Delivering Quality and Excellence. Every Service. Every Client. Every Day.

Qualexa
Healthcare

Providing Strategic Management Services and advanced Technology that contributes to the future of effective Healthcare Administration.

Services

Qualexa is committed to providing effective Healthcare Management services using quality expert administration

Full TPA Administrative Services

Qualexa Healthcare facilitates and provides Employer Groups, Payers, Risk-Bearing Providers, and Managed Care Health Plan

Benefit Plan Design

Healthcare organizations can manage, optimize and transform their businesses with distinct Health Benefit Plan Designs. 

Benefits and Claims Administration

Quality and Excellence is essential for success. We help manage all your benefits and claims administration needs using our expert resolution strategies. 

Call Center/Customer Service

Qualexa offers elite Customer Service that can serve as an extension to your staff or handle all of the calls for your organization.

Telemedicine

Qualexa uses virtual technology so you can consult with a healthcare professional without the hassles of a physical visit.

Population Health Management

Population health management is key to achieving the best healthcare outcomes in a quality driven value-based care environment. 

Medical Networks

Medical Networks are the foundation for essential healthcare. 

Excellence in Network Development and Credentialing of Providers on a National Basis

Existing and Custom Medical Networks

Care Management Programs

Providing Chronic Care Management Services to eligible medicare beneficiaries

Quality and Value-Based Care

Value-based payment can be a winning proposition so long as an organization has all the right pieces in place.

Population health management is key to achieving the best healthcare outcomes in a quality driven value-based care environment.

Excellence in Network Development and Credentialing of Providers on a National Basis
Eligibility and Billing

Eligibility and Billing Administration can be a burden to organizations. See how we can help.

Inbound Call Center/Customer Service

The Inbound Call Center/Customer Service delivers a unique service to both Members and Providers.

Quality and Value-Based Care

Value-based payment can be a winning proposition so long as an organization has all the right pieces in place.

Population health management is key to achieving the best healthcare outcomes in a quality driven value-based care environment.

Envisioning a Brighter Future

Our vision is to provide the highest quality, most patient-centric care delivery solution to the communities we serve. To provide unparalleled quality care to patients as the most trusted organization in healthcare.

Learn more about our comprehensive administrative services.