Elevate Your State’s Medicaid Program
Efficient, scalable and secure back-office solutions.
States will always be navigating the changing demands of its Medicaid program, like how to operate in a post-public health emergency (PHE) era. Outsourcing administrative services to a strong partner allows states to focus on other top program 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 State’s Medicaid Program
Efficient, scalable and secure back-office solutions.
States will always be navigating the changing demands of its Medicaid program, like how to operate in a post-public health emergency (PHE) era. Outsourcing administrative services to a strong partner allows states to focus on other top program 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 MXe product suite helps state Medicaid programs implement services faster, scale operations, improve outcomes and manage compliance.
Provider Management
Noridian works with over 400,000 providers to perform enrollment, credentialing, contact centers, site visits and outreach & education services.
- Provider Enrollment
- Provider Site Visits
- Provider Outreach & Education
- Provider Contact Center
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
- Medical Coding
- Medical Policy
- Outreach & Education
- Member & Provider Contact Centers
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.
- Claims Processing
- Financial Management
- EDI Management
- Encounter Data Management
- 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
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 and HTG Join Forces to Ease the Medicaid Provider Enrollment Experience and Improve Access to Care
- Press Releases
- 2 min read
