Qualis Health is well positioned to provide quality assessment, quality improvement and care management services to health plans, insurance carriers and health maintenance organizations.

The type of service Qualis Health provides to health plans depends on the needs of the organization. Health plans have used our external or independent review services to assist in making a determination about whether denied healthcare services are either medically necessary or covered under benefit plan provisions. Other health plans have used Qualis Health services to assess the healthcare quality improvement of their own internal departments.

Regardless of the type of services provided, Qualis Health offers the necessary expertise in evaluating and improving the quality of the healthcare services delivered to health plan members.