Alleviate Administrative Challenges with Noridian’s Payer Product Suite

Implement services faster, scale operations, and improve outcomes with Noridian PX^e

Noridian Healthcare Solutions, LLC (Noridian), a leader in developing operational solutions for government health care programs and private health plans, recently unveiled its new product offering for the payer market. Noridian Payer Experience Elevated (PX^e) is intentionally designed to elevate payers’ health plan operations by eliminating administrative barriers. Noridian PX^e represents the company’s commitment to continue expanding its offerings to new health plans nationwide.

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The suite of customizable Noridian products allows for full-scale partnership of operations and special projects, including provider management, payment integrity & utilization management, contact centers, and claims management (Graphic: Noridian Healthcare Solutions).

“Due to the significant administrative burdens health plans are currently facing, payers have to be more efficient than ever before,” says Jennie ML Ossentjuk, Noridian’s market lead for commercial health plans. “Noridian PX^e is focused on operational areas that cause common administrative problems for health plans. Our experienced team will leverage Noridian PX^e to lessen those challenges so health plans can focus on providing high-quality health care to their members.”

Noridian has nearly 60 years of experience implementing customizable, high-quality operational solutions for public and private health care programs nationwide including Centers for Medicare and Medicaid Services (CMS). Through its work with CMS, Noridian supports one of the nation’s largest network of rural providers. Its services reach individuals in all 50 states and several U.S. territories, including many in rural and underserved communities. The company’s nearly 2,000 employees include medical directors, registered nurses, specialty providers, certified coders, data scientists, compliance experts and more.

The suite of customizable Noridian PX^e products allows Noridian to do a full-scale partnership of operations and special projects, such as Medicaid redeterminations, gold carding, and medical policy or compliance related initiatives. The product suite of payer services includes:

• Noridian PX^e Provider Management: Noridian processes nearly 260,000 provider enrollment applications annually and works with over 400,000 providers to perform credentialing and enrollment, site visits and outreach & education services.
• Noridian PX^e Payment Integrity & Utilization Management: Noridian utilizes more than 350 expert clinicians to perform detailed medical necessity reviews and prior authorizations, as well as provides in-depth education to providers.
• Noridian PX^e Contact Centers: Noridian provides nationally recognized customer service through provider, supplier, and member contact centers, handling nearly two million telephone inquiries per year.
• Noridian PX^e Claims Management: Noridian’s extensive experience in claims management results in more than $80 billion in payments and includes electronic data interchange (EDI) management, claims processing, and financial management services.

Noridian will be exhibiting at RISE National 2024, March 17 – 19 in Nashville. Stop by booth #544 to explore how Noridian PX^e can elevate health care plans. To learn more about Noridian and its solutions, visit www.noridian.com.

About Noridian Healthcare Solutions

Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state, and commercial health care programs through a full suite of innovative offerings, including claims processing, medical review, and contact center and provider administrative services. Headquartered in Fargo, N.D. with staff located throughout the nation, Noridian administrates people-first services across all 50 U.S. states. Leveraging its decades of experience, the Noridian team designs and implements customizable, high-quality solutions to eliminate common health care barriers, enabling access to care. For more information, visit www.noridian.com.

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