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Quest Diagnostics

Member Insights

Understand your members' health better

Quest Member Insights is a data licensing offering that provides access to members’ lab test results to provide a clearer understanding of their health. As the leading diagnostics laboratory with over 80B lab data points, we believe that quality lab data is key to helping support clinical and financial initiatives and improving outcomes across the organization. Quest Member Insights can assist with:

Risk stratification and adjustment

- Identify any unrecorded health conditions 

- Inform disease diagnosis coding (ICD-10)

- Identify at-risk members and populations

Care coordination and population health management

- Understand member health status

-  Inform care coordination strategies and interventions

- Fill in gaps in care 

Quality Improvement

- Fill in member data gaps for quality performance measure (HEDIS®) reporting 

Potential outcomes for payers

  • Higher revenue from reimbursements
  • Decreased cost of care over time 
  • Higher CAHPS® scores from better member experience
  • Improved quality performance measure scores

Quest Member Insights data types

Quest lab results can help fill in data gaps for members

Analysis: Member-based data vs claims-based data

Payers who receive member lab test results solely through claims may have an incomplete view of their members’ health status. Upgrading to member-based data can provide access to all lab test results. View our analysis on payers who receive test results through claims data and the available results obtained across key lab tests.

Diabetes management
HEDIS® reporting
The value of member-based data
Claims-based data vs member-based data

Quest Member Insights Portal

With laboratory data and quality reporting tools all in 1 location, we help you efficiently meet your data needs.

Premium access (best value)

- Available with member-based data plan 

- Custom reporting tools available 

- HEDIS® reporting templates 

- CLIA report of record (individual or batched)

Basic access

- Available with claims-based data plan

- Data report that contains member-level, provider-level, and test-level information

 

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Complete this form to discuss how we can collaborate to meet your plan’s goals.

 

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Our company

Quest® is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. Quest Diagnostics Incorporated and certain affiliates are CLIA-certified laboratories that provide HIPAA-covered services.  Other affiliates operated under the Quest® brand, such as Quest Consumer Inc., do not provide HIPAA-covered services. 

 

Quest®, Quest Diagnostics®, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third-party marks—® and ™—are the property of their respective owners. © 2026 Quest Diagnostics Incorporated. All rights reserved. Image content features models and is intended for illustrative purposes only.