data submissions

Whether in the government or commercial sector, you’ve got rigorous extract requirements to meet. Data from claims, member and provider databases is due regularly.

Meridian can help you wade through the complexities and meet your obligations. Currently, Meridian is working with two clients on centralizing their various data-submission requirements into a single extraction application. Other key items include:

  • DHS — i.e., state level for medical claims
  • CMS — i.e., federal level for Medicare claims
  • Other extraction requirements, such as to large accounts or third-party vendors (e.g., fraud detection)
  • BHI — i.e., for Blue Cross plans who participate in the BHI (Blue Health Intelligence) initiative