Network Performance Services
PROVIDER CLAIMS ACTIVITY
Provider Claims Activity (PCA) includes:
- Total Claims Volume by NPI (All LOBs)
ACHIEVING PEAK PERFORMANCE
PCA provides you with the comprehensive insights you need to evaluate your network based on active provider activity across lines of business – helping you optimize your network to recruit viable providers fasters, increasing your speed to market, reducing regulatory risk and increasing your member satisfaction.
What Is PCA?
Provider Claims Activity expert Jennifer Warren breaks down the fundamentals.
PROVIDER CLAIMS ACTIVITY (PCA)*
Ghost (No patients)
Peripheral (Bottom 25% percentile of patient volume)
Standard (Middle 50% percentile of patient volume)
Core (Top 25% of patient volume)
CREATING A POWER COMBINATION OF INSIGHTS – PCA + QES
Our Quest Enterprise Services platform is the only provider network management solution that brings adequacy and accuracy together in one platform – making it easy to see what’s right, wrong or missing from your provider data and linking those actionable insights into your network’s adequacy, highlighting variances and identifying gaps.
Expert Consultants
Our consultants have deep professional services industry experience and data analytics proficiency. They are ready to help you achieve your network performance goals.
OPTIMIZE YOUR NETWORK TODAY
Our team is ready to help you discover how performance analytics can bring a new approach to your network builds — helping you get to market faster while improving member satisfaction.
Schedule a consultative session with one of our performance analytics experts to discuss and determine your strategy.