Meridian RCM provides complete revenue cycle management services for San Francisco healthcare providers, including eligibility verification, prior authorization, medical coding, claims management, denial management, and A/R recovery. We help practices reduce denials, accelerate payments, improve collections, and strengthen overall revenue cycle performance.
As both a city and a county, San Francisco runs Medi-Cal under a Two-Plan model led by San Francisco Health Plan, while its large tech-employer base drives one of the densest commercial and PPO markets in the state. A practice here bills across both worlds, each with different rules.
Meridian manages the entire revenue cycle for San Francisco providers, from eligibility and prior authorization through coding, claims, denials, and collections. We know how the city's plans behave, so your practice spends less time reworking claims and more time seeing patients.
SFHP is the local initiative most SF Medi-Cal patients choose. We’ve built our workflows around its enrollment, authorization, and filing rules to keep those claims clean.
SF’s tech economy means a heavy commercial payer mix. We bill the major commercial and PPO plans to spec, so high-value claims don’t stall.
Claims are scrubbed against each SF payer’s specifications before they go out, and denials are worked and appealed instead of written off.
San Francisco has a strong community-clinic network. We understand the billing that keeps those practices funded.
We integrate with the EHR and practice management platforms SF 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 SF revenue cycle at any time.
You get the complete cycle, not a single service in isolation.
We confirm coverage before the visit, including which SF Two-Plan option (San Francisco Health Plan, the commercial plan, or Kaiser) a Medi-Cal patient chose, so claims aren't denied later.
Authorizations secured ahead of service and tracked to approval, following the rules of the specific plan a patient is enrolled in.
Clean claims filed to each SF payer's exact specs, with scrubbing that catches errors before they cost you.
Certified coders apply accurate, compliant codes that hold up to SF payer and audit scrutiny.
Every denial worked, appealed, and root-caused so the same SF rejection doesn't keep recurring.
Aging SF accounts followed relentlessly to bring down days in A/R and collect what you're owed.
What decides whether an SF claim gets paid is specific to this city and county. We manage it for you:
San Francisco's local initiative under the Two-Plan model and the community plan most SF Medi-Cal patients choose. We manage SFHP's enrollment, authorization, and filing rules so those claims stay clean.
San Francisco's tech-employer base drives a heavy commercial and PPO mix. We bill the major commercial payers, such as Blue Shield of California, Anthem Blue Cross, and Health Net, to each plan's specifications.
Under SF's Two-Plan model, Medi-Cal patients may also choose the commercial plan (Anthem Blue Cross) or Kaiser Permanente, each with its own rules. We verify a patient's exact plan up front.
We support practices that refer to and coordinate with SF's major systems, including UCSF Health, Sutter Health / CPMC, Dignity Health, Kaiser Permanente, and Zuckerberg San Francisco General, billing accurately regardless of where care is delivered.
We review a sample of your San Francisco 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 San Francisco Health Plan, 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 San Francisco practices, including:
Yes. SFHP is the local initiative most SF Medi-Cal patients choose, and it's central to our San Francisco work. We manage its enrollment, authorization, and filing rules to keep those claims clean and paid.
Yes. San Francisco's tech economy drives a dense commercial and PPO market. We bill the major commercial payers to spec alongside Medi-Cal, so your higher-value claims don't stall.
No. Revenue cycle management is handled securely and remotely. What matters is whether your partner understands SF's Two-Plan Medi-Cal model and commercial mix, which Meridian does while serving practices across the city.
San Francisco Health Plan, the commercial Two-Plan option and Kaiser, and the major commercial payers such as Blue Shield of California, Anthem Blue Cross, and Health Net, 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 San Francisco payers and your specialty.
No commitment. No obligation. Just clarity on your revenue.
