New Jersey possesses unique features and characteristics that set it apart from other states. It's blend of history, geography, culture, and economic significance makes it distinctive and dynamic. These differences are why it's important to choose a network that understands New Jersey providers, demographics, regulations and has a local presence.
New Jersey is the most densely populated state in the U.S. making network coverage mission critical. Our clients see an average of 95% network penetration. QualCare has broad regional access to the top New Jersey, New York and Philadelphia area hospitals and physicians. The QualCare network is available in all 21 counties and includes 99% of the New Jersey hospital systems, 200 ambulatory surgical centers, 160 occupational medicine and urgent care centers, 345 rehabilitation facilities and more than 40,000 professional and ancillary providers. QualCare also offers one of New Jersey's leading full service certified MCO programs.
Based in New Jersey since 1993, QualCare has 30 years of experience in New Jersey. QualCare services the largest segment of directly contracted public entities/schools in New Jersey. Our network providers are caring for local police officers, firefighters, first responders, schoolteachers municipal/sewer and water employees. QualCare and our provider partners have a true connection to the local communities.
Our local team includes 15+ network specialists that consistently and continuously engage with our provider network. Our leadership team has over 30 years of experience in New Jersey. We believe that having strong local provider relationships with proactive, continuous outreach improves the providers' industry knowledge, increases satisfaction and ultimately pays off in dividends to injured individuals. Our investment in network management is designed to make life easier on our network providers so treating work comp patients is a win-win for all. We recognize that supporting our providers directly benefits our clients. This has resulted in high client retention and a level of satisfaction that is unique in New Jersey.
If you are seeking a QualCare Provider visit our provider locator tool.
QualCare is now part of the Coventry Integrated Network. Visit our Coventry Network page and find out how Coventry can help you with provider solutions across the U.S.
Whether you are looking for provider manuals, a list of clients, need to update your information or researching a bill status, our provider portal is all you need.
Effective November 1, 2019, New Jersey Assembly Bill No. 3401 AS mandates that any provider with 24 or more workers' compensation bills per calendar month are required to submit them electronically.
Effective January 1, 2023, Jopari Solutions is our contracted vendor for electronic transmission of workers' compensation bill data for payment determination. Please contact them at 866.269.0554 for more information.
Please only contact for provider related service issues, copies of contracts or fee schedules, updates or inquiries, education, demographic changes or terminations.
The Coventry Network is a national directly contracted workers’ compensation and auto network that has been investing in provider relationships for more than four decades, allowing us to deliver exceptional network solutions to you.
With over 15 years of historical data, the Coventry Outcomes-based Network Program (OBN) is a subset of the Coventry Integrated Network.
According to the National Library of Medicine, credentialing simply is the process of assessing the academic qualifications and clinical practice history of a healthcare provider.
