Identification
Preventing unnecessary or overpriced care
During the Medical Event
– Case Management
– Assessment
– Treatment Planning
– Case Evaluation
– Treatment Plan Evaluation (Oncology)
– Interim claims review
Managing care efficiently to limit cost escalation
After the Medical Event
– Claims Review
– Claims Revisions & Corrections
– Claims Re-pricing
– Claims Adjudication
– Reinsurance Reporting
Auditing and adjusting to prevent over payment
PHARMACY
Prescription Medications Made Easier and More Affordable
QHM partners with leading Pharmacy Benefit Managers to give members access to over 55,000 pharmacies across the U.S. and Puerto Rico. This partnership ensures a simpler, lower-cost solution for those needing prescription medications.
TRANSPLANT
Access to 650+ Leading Transplant Programs for Patients and Clients
QHM provides access to a national Transplant Network, connecting patients and clients to more than 650 leading transplant programs across the U.S. This network supports both clinical data and cost containment in solid organ and bone marrow transplantation.
LAB
QuestSelect™ Advanced: Lab Benefit Program
What Is QuestSelect™ Advanced?
QuestSelect™ Advanced is a value-added health benefit that can help save you money on outpatient laboratory testing. When you show your healthcare provider your QuestSelect card to obtain outpatient testing, there is no cost to you- testing will be covered by your insurer or medical plan. There are no copays, no deductibles, and no coinsurance.
If you need immediate assistance, please email us at MServices@QHManagement.com or call (305) 821-8430.
IMAGING
Access to Advanced Imaging: MRI, CT, and PET Scans
QHM offers a VIP Radiology Program that provides access to high-quality imaging services, including MRI, CT, and PET scans, at discounted rates nationwide.
The service includes:
– Access to a network of over 2,200 free-standing facilities in the United States
– Assurance that facilities meet the American College of Radiology standards
– Priority scheduling at a nearby facility at a day and time convenient to you
– Written instructions, directions and a reminder call the day before your appointment
– We can save you money on the costs associated with imaging. Our average savings off of billed charges is 30%
This program ensures both convenience and cost-efficiency, while maintaining the highest clinical standards in advanced imaging.
If you need immediate assistance, please email us at MServices@QHManagement.com or call (305) 821-8430.
AIR AMBULANCE
24/7 Air & Ground Ambulance Services—Worldwide
QHM offers access to air and ground ambulance services around the world. These services are available 24 hours a day, 7 days a week.
Through our global network of contracted providers, members can choose from a wide range of trusted ambulance services at discounted rates.
For coordination of air ambulance services, contact:
📞 QHM: (305) 821-8430
QHM: MServices@QHManagement.com
Our team is ready to assist with reliable support at any time.
Air ambulance vendors include:
– Trinity Air Ambulance International, LLC
– Aeromedevac Air Ambulance
– REVA
– Air Ambulance1
– Air Ambulance Worldwide, Inc.
– Air Link USMX
– American Care Air Ambulance
– AMREF Flying Doctors
– Asia Rescue & Medical Services
– Asia Air Ambulance
– Fox Flight
– Helidosa Aviation Group
– International Air Medical Services, Inc.
– Kalitta Charters
– Life Flight -Miami Children’s Hospital
– First Jet
QUALITY HEALTH MANAGEMENT (QHM)
Phone: (305) 821-8430
Toll-Free: (877) 688-8821
Fax: (305) 820-4033
QHM HEADQUARTERS:
7975 NW 154th Street, Suite 302
Miami, Florida 33016 USA
CLAIMS MAILING ADDRESS:
8004 NW 154th Street, #383
Miami Lakes, Florida 33016
NEED MORE INFORMATION?
LET US KNOW HOW WE CAN HELP
Choose Quality Health Management (QHM) for expertly curated medical solutions that deliver results.
Our proven experience drives meaningful impact for your bottom line!
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