Important Information about the Quartz Online Provider Directory
This online directory was developed to help members of Quartz easily find participating practitioners, providers, and other health care professionals. While we try to provide you with accurate data, the information contained in this directory changes periodically as participating providers and practitioners join or leave the network, move, or retire.
Quartz does not use criteria such as quality measures, member experience measures or cost related measures to select practitioners for participation in Marketplace silver tier plans. Quartz does not use criteria such as quality measures, member experience measures, patient safety measures or cost related measures to select hospitals for participation in Marketplace plans.
Prior to receiving services, you should always verify that the practitioner or provider you choose is still participating with Quartz and accepting new patients. Please note that some benefit plans require that you obtain a referral from your Primary Care Provider before receiving services from another physician or specialist. In order to receive the highest level of benefits, check your certificate of coverage, login to MyChart to check your certificate of coverage online, or call Customer Service at 800.362.3310 to determine whether a referral is required.
If you receive services from a network hospital, the hospital may arrange with physicians and other providers who are not part of Quartz’s network to assist in your care. Quartz encourages its network hospitals to hold those providers to Quartz’s standards for member billing. However, if a hospital does not require its providers to comply with Quartz’s standards, Quartz cannot influence the manner or amounts that you may be billed by the provider.
This online directory is for general information. Health benefit plans vary, so please read your certificate of coverage to determine what services and supplies are covered under your particular plan.
Offered by Quartz Health Benefit Plans Corporation.
Hospital Accreditation: A hospital may choose to acquire accreditation through The Joint Commission on Accreditation of Healthcare Organizations. Quartz obtains confirmation of accreditation status at the time of credentialing and every three years at the time of recredentialing or if we are informed of a change in accreditation status.
Hospital Quality Data: the following websites provide hospital quality data –
www.wicheckpoint.org
www.medicare.gov/hospitalcompare
Location: You can search by location to find hospitals located in a specific city, zip code, within a radius of a particular zip code, or by a county. Searches related to a zip code will begin from the population center of the zip code. You can search only one of the above options at a time. The accuracy of this information is dependent on the accuracy of facility self-reporting. We change our website when new information is received. We confirm office location through the annual directory review process and site visits.
Name: If you know the specific hospital you are looking for you can search by name. The information is dependent on the accuracy of the facility self-reporting. We change our website when new information is received. We confirm through the annual directory review process and site visits.
Name: If you know the specific provider you are looking for you can search by their name. The information is dependent on the accuracy of the provider self-reporting. We change our website when new information is received. We confirm through the annual directory review process and site visits.
Gender: You can search by provider's gender. The information is dependent on the accuracy of the provider self-reporting. We change our website when new information is received. We confirm through the annual directory review process and site visits. Gender is shown by blue (male) or red (female) icons.
Location / Practicing At: You can search by location to find providers located in a specific city, zip code, within a radius of a particular zip code, or by a county. Searches related to a zip code will begin from the population center of the zip code. You can search only one of the above options at a time. The accuracy of this information is dependent on the accuracy of provider self-reporting. We change our website when new information is received. We confirm office location through the annual directory review process and site visits.
Specialty: You can search by provider specialty. The specialty of a provider is the area of medicine where a provider has concentrated his post-graduate training and practice. Specialty information is validated through primary source verification done by Quartz’s Certified Verification Organization. This information is provided by the provider on his/her application and verified by Quartz’s Certified Verification Organization at the time of initial credentialing, every three years at recredentialing and if the provider informs us of any changes.
Hospital Admitting Privileges: If you wish to use a particular hospital, you can search for providers who have admitting privileges at that hospital. Hospital admitting privileges identifies those providers who have the ability to admit patients to a particular hospital. If we have not received information from the provider or if they do not have hospital admitting privileges a response of “none indicated” will appear. Quartz receives this information through the provider’s application for initial credentialing and recredentialing; it is validated through primary source verification conducted by Quartz’s Certified Verification Organization, re-verified every three years at the time of recredentialing or if the provider notifies us of a change.
Medical Group Affiliation: You can search for a provider by medical group affiliation. The medical group affiliation refers to the location at which one or more providers share a common office. The accuracy of this information is dependent upon the accuracy of provider self-reporting. We change our website when new information is received. We confirm office location through the annual directory review process and site visits.
Board Certification: Board certification is the recognition by a national certifying organization that the physician has had the appropriate training and has passed an examination in that particular specialty. This certification is confirmed through the American Board of Medical Specialties (ABMS) or via the American Osteopathic Association (AOA) upon receipt of the physician’s application for initial credentialing, every three years at recredentialing and if the physician informs us of a change. You may verify the board certification status of a physician on the American Board of Medical Specialties (ABMS) website at http://www.abms.org or on the American Osteopathic Association (AOA) website at https://certification.osteopathic.org/.
Accepting New Patients: Open / closed / limited panels: Some provider may have closed or limited panels because they do not have the capacity to take on new patients. Quartz receives this information from our providers as they open, close or limit their panels. The accuracy of this information is dependent upon the accuracy of provider self-reporting. We change our website when new information is received.
Languages: Quartz lists the languages spoken by certain providers, in addition to English, so that you may choose a provider based on their ability to speak a particular language. Quartz collects this information through direct contact with the provider or office manager. If we have not received information from the provider a response of "none indicated" will appear. The accuracy of this information is dependent upon the accuracy of provider self-reporting. We change our website when new information is received.
If you need covered medical care that our network providers are unable to provide, a referral from your in-network provider must be obtained in writing prior to seeking care from an out-of-network provider. A written referral must be approved by the plan's medical director prior to seeking care if your network provider suggests or recommends care out-of-network. If you have further questions regarding this process, please contact our Customer Service Department at (800) 394-5566 Monday through Friday from 8:00 a.m. to 8:00 p.m. From October 1 through Feburary 14, we are also available to assist you on Saturdays and Sundays from 8:00 a.m. to 8:00 p.m. TTY/TDD users should call 711 or (800) 877-8973, free of charge, or visit https://seniorpreferred.org.