Elevate Your Health Plan’s Operations
Partner with Noridian for efficient, scalable and secure back-office solutions.
Health plans will always be navigating the changing demands of the industry, such as Medicaid redeterminations, gold
carding, and medical policy or compliance related initiatives. Outsourcing administrative services to a strong partner allows health plans to focus on other key priorities – like ensuring their members have access to quality health care. For nearly 60 years, Noridian Healthcare Solutions has been providing efficient and effective administrative solutions to federal, state and commercial health care programs across the nation.
Elevate Your Health Plan’s Operations
Partner with Noridian for efficient, scalable and secure back-office solutions.
Health plans will always be navigating the changing demands of the industry, such as Medicaid redeterminations, gold
carding, and medical policy or compliance related initiatives. Outsourcing administrative services to a strong partner allows health plans to focus on other key priorities – like ensuring their members have access to quality health care. For nearly 60 years, Noridian Healthcare Solutions has been providing efficient and effective administrative solutions to federal, state and commercial health care programs across the nation.
The Noridian PXe product suite helps health plans implement services faster, scale operations, improve outcomes, and manage compliance.
Provider Management
Noridian works with over 400,000 providers to perform credentialing & enrollment, site visits and outreach & education services.
- Provider Credentialing
- Provider Contact Center
- Provider Enrollment
- Provider Site Visits
- Provider Outreach & Education
Payment Integrity & Utilization Management
Noridian leverages its more than 350 clinical subject matter experts to perform detailed medical necessity reviews and prior authorizations, as well as providing in-depth education to providers.
- Medical Necessity Reviews
- Prior Authorizations
- Appeals
- Outreach & Education
- Medical Policy
- Member & Provider Contact Centers
Contact Centers
Noridian provides nationally recognized customer service through our provider, supplier, and member contact centers, handling nearly two million telephone inquiries per year.
- Provider Contact Center
- Member Contact Center
Claims Management
Noridian’s extensive experience in claims management results in more than $80 billion in payments and includes EDI management, claims processing, and financial management services.
- Member & Provider Contact Centers
- EDI Management
- Claims Processing
- Financial Management
Engagement Approaches
Full Engagement
We design and implement a customized solution to fulfill your operational and technology needs.
Flexible Engagement
We add our operational excellence to your existing technology.
Operational Engagement
We provide operational services and can assist with technology assessments to scale up your operations.
50 States and Beyond
Noridian provides health care administration and support services in all 50 U.S. states and several U.S. territories. We currently deliver dedicated service to our customers in these areas.
Noridian by the numbers
Latest news
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Noridian will Collaborate with Acorn to Optimize Provider Credentialing
- Press Releases
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