Our comprehensive provider management practices are designed to minimize administrative burdens so providers can focus on delivering care. Their success–and yours–means faster, more accurate provider payments.
Provider Management Solutions
- Enrollment and Credentialing
The vast majority of providers are legitimate professionals, yet there are the few with nefarious intentions to misuse health care funds. Our thorough screening and credentialing protocols strike a balance between convenient and cautionary. We’ve incorporated in our process expertise gathered from enrolling hundreds of thousands of providers. The enrollment system feels personal and intuitive but flags potential abuse and helps eliminate potential downstream fraud and abuse.
- Outreach and Education
After six decades of managing providers, we understand how to enable their success. Outreach and educational programs are built using call trend intelligence and payers’ request. Additionally, on a micro level, we developed a proactive three-step process to target wasteful or fraudulent activity, probe for patterns and educate providers on best practices. The result is a streamlined claims process and a significant reduction in medical reviews. - Provider Contact Center
A call to Noridian is a pleasant experience, providing the perfect mix of automation and personal attention to quickly attend to and resolve needs. Learn more about Provider Contact Center services.
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Claims Management
Bring greater efficiency, transparency and consistency to your claims process.
Contact Centers
Trust your reputation to our contact center team (concierge, responsive, customized for the individual, tie to people first.
Medical Review
Benefit from expert oversight of the 300-member clinical staff trusted nationwide.
Proven excellence in provider management
"You have gone above and beyond to help with these applications. I can't thank you enough for making this process smooth. I just want you to know I appreciate all you have done."
-Provider comment