University of Maryland Medical System

Welcome to Meritain Health

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Flexible administration and custom capabilities

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Our teams bring versatile experience to provide quality support and differentiated value to your members.

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It's your plan

Get used to hearing “Yes” with Meritain Health.

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Commitment to operational excellence

We are willing to carve out all aspects of member services, clinical programs, and utilization management without any restrictions or contingencies.

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Network customizations

We offer customization flexibility, including custom network administration and complex plan designs.

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Proactive account management

Your account team helps identify plan performance and drive lower costs, allowing you to gain a better understanding of your health plan dynamics.

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Integration capabilities

Simple and seamless vendor alignments enhance plan options and performance.

Meet your team

Learn more

Flexibility to administer a domestic network design, your way

With Meritain Health you’ll gain access to Aetna Choice POS II Network

What’s included:

  • Largest national network with Aetna’s best rates
  • 1.6 million+ providers
  • 350,000+ brick and mortar and virtual behavioral health providers

Next level support:

  • Versatile and flexible network partner
  • Capability to offer five network tiers (include T1a and T1b options)
  • Procedural level steerage
  • NPI Suppression (add/remove capabilities)

Data driven steerage solutions that make sense:

  • We service over 1,600 custom networks today (80% of our business has a custom network).
  • We have ~200 Hospital Clients with domestic network configurations.
  • We can build you a network configuration that aligns to your benefit design and plan goals.
  • Exclusive access to Healthcare User Group (HUG).

Clinical collaboration

  • Experienced clinical staff with dedicated specialized teams using evidence-based best practices.
  • Flexible approach to accommodate custom tiered network strategies during pre-certification process.
  • Powerful integration capabilities to support member referrals and engagement across vendors.
  • Real-time access to clinical data.