Out-of-Network Claim Form
Submit claims for providers outside the Quest network
To submit claims for providers outside the Quest network, download and complete the Out-of-Network Claim Form. Submit the completed form, along with the itemized bill from the provider, to Quest:
- Mail
Quest Behavioral Health
Attn: Claims Department
PO Box 1032
York, PA 17405
Attn: Claims Department
Instructions for Submitting Out-of-Network Claims
For questions, please call Quest Claims Department at