Choose font size
Provider Resources

At Quartz, we’re doing our part to help you provide quality care for your patients.

We work to streamline and simplify your job with a range of user-friendly technologies and resources.

Aggregate Deductible Plans

Utilization Management

Learn More
Aggregate Deductible Plans

Complex Case Management

Learn More
Provider Manuals
Self-funded Provider Manual

Quartz Self-Funded Provider Manual

For Self-Funded Plans
Shared Decision-Making

Shared decision-making is the collaboration between patients and caregivers to come to an agreement about a healthcare decision.

Quartz encourages health care providers to use shared decision-making methods with their patients. We’ve put together some useful online tools that can help – 

Adolescent & Adult Vaccinations

This Centers for Disease Control (CDC) website houses a wealth of information about vaccinations as well as a quiz that can help adults and teenagers learn about recommended vaccines.

Alcohol Abuse & Dependence Screening

This Healthwise® tool helps patients determine if they have a drinking problem. Patients are encouraged to see a doctor if they think they may have a problem no matter what the screening score.

Asthma Control Test / Childhood Asthma Control Test

These surveys help determine if your patient’s asthma is under control. Many other tools are available from

Breast Cancer Screening

An online tool that helps health care practitioners estimate a woman's risk of developing invasive breast cancer.

COPD Screening

A five-question patient survey helps identify risk for chronic obstructive pulmonary disease (COPD) and provides information about the disease.

Depression Screening

This Healthwise® tool helps patients assess their symptoms related to depression. The survey will help them determine whether further evaluation from a health care practitioner could be helpful.


This site provides data analysis and decision support for health care providers and their patients discussing preference sensitive decisions. Six tools are currently available –

  • Cardiovascular Risk Tool – evaluates the risk of a cardiovascular event and illustrates risk reduction with statins and smoking cessation.
  • Atrial Fibrillation Tool – evaluates the risk of stroke and illustrates risk reduction with anticoagulant medications. Also shows the bleeding risk with anticoagulants.
  • Lung Cancer Screening Tool – evaluates the risks / benefits of chest CT scans.
  • Breast Cancer Screening Tool – evaluates the benefits/harms of regular mammograms.
  • Osteoporosis Tool – illustrates FRAX risk and change with biphosphonates.
  • Hypertension Tool – evaluates the risk of heart attack, cardiac death, and stroke and illustrates the risk improvement with antihypertensive medication and lifestyle change.

Lower Back Pain

Tools and resources to help educate patients about low back pain, including options for reducing pain.

Prostate Cancer Screening

This Healthwise® tool helps patients decide if they need to have a PSA blood test to check for prostate cancer. The tool compares the risks and benefits of testing versus not testing.

Patient Safety

Standards designed by the health care industry and patient safety groups hold both health care professionals and patients accountable for patient safety. Here's what you can do to help keep your patients safe.

  1. Know your patient's rights and responsibilities
    It is a patient’s right to have understandable instructions, legible prescriptions and clear explanations. In return, patients are responsible for being honest and open about their symptoms and medical and medication histories.
  2. Communicate with your patient
    Provide each patient with a clear, written treatment plan. Include relevant information, such as –
    • When and how test results will be communicated
    • Instructions for taking medication
    • Instructions on any other action the patient must take
    • If the patient is hospitalized, consider a visit to review care with the patient and his or her health care providers
  3. Improve communication among caregivers
    If you refer a patient to a specialist, ask to hear back about the patient’s status. Consider implementing a “read back” process for verbal or telephone orders or for critical test results.
  4. Write clear prescriptions
    Make sure the prescriptions you write are legible. Where possible, write both the brand name and generic name of the medication on the prescription. Give your patients verbal and written information about how to take the medication and let them know about any drug interactions and / or side effects.
  5. Organize your office and sites of care
    Designate an area in your office for charts that require updates. Use a standardized exam room set-up to reduce the risk of a caregiver picking up the wrong instrument or supply. Highlight sound-alike and look-alike packages with stickers and store them separately to prevent mix-ups.

The following resources provide information that can help promote patient safety. Quartz encourages all participating providers to be actively involved in patient safety practices.

Wisconsin Health Reports

This website is supported by the following Wisconsin non-profit organizations –

The goal of the website is to help patients understand the quality of care they receive from doctors, hospitals or clinics related to diabetes, hypertension and colon cancer screening.

Medwatch Safety Program

This website is maintained by the U.S. Food and Drug Administration and provides resources to pharmacists, practitioners, and others, allowing users to keep current with medication safety.

Wisconsin Price Point

A subsidiary of the Wisconsin Hospital Association, the WHA Information Center’s Price Point website is dedicated to collecting and providing information about services provided by Wisconsin hospitals. The website provides information about hospital charges for specific procedures.


MetaStar is the Medicare Quality Improvement Organization for Wisconsin, under contract with the Centers for Medicare & Medicaid Services (CMS). MetaStar works with physicians, patients and the community to improve immunization and cancer screening rates and improve outpatient cardiovascular care. MetaStar has a separate division, the Wisconsin Health Information Technology Extension Center (WHITEC), that focuses on improving Electronic Health Record quality and utilization in Wisconsin.

Triple Aim: Better Health and Better Care at Lower Cost

Triple Aim is a framework developed by the non-profit Institute for Healthcare Improvement (IHI), a global organization that focuses on optimizing health care through the Triple Aim –

  • Improving the health of populations
  • Enhancing the experience and outcomes for the patient
  • Reducing the per capita cost of health care

The organization helps provide training for health care providers in order to improve the health care of individuals and populations.

Access Standards

Quartz has set standards for appointment availability for members.

All practitioners participating in Quartz networks are held to these standards.

The medical record contains valuable information about each patient's health status. It facilitates communication, continuity and coordination of care, and promotes efficiency and effectiveness of treatment. All participating practitioners must establish a process and meet the following criteria for medical record documentation.

Completing the Facility Operations Form in a timely manner assists claims processing and provider directory validation.

My Quartz Tools

It’s here! My Quartz Tools is your new provider portal (replacing MyPlanTools). You’ll enjoy all the great features you’ve had in the past, plus extras that include:

  • Electronic notification of remittance advice and referral status
  • Real-time benefit information
  • Enhanced secure messaging
  • Redesigned claims view
  • Prior authorization submission

Questions? Contact Customer Service at (800) 362-3310.

If your facility does not currently have access to My Quartz Tools, please complete the Access Request Form.