Meridian RCM provides comprehensive revenue cycle management (RCM) and medical billing services throughout the Inland Empire, including Riverside, San Bernardino, Ontario, Rancho Cucamonga, and Corona. Our services include insurance verification, medical coding, claims submission, denial management, payment posting, accounts receivable follow-up, and reporting. We help healthcare providers reduce denials, accelerate reimbursements, improve cash flow, and maximize practice revenue.
The Inland Empire spans Riverside and San Bernardino counties, both of which run Medi-Cal under a Two-Plan model led by Inland Empire Health Plan (IEHP), with Molina Healthcare as the commercial option. IEHP is one of the largest Medicaid plans in the nation, so most Inland Empire Medi-Cal patients are IEHP members. Add a wide geography that runs from the cities to the High Desert and Coachella Valley, and consistent regional billing matters.
Meridian manages the entire revenue cycle for Inland Empire providers, from eligibility and prior authorization through coding, claims, denials, and collections. We know how the region's plans behave, so your practice spends less time reworking claims and more time seeing patients.
Patients may be on IEHP or Molina Healthcare. We verify which plan each patient is on so authorizations and claims follow the right rules.
Claims are scrubbed against each Inland Empire payer’s specifications before they go out, and denials are worked and appealed instead of written off.
Because most Inland Empire Medi-Cal patients are IEHP members, we’ve built our workflows around IEHP’s enrollment, authorization, and filing rules to keep those claims clean.
The Inland Empire spans Riverside and San Bernardino counties across a wide geography. We bill consistently across the whole region, from the cities to the High Desert and Coachella Valley.
We integrate with the EHR and practice management platforms Inland Empire 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 Inland Empire revenue cycle at any time.
You get the complete cycle, not a single service in isolation.
We confirm coverage before the visit, including whether a Medi-Cal patient is on IEHP or Molina, so claims aren't denied later.
Authorizations secured ahead of service and tracked to approval, following IEHP or Molina rules depending on the member's plan.
Clean claims filed to each Inland Empire payer's exact specs, with scrubbing that catches errors before they cost you.
Certified coders apply accurate, compliant codes that hold up to Inland Empire payer and audit scrutiny.
Every denial worked, appealed, and root-caused so the same Inland Empire rejection doesn't keep recurring.
Aging Inland Empire accounts followed relentlessly to bring down days in A/R and collect what you're owed.
What decides whether an Inland Empire claim gets paid is specific to Riverside and San Bernardino counties. We manage it for you:
The local initiative serving Riverside and San Bernardino counties and one of the largest Medicaid plans in the country, with roughly 1.5 million members. Most Inland Empire Medi-Cal patients are IEHP members, so mastering IEHP's enrollment, authorization, and filing rules is central to getting paid.
The commercial Two-Plan option (Molina Healthcare) and Kaiser direct contract round out the county choices. We verify which plan a patient is enrolled in and bill to that plan's specific rules.
The Inland Empire covers a wide geography across Riverside and San Bernardino counties, from Riverside and San Bernardino to the High Desert and Coachella Valley. We bill consistently across the entire region.
We support practices that refer to and coordinate with the Inland Empire's major systems, including Loma Linda University Health, Riverside University Health System, Arrowhead Regional Medical Center, Kaiser Permanente, and St. Bernardine Medical Center, billing accurately regardless of where care is delivered.
We review a sample of your Inland Empire 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 IEHP, 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 Inland Empire practices, including:
Yes. IEHP covers most Medi-Cal patients in the Inland Empire, so it's central to our work here. We manage IEHP's enrollment, authorization, and filing rules to keep those claims clean and paid.
Yes. We support practices across the entire Inland Empire, from the cities to the High Desert and Coachella Valley, billing consistently across both counties.
No. Revenue cycle management is handled securely and remotely. What matters is whether your partner understands the region's IEHP-led Two-Plan model, which Meridian does while serving practices across Riverside and San Bernardino counties.
IEHP and Molina Healthcare under the Two-Plan model, Kaiser, and the major commercial payers, along with Medicare and others.
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 Inland Empire payers and your specialty.
No commitment. No obligation. Just clarity on your revenue.
