Meridian Health Care Management, Inc., a nationwide provider of outsourced managed care technology and administrative services, announced a new release of their managed care information system, PRIMEridian(TM). The version 6.0 is slated to significantly improve operational efficiency and the rate of claims auto-adjudication for Meridian’s outsourced and ASP clients.
PRIMEridian is an integrated information technology system that supports administrative functions and managed care transactions for health plans and risk-contracted provider organizations. It is available to enhance customer’s internal operations through an application service provider (ASP) model as well as through Meridian’s business process outsourcing (BPO) services. The system completely integrates provider credentialing, eligibility and benefits, utilization management and claims processing functions, allowing clients to leverage automation and web-enabled processes to reduce costly, labor-intensive administrative functions that have long plagued the industry.
“PRIMEridian 6.0 offers a highly automated and flexible web-based claims processing platform that will provide superior speed, accuracy, and efficiency. It will not only save health plans and risk-based provider organizations significant time, money and resources in their administrative functions, but it also enables them to comply with HIPAA mandates,” Michael Hancsarik, vice president of information technology at Meridian Health Care Management, said.
The new version also allows Meridian clients to more easily institute operational changes needed for consumer-driven healthcare initiatives. Using the Versata development environment, PRIMEridian 6.0 is a platform-independent, Java-based system that is rapidly modifiable. As a result, version 6.0 will allow new pricing schemes and member benefit scenarios to quickly and accurately be incorporated, without the additional time and resources once required by extensive programming modifications.
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