Los Angeles has one of the most complex Medi-Cal landscapes in the country. Between L.A. Care, Health Net and their plan partners, and one of the nation's densest safety-net networks, LA practices lose revenue to denials that never should have happened. Meridian runs your full revenue cycle so more claims are paid the first time.
Los Angeles County runs Medi-Cal under a Two-Plan model, and the details matter. A single Medi-Cal patient may sit under L.A. Care or Health Net, and then under a plan partner with its own authorization and utilization rules. Miss that chain and the claim comes back denied.
Meridian manages the entire revenue cycle for LA providers, from eligibility and prior authorization through coding, claims, denials, and collections. Our team knows how LA's plans and their partners actually behave, so your practice spends less time reworking claims and more time seeing patients.
We track whether an LA Medi-Cal patient falls under L.A. Care or Health Net, and which plan partner handles them, so authorizations and claims follow the right rules the first time.
Claims are scrubbed against each LA payer’s specifications before they go out, and denials are worked and appealed instead of written off.
LA has one of the largest community-clinic networks in the country. We understand the billing that keeps those practices funded.
Our workflows account for California rules like AB 72 balance-billing protections and the state’s prompt-payment requirements.
We integrate with the EHR and practice management platforms LA practices already run, with no rip-and-replace to get started.
Clear dashboards on collections, denials, and days in A/R give you a live view of your LA revenue cycle at any time.
You get the complete cycle, not a single service in isolation. Each links to its full service page.
We confirm coverage before the visit, including which L.A. Care or Health Net plan partner a Medi-Cal patient actually falls under, so claims aren't denied later.
Authorizations secured ahead of service and tracked to approval, following the specific rules of the plan partner (such as Molina) a member is assigned to.
Clean claims filed to each LA payer's exact specs, with scrubbing that catches errors before they cost you.
Certified coders apply accurate, compliant codes that hold up to LA payer and audit scrutiny.
Every denial worked, appealed, and root-caused so the same LA rejection doesn't keep recurring.
Aging LA accounts followed relentlessly to bring down days in A/R and collect what you're owed.
The details that decide whether a California claim gets paid are specific to this state. We manage them for you:
LA County's local initiative and the largest Medi-Cal plan in California. L.A. Care delegates some members to plan partners such as Blue Shield of California Promise, each with its own rules, so knowing a patient's exact assignment is essential.
Health Net is the commercial plan in LA's Two-Plan model and subcontracts a large share of its Medi-Cal members to Molina Healthcare. For those members, claims and authorizations follow Molina's procedures, which we track.
We also bill Kaiser direct-contract members and the major commercial payers, such as Blue Shield of California, Anthem Blue Cross, and Health Net commercial lines, to each plan's specifications.
We support practices that refer to and coordinate with LA's major systems, including Cedars-Sinai, UCLA Health, Keck Medicine of USC, Providence, and Dignity Health, billing accurately regardless of where care is delivered.
We review a sample of your Los Angeles claims, denials, and A/R to pinpoint exactly where revenue is leaking.
We map our workflows to your EHR and practice management system and confirm payer enrollments, including L.A. Care and Health Net, before go-live.
Claims go out scrubbed to each payer's specs, and our team works denials and appeals as they come in.
You get transparent dashboards and a dedicated point of contact, with continual tuning to keep denials down and collections up.
We manage the revenue cycle for a wide range of Los Angeles practices, including:
Yes. Both are core to our daily work in Los Angeles. We track which plan and plan partner each Medi-Cal patient falls under, including Health Net members assigned to Molina, so authorizations and claims follow the correct rules.
No. Revenue cycle management is handled securely and remotely. What matters is whether your partner understands LA's Two-Plan Medi-Cal model and payer mix, which Meridian does while serving practices across the metro.
L.A. Care, Health Net (including Molina-assigned members), Kaiser direct-contract, and the major commercial payers such as Blue Shield of California and Anthem Blue Cross, along with Medicare and others.
Yes. LA has one of the largest FQHC and community-clinic networks in the country, and we understand the specific billing those organizations rely on.
Most engagements are priced as a percentage of collections, so our incentives stay aligned with getting you paid. The rate depends on your specialty, volume, and services needed. Request a quote for pricing.
It starts with a free revenue cycle audit of your current claims, denials, and A/R. We show you where revenue is leaking and how we'd fix it, with no obligation.
Get a free, no-obligation revenue cycle audit. We'll show you exactly where revenue is slipping and how Meridian recovers it, for Los Angeles payers and your specialty.
No commitment. No obligation. Just clarity on your revenue.
