Relationships That Open Doors

At QUAD Healthcare Solutions, we understand that your practice's revenue depends on swift and accurate enrollment with the right insurance carriers. Over the years, we have cultivated direct, high-level relationships with major commercial, government, and regional payers across the United States.

Commercial Insurance Carriers

We streamline the credentialing and contracting processes with all national commercial health plans, including but not limited to:

• Aetna: Comprehensive commercial, Medicare Advantage, and specialty networks.
• Anthem / Blue Cross Blue Shield (BCBS): State-specific BCBS affiliates, Elevance, and Highmark.
• Cigna: Commercial PPO, HMO, and behavioral health networks (Cigna-Evernorth).
• Humana: Commercial, Medicare Advantage, and Tricare networks.
• UnitedHealthcare (Optum): UHC Commercial, United Behavioral Health (UBH), and Optum networks.

Government & Federal Programs

Navigating government enrollment requires precision. We handle the complex paperwork and compliance requirements for:

• Medicare: Part A, Part B, and PECOS enrollments and revalidations.
• Medicaid: State-specific Medicaid programs and Managed Care Organizations (MCOs).
• Tricare: East and West regions for military and dependent care.
• VA & VA Community Care Network (CCN): Regional VA and CCN enrollments for veteran services.

Regional, Managed Care & Specialty Payers

Beyond the national giants, we ensure you are covered with localized and specialty-specific plans:

• Magellan Health: Premier behavioral health and specialty networks.
• Molina Healthcare & CareSource: Essential Medicaid, Medicare, and Marketplace plans.
• Ambetter & Centene: Rapidly growing health insurance marketplace networks.
• Workers' Compensation: State-specific workers' comp networks and third-party administrators (TPAs).
• Local IPAs & ACOs: Independent Practice Associations and Accountable Care Organizations in key metro markets.

The QUAD Advantage

Our deep understanding of each payer's unique application quirks, portal systems (like CAQH ProView and Availity), and committee review schedules allows us to bypass common delays. We don't just submit applications — we aggressively track and follow up with our designated payer representatives until your contract effective date is secured.

Direct Representative Access

For many of our high-volume payer networks, our team has direct phone and email access to specific credentialing representatives. That means when an application stalls, we don't wait on a generic call center queue — we escalate directly to someone who can resolve the issue.