BetterDoctor

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.

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

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

• Provider network management
• Provider data verification
• Healthcare network adequacy
• Provider directory accuracy
• Healthcare analytics software

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure

Revenue model

1. 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.
2. 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.
3. 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

Go-to-market motion3 records

Distribution channels2 records

Marketing channels9 records

Core 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

Named customers6 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability3 records

Feature10 records

Partnerships

Two partnerships are on record, tiered core.

• ArcadiacoreTechnology or Integration · 16 June 2025Strategic 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 WiselycoreTechnology or Integration · 9 April 2024Strategic 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

Direct 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

• Xx.com/BetterDoctor
• YouTubeyoutube.com/channel/UC5pQHgJ3xT4dQpb-1GL9YJw
• Facebookfacebook.com/BetterDoctor
• LinkedInlinkedin.com/company/betterdoctor
• Instagraminstagram.com/quest_analytics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds5 records

Investors16 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about BetterDoctor