M
Meridian
The Meridian platform

Practical AI that’s
explainable, audited and governed.

For every industry, deepest in healthcare and life sciences, where regulation and compliance is non-negotiable.

Ready for production, not just demos.AI with sustainable, proven enterprise architectureCan be deployed on your infrastructure. (Azure, GCP, AWS, Other)
Not just Generative AI. ML modelsBusiness rulesWorkflowsConnectorsAPIs& more
Open nowThe Meridian studio is taking pitches

You know what’s broken.We bring everything else.Let’s build it together.

Not another demo. You bring the problem and the passion to deploy it; we bring a production platform, engineers and domain depth — and we build it, and run it, with you.

One sentence is enough — or bring the prototype you vibe-coded.
About 5 minutesNo signupA person reads every pitchWe may co-invest in a few select ideas
From pitch to buildillustrative
Utilization review nurse · 9 yearsHealth plans

▍

built with you
Documents
Reads payer policies; every answer cites its page
Rules
Criteria as readable, testable rules
Workflow
Intake → check → decide → appeal
Agent
Drafts the determination, hands off when unsure
Integration
Pulls the chart over FHIR
Work queue
Nurse queue with the evidence attached
Deployed — and run by youwe stay on to help
1/12
EXPLAINABLE RULES ✦WORKFLOWS WITH HUMAN STEPS ✦DOCUMENT INTELLIGENCE ✦AGENTS WITH CONFIDENCE GATES ✦FHIR, HL7 & X12 ✦MASTER DATA ✦E-SIGNATURES ✦DE-IDENTIFICATION BUILT IN ✦TENANT ISOLATION ✦FULL AUDIT TRAIL ✦RUNS ON LOCAL AND FRONTIER MODELS ✦HIPAA · HITRUST · SOC 1 · SOC 2 · NIST 800-53 · ISO 27001 · GDPR · CCPA/CPRA ✦
“Can't I just build it with AI?”

You can vibe the demo in a weekend.
Nobody can deploy a demo.

AI made the first 10% nearly free — so go ahead, and bring us what you made. In healthcare and life sciences, the other 90% is what a hospital, a payer or a sponsor actually needs, after the initial one-shot / few-shot excitement, and the next 100s of changes are needed.

That part is our platform, our strength, and our job.

What a weekend with AI gets you
great — bring it
A working demoThe happy pathA clean UISample data
the waterline
What it takes to go live in a regulated industry
built into our platform

Rules a reviewer can read

Policies as explainable, versioned rules — and “unknown” stays unknown, never a silent “no”.

Real integrations

FHIR, HL7v2, faxes, PDFs, payer portals and the system of record — not a CSV upload.

People in the loop

Agents hand off when they're unsure, with the evidence attached, and every override is recorded.

PHI handled properly

De-identification as a capability, tenant isolation, and access control on every read.

An audit trail

Who decided what, under which version, and why — the first thing a buyer's security team asks.

Someone to run it

Releases that don't break last month's decisions, monitoring, and a team that answers when it matters.

And the part no model has: people who know how the payer rule actually gets applied, which exception breaks the workflow, and who signs the contract.

Bring the prototype. We'll bring everything under the waterline.

Pitch us — prototype welcome →
What you get

Technology and expertise, on your side of the table.

Good ideas in regulated industries usually stall between the people who will run them and everything it takes to build them well — platform, engineering, compliance, domain know-how. We bring those, for a few partners at a time, so we can actually show up.

01

Engineers who build with you

Not advice, not office hours. The people who build the platform build your product alongside you.

02

Our domain depth, where we have it

Healthcare, life sciences, payers, pharmacy and post-acute are home ground. We bring what we know about the rules, the edge cases and who pays — and say plainly where we don't.

03

A production platform on day one

Rules, workflows, documents, agents, de-identification and audit — so you spend time on solving the actual problem, not the plumbing.

04

Services to deploy and run it

Your own isolated environment, plus the integration, rollout and operating help to put it in front of real users and keep it there.

How it works

Three steps. No hoops.

  1. 1

    Pitch

    Tell us what's broken, who suffers and why you. A short form and one email link — no account.

  2. 2

    Conversation

    A person reads every pitch. If we believe we can genuinely help, we reach out to talk it through.

  3. 3

    Build and run

    We build it with you on a governed core, set you up to deploy it, and stay on to help you run and grow it. For a few select ideas, we may co-invest too.

Start my pitch →
Who we pick

We say yes rarely, and we tell you exactly what we look for — so you know in a minute whether this is for you.

  • 1You will run it — as a founder, an operator or an organization ready to deploy and grow what we build.
  • 2You are close to the problem: you have lived it, managed it, bought it, or serve the people who do.
  • 3It fits where we are strong: rules, documents, handoffs and decisions, in industries where we have real depth.
  • 4You can name who has the problem and who would pay to have it gone.
  • 5Early is fine. A paragraph and conviction beats a polished deck.
The platform you'd build on

Start at production, not at zero.

9 capabilities on one governed core — one data spine, one reason trail, one policy engine. Whatever we build together inherits all of it from the first day.

Rules & decisions

Policies and criteria as rules a reviewer can read — and test.

  • Decision tables and graphs with a reason trail on every result
  • Three-valued logic: met, failed — or unknown, never a silent “no”
  • Scenarios that run against a draft before anything ships
What you don't have to build

Hand-coding eligibility logic and explaining it to auditors later.

Programs

Open calls, challenges and invitations.

Alongside the rolling open call we run industry challenges for teams, and invite companies we admire to build with us.

All programs →
Products for organizations

Run it today, or (re)build on the same core.

Products that share one record, one rule engine and one audit trail. Start with one; add others as you need them. You keep the rules and the data.

Care delivery

From the front desk to the chart.

  • CareFront
    Provider front office and readiness
  • CareChart
    The electronic medical record
  • Dictation
    Clinical dictation and transcription

Clinical review & care programs

Reviews and programs with the evidence attached.

  • Utilization Management
    Prior auth and medical review
  • Case Management
    Transitions and complex care
  • Clinical Documentation Integrity
    Documentation accuracy and capture
  • Appeals & Grievances
    Appeals and grievances on statutory clocks
  • Disease Management
    Chronic condition programs
  • Rx Review
    Pharmacist medication reviews
  • Wellness & Prevention
    Screenings and prevention

Claims, revenue & payment

Every claim, from enrollment to payment.

  • Denials Management
    Prevent and recover denials
  • Payment Integrity
    Pre-pay and post-pay accuracy
  • Enrollment
    Membership on one coverage record
  • RcmIQ
    End-to-end revenue cycle
  • ClaimsIQ
    Payer claims and adjudication
  • Provider Network
    Networks, facilities, credentialing and directory
  • Distribution & Commissions
    Brokers, appointments and commissions
  • Finance
    Ledger, close and GL journals

Insight, quality & pricing

See how you're doing, and what's next.

  • Quality & Accreditation
    HEDIS, Stars and accreditation readiness
  • Benchmarks
    Your numbers against the book
  • Actuarial & Underwriting
    Reserves, rates and renewals
  • OpsIQ
    Payer and provider operations metrics
  • 360 & Insights
    Patient, provider and population views

People & relationships

The people and organizations you work with.

  • People
    HR for people and agents
  • Digital twin
    Scenarios from your own history
  • Portals
    Member, provider, broker and employer portals
  • CRM
    Every relationship on one record
  • Signing
    Send documents for e-signature

Specialty operations

Purpose-built for focused operations.

  • Dmetry Intake
    Referral and order intake
  • TRINA
    Clinical trial operations
  • Production Support
    Incidents, health and runbooks

Agents, integration & compliance

On the same governed core.

  • Compliance
    Live reports and evidence
  • Agentry
    Business agents with approvals
  • Interoperability
    HL7, FHIR and X12 pipelines
  • Omni
    Streaming voice assistant

Platform modules

Platform capabilities you can use on their own.

  • Business rules
    Decision tables you can read
  • Surfaces
    Screens and mobile apps as data
  • Mastering
    One golden record

Somebody has to fix it.
Let's build it — and run it — together.

Five minutes, plain words, no account. If we can help, you'll hear from a person — not a bot.

Pitch us an idea →