WHAT YOU SHOULD KNOW
Frequently Asked Questions
Have a question? We may have your answer below.
QualityCare Connect (QCC) is a service designed to provide you recommendations of the best possible doctors for your condition and/or preferences. Our High Tech, Right Touch® approach to referrals means that in addition to our advanced data science and technology platform, we also have clinical nurse navigators who are they to help you when and if you need it. You can make your request online or call and discuss with one of the navigators or both!
When you are subscribed to the QCC service you may use it as many times as you like. We guarantee our service will find you the best doctors to treat your condition.
If you’re searching for help finding a doctor, or represent a population of consumers and searching for ways to provide high-quality referrals, contact us today.
We’ve been recommending specialists for 15 years and keep getting better as time goes on! In addition to the insights we receive from the physician members of our Clinical Advisory Board, we also leverage insights generated from our world-class data science platform built to help us evaluate physician performance.
We collect and analyze data from hundreds of sources on all practicing physicians in the U.S. to understand what medical conditions they treat, what procedures they perform and how well they do them. We evaluate their educational background, medical training, thought leadership, ongoing training, and sanctions, as well as other data that clue us into their expertise with your medical condition or a procedure you may need.
We do not pay the doctors or have any financial or legal relationship with them. This way you can be assured that we objectively evaluate the doctors.
We also do our best to find doctors who meet your preferences for gender, office location, health system, insurance acceptance, and appointment availability. Then, we offer you a choice of top matches!
If you have this benefit through an organization, there is no cost to use this service. Individuals not associated with a group can also purchase this benefit for themselves by contacting us.
Absolutely not! We provide you recommendations for doctors who have been evaluated as appropriate for your clinical condition and preferences such as location and insurance. It is your choice to use one of those doctors or not.
If after you review the recommendations that we provided you and would like to see other options, please let us know. We are happy to provide additional recommendations.
If you have access to our services through a plan sponsor or association, you can enroll through your sponsor’s QualityCare Connect (QCC) website, benefits portal, or app, to immediately begin a request for doctor recommendations.
If you have individual access and/or have already set up your profile, you can logon from our corporate website (you are on it now!), click on “Member Login”.
Alternatively, if you know you have access and you can’t locate your sponsor’s QCC website, you can email QualityCare Connect or call us at 888-302-5735 and provide your plan sponsor or association, and we’ll verify your eligibility and help you get started with connecting you to the right doctor.
Within one to two business days, we’ll send you a care packet that provides you with doctors that match your exact criteria and, most importantly, are best suited to treat your condition. This information will include background information on the recommended doctors along with directions to their office and instructions on what to bring with you (e.g. test results, medical records).
You can request a doctor recommendation as often as necessary throughout the year at no additional cost.
Locating the best possible doctor for you requires time for an in-depth review of medical credentials to identify those doctors that are the best match for YOUR specific health condition and have the greatest level of expertise. This safeguards you from receiving an incorrect diagnosis and unsuccessful treatment.
We also ensure the recommended doctors accept your insurance and have appointment availability, which is often not an option when using other sources.
There is no legal or financial relationship with any of the doctors we recommend. The doctors recommended to each member are first and foremost based on an informed understanding of the patient’s diagnosis matched with the expertise of the doctor.
Our services are designed to match you with the best possible healthcare primary care doctor, specialist or surgeon based on your specific medical condition and needs. We do not practice medicine, so it’s important to have a diagnosis from your primary care doctor which allows us to provide you with the most accurate match possible.
Once you have a proper diagnosis or a working diagnosis, we will then be able to identify multiple specialists that have the most expertise in that area as well as meet additional criteria you choose.
One of our goals is to avoid sending you to an inappropriate specialist which increases cost for healthcare and delays proper treatment. Seeing a primary care physician first gives us a “working diagnosis” to ensure that we are recommending the proper specialist. Your primary care doctor can take care of any testing or imaging that may be required for an accurate diagnosis.
Many specialists require that you first see a primary care doctor before scheduling an appointment with them. They may also ask to see your lab work and medical records prior to scheduling an appointment with you.
Yes, although we always encourage you to consult with your primary care doctor as a first step in your medical care.
The following conditions can be appropriate for self-referrals:
- Elective procedures (LASIKS, vasectomy, cosmetic and reconstructive procedures, colonoscopy)
- OB-GYN (routine care, fertility issues, obstetrics)
- Dermatology (non-oncology assessment including skin checks, esthetic procedures)
- Orthopaedic evaluation (obvious fractures and sprains)
If you are uncertain as to your exact diagnosis, we can guide you to a general specialist to confirm a suspected diagnosis.
Yes – we verify that the recommended doctors accept your insurance and meet any other criteria you require before providing you with recommendations. If we are unable to find in-network doctors that meet your preferences, we will clearly identify the doctors we recommend as out of network to ensure you know this before making your selection.
When you contact us to locate a doctor, please let us know of any special needs that are important to you and we’ll do our best to identify doctors that are able to meet your needs. We want your experience to be as comfortable and stress-free as possible, so we strive to find doctors that accommodate your needs including language preferences, hearing and vision assistance, sign language, and many more.
We comply with HIPAA practices and incorporate a high level of data encryption into our systems to ensure that your health and personal information is kept private. We do not share any of your records with your employer or any other entity unless otherwise required by law. Requesting a doctor recommendation for those under 18 years of age must be done by a parent or guardian.
We only provide recommendations to medical physicians (MDs and DOs); therefore we are unable to offer information for the following healthcare services at this time:
- Dental care
- Addiction treatment
- Physical therapy
- Occupational therapy
- Speech therapy
- Genetic counselors
- Integrated medicine and naturopathy
- Mental health-psychiatry, behavioral health, psychologist, therapist or social workers