From creating unique plan designs to helping members in times of need—you’re at the center of all we do.
Experience excellence with Meritain Health
Delivering expert service matters—a lot
The pinnacle to everything we do lies in our caring and consultative service.
It matters to us just as much as it matters to you. You can count on outstanding customer and member support—each and every time. So, you can find the products, solutions and guidance you need. And, you’ll receive the information and care how you want to, when you want to.
Expert claims handling
We handle a lot of claims in a year—around 19.2 million, totaling 7.8 billion dollars.
Besides focusing on timely handling of claims, we also have upfront claims editing practices to help with managing costs. In fact, we have a cost management strategy for most claim situations, including in-network, out-of-network, high-dollar, complex, pharmacy, fraud, waste and abuse, and dialysis claims.
Payment integrity that shines
In 2022, an external study validated savings we’re able to achieve using cutting-edge cost management strategies. You can learn more about our progressive year-over-year results here.
Delivering expert services matters—a lot
The pinnacle to everything we do lies in our caring and consultative service.
It matters to us just as much as it matters to you. You can count on outstanding customer and member support—each and every time. So, you can find the products, solutions and guidance you need. And, you’ll receive the information and care how you want to, when you want to.
Expert claims handling
We handle a lot of claims in a year—around 19.2 million, totaling 7.8 billion dollars.
Besides focusing on timely handling of claims, we also have upfront claims editing practices to help with managing costs. In fact, we have a cost management strategy for most claim situations, including in-network, out-of-network, high-dollar, complex, pharmacy, fraud, waste and abuse, and dialysis claims.
Payment integrity that shines
In 2022, an external study validated savings we’re able to achieve using cutting-edge cost management strategies.
You can learn more about the progressive year-over-year results here.
You can count on us during your best of times, and your difficult moments
You can count on us during your best of times, and your difficult moments
Life-saving support from Meritain Health Case Management
After her son sustained a life-threatening injury, Lydia worked with a Meritain Health client advocate and the Case Management Program for air transport to save his life. Meritain Health negotiated savings that made his care more affordable for the family.
Cost management negotiates remarkable drug savings
Negotiation services from the Meritain Health Cost Management team helped alleviate an extreme financial burden faced by one of our clients.
What people are saying
★ ★ ★ ★ ★
Meritain Health is always willing to take a deeper dive, listen to our changing needs and concerns, and then provide quick response and action.
Consultant partner
★ ★ ★ ★ ★
Our Meritain Health team understands our population and makes every effort to resolve our questions and respond to our requests in a timely manner.
Client contact
★ ★ ★ ★ ★
You seem to be able to accommodate anything, but you build it into the process, rather than making everything “manual.” This is better for overall consistency and accuracy.
Consultant partner
★ ★ ★ ★ ★
Meritain Health has been an outstanding partner with us–open to trying new ideas and concepts that we bring to the table.
Client contact
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