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Managed Care Administration

Meritain Health has a distinguished history in providing Managed Care Outsourcing solutions to some of the largest health care organizations in the industry such as Definity Health, Performax, and Coventry Health, and direct experience in the development of the national HMO, North AmeriCare.

The menu of services offered by Meritain Health's Managed Care Administration division will complement the managed care competencies of your organization as well.

Meritain Health's Managed Care Administration (MCA) Division has the following capabilities:

• Claims Processing
• Claims Re-Pricing
• Enrollment
• Identification Card Creation
• Coordination of Benefits/Third Party Liability
• Member Services 
• Utilization Management
• Premium Billing

Selecting the MCA services which best meet the needs of your organization will allow your staff to focus on sales and service. Use of our administrative outsource solutions will provide your organization with access to a state-of-the-art adjudication system or the ability for Meritain Health's staff to pay claims on your system as a remote site, providing you with a dedicated, well-trained staff of claims analysts, putting your organization ahead of the competition.

Committed to providing our partners with the most efficient administrative services and support, we're committed to providing your organization with a strategic advantage in the health care marketplace.