Meridian Health Care Management General Information
Provider of outsourced managed care technology and administrative services in the United States. The company provide processing of complex sets of managed care administrative and payment transactions, facilitate electronic communication and transaction processing among and between health care providers and payors, and provide managed care network management and consulting expertise. It provides transaction processing in the areas of payor eligibility verification, medical management referral and case management processing, and claims adjudication and payment. The company internally develops product to provide an Internet-based front-end user application to physician offices which links each provider to company's integrated information system allowing Internet access to patient eligibility and provider claims information, and processing of referral and authorization transactions. It also in addition provide network management and consulting services including provider contracting, provider relations, data and information profiling and reporting, financial analysis and reporting, executive management, operations assessment, and high-level strategic planning.