Training and Onboarding > Quest/Data Automation

Quest/Data Automation

Quest is the DIAMOND Claim Exception workflow tool and contact manager. The Quest tool uses a PowerBuilder front-end connecting to Tuxedo and Pro*C middleware, which connects to an Oracle backend. Claim exceptions inserted into Quest are triggered based on preset rules, and each exception “case” is inserted into a queue based on the type of exception encountered and the priority.

  • We are the main area for procession claims.
  • We receive enrollment, opl, member and provider data.
  • We reports out claim exceptions.
  • We support over 15 business areas.
  • We have designed 7 user interfaces for business users.