Results overview - TPA administrator - Meritain Health
Exceptional service delivered every day
Results
You’ll feel our caring, consultative service—because it’s embedded in everything we do.
Rock-solid performance, backed by real results
Experienced, tenured teams
Our service and claims teams bring decades of hands‑on experience—helping clients confidently navigate both common and complex situations.
.
Accurate claims administration
We process more than 40 million claims each year—representing billions of dollars—using automated systems and quality checks that help deliver accuracy exceeding industry benchmarks.
Payment integrity focused on proactive savings
Our multi‑faceted payment integrity approach helps identify savings opportunities at the front end and throughout the claims lifecycle—including in‑network, out‑of‑network, high‑dollar, complex, and pharmacy claims. A specialized investigation unit also focuses on limiting fraud, waste, and abuse.
Experienced, tenured teams
Our service and claims teams bring decades of hands‑on experience—helping clients confidently navigate both common and complex situations.
Accurate claims administration
We process more than 40 million claims each year—representing billions of dollars—using automated systems and quality checks that help deliver accuracy beyond industry benchmarks.
Payment integrity and more ways to save
Our multi-layered payment integrity approach identifies savings at the front end and during the claims lifecycle—from complex medical to pharmacy claims—while limiting fraud, waste and abuse.
What our clients and brokers are saying
The level of service has been exceptional. Issues are resolved promptly and our representatives are supportive—even with the toughest questions.
★ ★ ★ ★ ★
We’re extremely satisfied with the expertise and support of a highly caring team.
★ ★ ★ ★ ★
Meritain Health teams take the time to dig deeper, listen as needs evolve, and adapt quickly.
★ ★ ★ ★ ★
We can’t say enough good things about the service we receive.
★ ★ ★ ★ ★
A disciplined approach to accuracy and savings
A disciplined approach to accuracy and savings
Proven pathway to uncovering savings
Our payment integrity approach uses a disciplined, multi‑layered audit process to proactively surface savings opportunities at strategic intervals. To ensure confidence in our results, we partnered with an independent actuarial firm to validate our outcomes. Learn more about our approach—and the principles behind it—in our payment integrity case study.
