Solutions

Healthcare navigation designed to benefit everyone

Quantum Health’s model is the first and only solution to seamlessly bring together member engagement, clinical support and provider interaction. We do it on one flexible platform, so everyone from your employees to their doctors has a single and easy place to go for help. As our clients like to say, “Just contact Quantum.”

Platform in different views

Your carriers.
Your benefits.
Your solution.

Your people have diverse needs, from billing questions to complex condition management. Our navigation solutions work within your benefits ecosystem to deliver an improved member experience and clinical outcomes, along with cost savings.

Overview of Services

Quantum Health Access™

Explore Access
Navigation
  • Healthcare benefits navigation
  • Provider search and guidance
  • Claims assistance
  • Point solution and community referrals
  • Member engagement communications

Quantum Health Complete™

Explore Complete

Includes everything from Access plus

Care Coordination
  • Utilization management
  • High-cost case review
  • Medical appeals coordination
  • Case and disease management
  • Preadmission and postdischarge planning
  • Behavioral and mental health support
  • Prescription and specialty pharmacy management
  • Transplant and oncology management
  • Referral and eligibility verification for providers
Comprehensive Care Solutions

Optimize your healthcare benefits strategy

Our configurable options work with — and enhance — your existing benefits ecosystem investments.

  • Guide members to specialized benefits
  • Tackle the most complex and costly conditions
  • Reduce HR workload through strategic integrations with best-in-class partners
Two coworkers sharing a plan