What Quest Analytics does

Quest Analytics, founded in 2003 and headquartered in Appleton, Wisconsin (with principal offices in Overland Park, Kansas), is a privately held SaaS provider of healthcare provider network management solutions. The company's flagship platform, Quest Enterprise Services® (QES®), is a cloud-based network decisioning system that helps health plans, health systems, and regulators measure, manage, monitor, and model provider networks across Medicare Advantage, Medicaid, Marketplace, Dental, Vision, and Commercial lines of business. Its modular portfolio includes Network Compliance (regulatory adequacy evaluation), Network Performance (clinical activity insights, benchmarking, competitive and affiliation analysis), Data Integrity/Accuracy (provider directory validation across 90% of payers), QES Access Reporting (sales/RFP automation), Advanced Decision Applications (network modeling, exception management), and BetterDoctor® Provider Portal (acquired in 2018).

Underlying technology combines geocoding and proximity mapping with primary-sourced provider data, processing 150B+ provider records per month and managing 7,000+ provider networks on the platform. The QES platform is 100% HITRUST CSF certified, and the company holds a long-standing, multi-term contract with the Centers for Medicare & Medicaid Services (CMS) dating to 2007 to support Medicare Advantage network adequacy reviews. Additional proprietary offerings include the legacy Quest Analytics Suite™ (QAS®) desktop product, Network Analytics Services, and Consulting Services.

Quest Analytics generates revenue primarily through enterprise SaaS subscriptions to QES, sold via direct enterprise field sales on multi-year contracts with quote-based pricing (no published tiers). Its go-to-market targets four vertical segments: health plans (primary), health systems, regulators (federal and 30+ state agencies), and providers. The company reports customer outcomes including 50% reduction in provider recruitment costs, 5x expansion in network/service area growth, and 20,000 hours saved in 6 months for a Top 10 National Payer using QES Access Reporting. Headcount is in the 251-500 range; the company remains founder-led (CEO Steve Levin) with no disclosed external institutional investment.

Name

Quest Analytics

Legal name

Quest Analytics, L.L.C.

Website

https://questanalytics.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

251–500 employees

Short description

Quest Analytics provides cloud-based SaaS for healthcare provider network management — measuring adequacy, validating provider data, and optimizing network performance — primarily for Medicare Advantage, Medicaid, and Commercial health plans, plus regulators and health systems.

Ownership category

akta.pro rank

Headquarters

HQ city

Appleton

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: Cloud-based subscription model for Quest Enterprise Services (QES) providing network adequacy, data accuracy, and performance analytics capabilities. Enterprise licensing with multi-year contracts typical for government and large payer customers.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels7 records

Core offering

Quest Analytics provides a cloud-based SaaS platform, Quest Enterprise Services (QES), that helps health plans, health systems, regulators, and providers measure, manage, monitor, and model healthcare provider networks. The platform evaluates network adequacy against CMS and state standards, improves provider data accuracy, supports sales/RFP workflows, and offers ancillary services such as the BetterDoctor provider portal, Network Analytics Services, and Consulting Services.

Product overview

Quest Analytics offers a unified provider network management platform primarily centered around Quest Enterprise Services® (QES®), a cloud-based SaaS solution that measures, manages, monitors, and models high-performing and compliant provider networks. The portfolio includes specialized modules for Network Compliance (adequacy evaluation), Network Performance (including Provider Claims Insights, Competitive Insights, and Affiliation Insights), Data Integrity/Accuracy, Access Reporting, and Advanced Decision Applications (including the Exceptions Package and QES Quinn AI Assistant). Supporting products include the legacy Quest Analytics Suite (QAS®), BetterDoctor® Provider Portal for practitioner data verification, Network Analytics Services, and Consulting Services. The company serves health plans, health systems, regulators, and providers with a focus on CMS compliance for Medicare Advantage and Medicaid programs.

Differentiator

Problem solved

Functional benefit

Brands

• Quest Enterprise Services® (QES®): Cloud-based network decisioning platform for healthcare provider network management, supporting all lines of business with measurement systems, integrated data, advanced analysis, and network visualization.
• Quest Analytics Suite™ (QAS®)
• BetterDoctor® Provider Portal
• QES Quinn
• QES Exceptions Package

Products and services

• Quest Enterprise Services (QES) Cloud-based network decisioning SaaS platform that measures, manages, monitors, and models high-performing and compliant provider networks for health plans, health systems, regulators, and providers across Medicare Advantage, Medicaid, Marketplace, Dental, Vision, and Commercial lines of business.
• Quest Analytics Suite (QAS) Legacy desktop software solution for provider network management, supporting customers transitioning to or maintaining on-premise workflows as they migrate to the QES cloud platform.
• BetterDoctor Provider Portal Provider-facing portal for individual practitioners and large group practices to verify and update their provider information across multiple health plans, supporting provider data accuracy initiatives.
• Network Analytics Services Analytics services providing deeper network insights and performance analysis for health plans and health systems requiring expert interpretation and custom analytics beyond standard platform reporting.
• Consulting Services Professional services including network adequacy assessment, provider file management, and advanced network performance and design consulting for health plans and health systems.

Quantifiable outcome

• 50% reduction in provider recruitment costs
• +4 more outcomes

Named customers10 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

AI capability4 records

Feature11 records

Partnerships

One partnership is on record.

• Centers for Medicare & Medicaid Services (CMS)coreOthers · 2 December 2025Long-standing government partnership since 2007, renewed for additional five-year term. Quest Analytics supports CMS Medicare Advantage network adequacy reviews, providing software for geocoding and proximity mapping to assess provider networks against CMS time and distance standards across 40+ specialties and facility types.

Scale indicators8 records

Expansion highlights5 records

Emerging players

• Apixio: Apixio (now part of Centene) applies AI to provider and clinical data for payers, with overlapping capabilities in provider data quality and risk adjustment adjacent to Quest's accuracy and analytics modules.
• Clarify Health Solutions: Clarify Health offers analytics-driven network design, performance benchmarking, and value-based care insights to payers and providers. Overlaps with Quest's Network Performance and Competitive Insights but is more focused on AI-driven performance analytics.
• Edifecs: Edifecs provides healthcare data interoperability and EDI management solutions for payers. The new Quest CPO came from Edifecs, signaling technology and customer-base overlap in payer-side data infrastructure.

Direct peers

• Cotiviti: Cotiviti delivers payment accuracy, network, and quality analytics for health plans, including provider data and network performance functionality that competes directly with QES. Strong overlap in payer-focused analytics modules.
• Inovalon: Inovalon provides healthcare data analytics and network management solutions to payers and providers, directly overlapping Quest's analytics and provider-data capabilities. Quest's CCO previously held a senior role there, underscoring the comparable positioning.
• LexisNexis Risk Solutions Health Care: LexisNexis Risk Solutions offers provider data, identity, and network analytics to health plans, including directory accuracy and credentialing data that directly compete with Quest's accuracy and provider-data platform.
• MedeAnalytics: MedeAnalytics provides payer and provider analytics including network performance, cost, and quality benchmarking, overlapping Quest's Network Performance and Competitive Insights modules.
• CAQH (Corewell Solutions): CAQH operates provider data, credentialing, and directory solutions (e.g., CAQH ProView, DirectAssure), competing with Quest's BetterDoctor and data integrity modules across payers.

Broad incumbents

• Optum (UnitedHealth Group): Optum operates a broad healthcare analytics, network management, and provider data portfolio serving payers, providers, and government programs. As a broader incumbent with internal scale, it competes and at times partners with Quest across multiple modules.
• Change Healthcare: Change Healthcare (now part of Optum) provides payer and provider data, claims, and network solutions with broad market reach. Overlaps with Quest's provider claims insights and data accuracy capabilities.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/Quest_Analytics
• YouTubeyoutube.com/channel/UC5pQHgJ3xT4dQpb-1GL9YJw
• Facebookfacebook.com/questanalyticsllc
• LinkedInlinkedin.com/company/quest-analytics-inc
• Instagraminstagram.com/quest_analytics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Quest Analytics