Meet QualityCare NavigatorSM

Improve member experience and outcomes.

Your agents are experts at managing your members, but not at finding the right doctors at the condition level. That’s where we come in.

QualityCare Navigator enables you to provide members optimal physician referrals while your agents spend more time helping members and less time searching for physicians.

Through its intuitive design, QualityCare Navigator enables your agents to easily and quickly submit a navigation case on behalf of your members, delighting them with our personalized service and NPS of 86.

The Match Process
The Clinical Experts
The Data Science

Here’s why health plan directories don’t work.

Suzanne Clough, MD, shares why we can’t rely on provider directories to find the right doctor.

Hear what our customers have to say.

We appreciate our partnership with ArmadaHealth, and the service they offer to our employees in finding and matching providers that meet their needs, and providing comprehensive profiles on each provider.  ArmadaHealth’s service has been a great addition to and differentiator in our employee benefits package.

Mei-Ling Fry, PHR, SHRM-CP, Assistant Vice President, Human Resources & Organizational Development, AGIA Affinity

What’s very important is that the physicians that these players are being recommended have been vetted, and are the best in their area. We want to make sure that the players are not only getting the recommendations to the right doctors, but quality. And that’s why QualityCare Connect is far and away the best alternative we’ve seen.

Bart Oates, President, NFL Alumni Association

My neurologist specialized in stroke, not multiple sclerosis, so he wasn’t up to speed on some of the newer medications…and I went into anaphylactic shock. That’s when I reached out to find a doctor who was more specialized in multiple sclerosis. (My new doctor) worked with me to find the right medication, and it’s been perfect.

Jamie, Member, QualityCare Connect

We do the leg work. You take the glory.

We work hard to find the ideal doctor, so your agents can focus on serving your members. We access our patent-pending extended intelligence platform, S.I.E.N.A.® to find the right doctor for your member.

We Got It

We Got It

We’ll review your member’s information and make sure we have everything we need to find the right doctor. A dedicated Care Navigator will reach out with updates, questions, or for clarification.

We Find the Doctors

We Find the Doctors

A Care Navigator will search our database of over 900,000 doctors to narrow down who best suits your member’s needs.

We Validate the Doctors

We Validate the Doctors

We consider their preferences and screen doctors for red flags like malpractice and sanctions.

We Call the Offices

We Call the Offices

We want to make sure your member is prepared for their appointment. We verify insurance acceptance, appointment availability, and prerequisites. We ask about features like on-site labs, same-day appointments, and evening and weekend hours.

They Make the Choice

They Make the Choice

Within 24-48 business hours, we send you highly qualified doctors for your member to consider. They can then make an informed decision about which doctor to see. They are under no obligation to see a doctor we recommend.

Put the power of our NPS of 86 to work for you. Let’s get started.

Contact Us