BetterDoctor
Quest Analytics (BetterDoctor) provides cloud-based provider network management SaaS to U.S. health plans, health systems, and regulators, serving 90% of America's health plans and CMS with network adequacy, data accuracy, and performance analytics tools.
- Company typePrivate
- Founded2003
- HeadquartersSan Francisco, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What BetterDoctor does
Quest Analytics, L.L.C. (operating the BetterDoctor provider portal as a sub-brand) is a privately held healthcare technology company founded in 2003 and headquartered in Overland Park, Kansas. The company delivers provider network management software to U.S. health plans, health systems, regulators, and providers, with stated penetration across 90% of America's health plans and a 20+ year partnership with CMS. Its core platform, Quest Enterprise Services (QES), is a cloud-based SaaS solution spanning network adequacy compliance, provider data accuracy, network performance analytics, and competitive insights, complemented by the Quest Analytics Suite (QAS) desktop product, the BetterDoctor provider attestation portal, and a consulting services practice.
The technology stack processes 150B+ provider records per month, sourced from network files that payers submit to regulators rather than public machine-readable data, and applies machine learning models to network optimization and predictive analytics. Modules include Network Compliance, Network Performance, Data Integrity, Access Reporting, Advanced Decision Apps, Provider Claims Insights, Competitive Insights, Affiliation Insights, and an Exceptions Package, with HITRUST CSF certification and partnerships integrating third-party clinical and claims intelligence from Motive Practicing Wisely and Arcadia. The company serves 400+ organizations including all eight of the largest U.S. health plans and 30+ state regulatory agencies, reporting 7,000+ provider networks managed within the platform and a 98% client retention rate.
The business model is enterprise SaaS subscription with annual billing, supplemented by professional services from a dedicated Client Service Consultant Team. Pricing is quote-based and not publicly disclosed. Distribution is through direct enterprise field sales segmented by National Payers, Regional Payers, and Ancillary Markets, supported by an active presence at healthcare industry conferences (AHIP, HLTH, Becker's, HCCA, CTeL), original content including the "Totally Adequate" podcast, and co-branded webinars. Total disclosed funding to date is approximately $26M across rounds from 2012-2017.
BetterDoctor firmographics
Firmographics- Name
- BetterDoctor
- Legal name
- Quest Analytics, L.L.C.
- Website
- https://questanalytics.com
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Quest Analytics (BetterDoctor) provides cloud-based provider network management SaaS to U.S. health plans, health systems, and regulators, serving 90% of America's health plans and CMS with network adequacy, data accuracy, and performance analytics tools.
- Ownership category
- akta.pro rank
BetterDoctor industry classification
Industry- Product category
- Healthcare Provider Network Management Software
- NAICS
- Custom Computer Programming Services (541511), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Computer Systems Design and Related Services (54151)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- API Management & Developer Portals for Health Data (HLACABAD)
- akta.pro secondary industry
- EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)
Keywords
Where BetterDoctor is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
BetterDoctor business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Platform Subscription (Quest Enterprise Services): Cloud-based SaaS platform sold as subscription to health plans, health systems, and regulators. Revenue derived from annual or multi-year subscription contracts for the QES platform covering network adequacy, data accuracy, and performance analytics capabilities.
- Quest Analytics Suite (QAS) Desktop Software: Desktop software solution for provider network access analysis and disruption analysis. Sold alongside or as alternative to SaaS platform.
- Professional Services / Consulting: Consulting services included as part of QES platform (Client Service Consultant Team) with additional specialized professional services for network design, adequacy assessment, and compliance support.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise SaaS platform with integrated solutions for healthcare provider network management |
Go-to-market motion3 records
Distribution channels2 records
Marketing channels9 records
BetterDoctor product offering
Product offeringCore offering
BetterDoctor operates as the provider data verification brand within Quest Analytics, delivering a cloud-based SaaS platform that helps health plans, health systems, and regulators measure, manage, monitor, and model healthcare provider networks. The BetterDoctor Provider Portal enables providers to verify and attest their directory data, which feeds into the broader Quest Enterprise Services (QES) platform used by payers to assess network adequacy, eliminate ghost networks, and comply with CMS and state regulatory requirements.
Product overview
BetterDoctor operates as a provider data verification brand under Quest Analytics. The portfolio includes the BetterDoctor® Provider Portal for provider data validation, integrated within the Quest Enterprise Services® (QES®) cloud-based platform. QES is the core network decisioning platform supporting all lines of business with integrated modules for Network Compliance, Network Performance, Data Integrity, Access Reporting, and Advanced Decision Applications. Supporting products include the Quest Analytics Suite™ (QAS®) desktop solution for access and disruption analysis, and Consulting Services. The platform integrates third-party data from Arcadia and Motive Practicing Wisely for enhanced provider performance intelligence.
Differentiator
Problem solved
Functional benefit
Brands
- BetterDoctor: Provider data verification portal for individual providers, small groups, and large health systems.
- Quest Enterprise Services (QES)
- Quest Analytics Suite (QAS)
Products and services
- BetterDoctor® Provider Portal A provider data verification portal that simplifies provider data validation for individual providers, small groups, and large health systems while sharing data updates with partnering health plans. Enhances accuracy and reliability of provider directories while reducing administrative burdens.
- Quest Enterprise Services® (QES®) A cloud-based network decisioning SaaS platform that supports all lines of business with measurement systems, integrated data, advanced analysis, and network visualization. Provides tools to measure, manage, monitor, and model high-performing and compliant provider networks for health plans, health systems, and regulators.
- Quest Analytics Suite™ (QAS®) A desktop software solution combining essential tools including Access Analysis, Disruption Analysis, intelligent geocoding, and powerful mapping. Trusted for 30 years by over 425 health, dental, vision and ancillary plans, brokers, and benefits consultants.
- Consulting Services Professional services offering strategic guidance for network adequacy, file management, network performance and design. Includes a dedicated Client Service Consultant Team that works alongside clients to ensure successful adoption and ongoing optimization.
- Network Analytics Services Analytical services for healthcare provider network assessment and optimization, supporting clients with customized network analysis and decision support.
Quantifiable outcome
- 50% reduction in provider recruitment costs
- +7 more outcomes
Companies that use BetterDoctor
Customer profileNamed customers6 records
Segments4 records
Ideal customer profiles4 records
BetterDoctor technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability3 records
Feature10 records
BetterDoctor partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- ArcadiacoreStrategic data integration partnership delivering advanced provider performance intelligence within Quest Analytics' QES network management platform. Integration of Arcadia's CareJourney Provider Performance Index (PPI) solution into QES Provider Claims Insights provides claims-derived performance metrics including cost, quality, and episodes of care indicators. Empowers health plans to make more informed network decisions when building and refining provider networks focused on care improvement. Over 250 episodes derived from Arcadia's Medicare fee-for-service claims data asset.
- Motive Practicing WiselycoreStrategic integration partnership to provide deeper physician-specific information within QES platform. Motive Practicing Wisely Appropriateness Measures score physicians based on whether their clinical decisions align with current clinical evidence and best practices. The measures provide data on 18 specialties, primary care and pediatrics, identifying clinical decisions with potential for harm, avoidable high-cost resource use, and significant variation in care. This integration enables health plans to build more efficient networks emphasizing quality and care appropriateness.
Scale indicators12 records
Recent moves6 records
Expansion highlights5 records
BetterDoctor competitors and assessment
Company assessmentDirect peers
- Ribbon Health: Provider data platform offering directory management, network adequacy analytics, and API-based provider search for payers and digital health companies. Closely mirrors BetterDoctor's provider verification focus and parts of the QES Data Integrity module.
- Kyruus: Provider data, search, and scheduling platform sold to health plans, health systems, and provider groups. Directly comparable to Quest's BetterDoctor and QES Data Integrity offerings in provider directory accuracy and network management use cases.
Emerging players
- Clarify Health: Healthcare analytics and provider performance platform serving payers and providers with claims-derived cost, quality, and network design analytics. Comparable to QES Provider Claims Insights and Competitive Insights modules but with a stronger value-based care and life sciences orientation.
- Arcadia: Healthcare data platform with claims-derived analytics (CareJourney) and population health insights used by health plans and providers. Already integrated into Quest's QES Provider Claims Insights, but increasingly competes for payer analytics budgets in adjacent performance and value-based care use cases.
Broad incumbents
- LexisNexis Risk Solutions (Healthcare): Provides provider data, identity verification, and referential data products used by health plans for directory accuracy and credentialing. Comparable to BetterDoctor's provider verification and QES Data Integrity offerings, though embedded within a much larger data services portfolio.
- Health Catalyst: Enterprise healthcare data and analytics platform serving health systems and payers with quality, cost, and operational analytics. Comparable analytics and ML capabilities targeting similar healthcare buyers, though broader in scope than Quest's network-management focus. Also a prior Quest investor.
- MedeAnalytics: Healthcare analytics platform for payers and providers covering network, payment, and quality analytics. Overlaps with QES Network Performance and Competitive Insights from a payer analytics perspective.
- Definitive Healthcare: Provider intelligence and commercial data platform for the healthcare industry, including provider affiliations, network composition, and reference data. Comparable to Quest's provider data and competitive/affiliation insights capabilities from a commercial intelligence angle.
- Cotiviti: Healthcare analytics and payment accuracy vendor serving health plans with network, payment integrity, and quality analytics. Overlaps with Quest on payer-facing network and performance analytics, but operates across a much broader set of use cases.
- Change Healthcare / Optum Insight: Large-scale healthcare data, analytics, and network services business within Optum (formerly Change Healthcare and earlier McKesson analytics). Overlaps with Quest's payer network analytics and provider data offerings, but embedded within a much broader portfolio spanning claims, payments, and RCM.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
BetterDoctor social profiles
Digital presenceBetterDoctor compliance and trust
Trust signalCompliance1 record
BetterDoctor financial estimates
Financial estimateRevenue estimate
Valuation estimate
BetterDoctor leadership team
Management profileNumber of profiles
Profiles4 records
BetterDoctor funding detail
Funding detailFunding overview
Funding rounds5 records
Investors16 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
BetterDoctor M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about BetterDoctor
What does BetterDoctor do?
BetterDoctor operates as the provider data verification brand within Quest Analytics, delivering a cloud-based SaaS platform that helps health plans, health systems, and regulators measure, manage, monitor, and model healthcare provider networks. The BetterDoctor Provider Portal enables providers to verify and attest their directory data, which feeds into the broader Quest Enterprise Services (QES) platform used by payers to assess network adequacy, eliminate ghost networks, and comply with CMS and state regulatory requirements.
Is BetterDoctor a public or private company?
BetterDoctor is a private company. It is classified as venture growth investor backed and is currently operating.
When was BetterDoctor founded?
BetterDoctor was founded in 2003. It employs 11 to 50 people.
Where is BetterDoctor based?
BetterDoctor is headquartered in San Francisco, United States, in the North America region.
How does BetterDoctor make money?
Three revenue lines are on record. SaaS Platform Subscription (Quest Enterprise Services) is the primary driver. The others are quest Analytics Suite (QAS) Desktop Software and professional Services / Consulting.
Who are BetterDoctor's main competitors?
Direct peers on record are Ribbon Health and Kyruus. Emerging players are Clarify Health and Arcadia. Broad incumbents are LexisNexis Risk Solutions (Healthcare), Health Catalyst, MedeAnalytics, Definitive Healthcare, Cotiviti and Change Healthcare / Optum Insight.
Does BetterDoctor have an API?
No public API is recorded for BetterDoctor.
What industry is BetterDoctor in?
BetterDoctor's product category is Healthcare Provider Network Management Software. Its primary akta.pro industry code is HLACABAD, API Management & Developer Portals for Health Data, with a secondary code of HLACAAAL, EHR Implementation, Optimization, Training & Managed Services. Its NAICS code is 541511 and its SIC code is 7372.