CLARIFY MERIDIAN
Turn Referral Complexity Into Better Care Decisions
Clarify Meridian is the first referral optimization platform built for the full complexity of modern health system operations, combining AI-driven intelligence with the activation infrastructure to equip your teams with quality evidence, capacity data, and contract economics for every referral conversation, and to measure the results in claims.
HOW MERIDIAN WORKS
Survey. Plan. Guide.
Meridian transforms referral management through three integrated phases. Survey, Plan, Guide. They are designed to move health systems from insight to action, and from action to outcomes. Each phase builds on the last. Together, they build the organizational capability to keep care with providers who out-perform, and to capture the value that follows, systematically, repeatably, and at scale in a way that no single-point solution can match.
Survey
Integrated view of contract, revenue, rate, and market landscape surfaces your highest value opportunities
Plan
AI-driven, constraint-aware prioritization identifies where you can make the biggest difference
Guide
Playbooks and activation equip your teams to execute and deliver results
SURVEY
See Your Market Completely
Meridian provides complete network intelligence: episode-level quality for every provider, every contract, every rate, every referral pathway, every physician relationship, in a single, integrated view to surface your highest-value opportunities.
Market Share Intelligence.
Grow service line volumes with competitive positioning insights and keepage analysis across every payer contract
Unite Rate Intelligence.
Every opportunity valued at actual payer-specific rates from 5.6T price transparency records, not blended averages
APM Cross-Model Modeling.
Simultaneous visibility across FFS, Medicare Advantage, MSSP, TEAM, and commercial agreements in one integrated view
Episode-Based Quality Assessment.
Evaluate every provider against quality thresholds using Clarify's proprietary Patient Care Episode analysis
PLAN
Optimize across every contract. Prioritize the opportunities you can win.
Meridian delivers contract-aware optimization across your full payer portfolio, identifying where in-network specialists out-perform the destinations volume goes to today, whether your network has the capacity and capability to absorb it, and what the financial impact would be before any change is made. Constraints such as capacity, capability, quality thresholds, and existing relationships are factored in, surfacing the opportunities that are quality-validated and practically achievable.
Constraint-Aware Selection: Factors in service line capacity, site capability, geography, payer mix, quality thresholds, and AI-powered recapture-likelihood scoring.
Multi-Variable Optimization: Models financial impact across FFS, shared savings, and risk-based contracts simultaneously.
Multi-Agent AI Engine: 6-node iterative system with confidence scoring and explainable reasoning.
Iterative, Not Static: Re-runs and rebalances in real time when a practice declines.
Scenario Modeling: Forward-looking what-if analysis before implementation.
GUIDE
Equip your teams to execute and deliver results
AI-Powered Playbooks & Activation
Physician-level insight, episode quality evidence, and referral pattern data equip liaison teams to have substantive, evidence-based conversations
Liaison workflows connect insight to action with closed-loop tracking from recommendation to result
Predictive Intelligence & Dashboards
Episode quality outcomes, referral patterns, and service line financial impact available for every physician conversation
Service line views and liaison scorecards tracking referral-rate lift, practices activated, and revenue impact
Closing the Referral Gap
Zocdoc integration enables real-time specialist booking, eliminating 30–40% referral drop-off
Closed-loop attribution ties each conversation to referral behavior observed in claims, so teams can see what actually changed rather than what was attempted
CLARIFY SUCCESS SERVICES
The Delivery Model
Meridian is delivered as a tech-enabled outcomes-based partnership through Clarify Success Services, with strategic consulting and executive decision support beyond platform capabilities included for all Meridian customers
Strategy & Analytics
Senior healthcare finance consultants embedded alongside your leadership, ensuring the executive suite has the intelligence, modeling, and attribution needed to make decisions and measure results.
Services Include
• Market sizing and scenario modeling
• Rate negotiation intelligence
• Service line deep dives and growth planning
• APM benchmarking and VBC analytics
• Board-ready reporting and P&L
Physician Engagement
A dedicated team working alongside your BD function - not replacing your people, but giving them the precision targeting, coaching, and playbook infrastructure to have substantive conversations with referring practices.
Services Include
• AI-powered prioritization for physician outreach
• Practice-specific playbooks and evidence-based talk tracks
• Ride-along coaching and liaison enablement
• Closed-loop tracking from outreach to claims-verified result
• Train-the-trainer model that builds your team's capability
WHY MERIDIAN
Why Meridian is Different
Network Visibility
Meridian gives you the most comprehensive view of a referral network available – every contract, every payment model, every referral relationship, every physician, and episode-level quality for every provider.
AI Optimization
Not every opportunity is worth pursuing. Our unified AI model evaluates hard and soft constraints to surface targets that are not just high-opportunity and quality-validated, but also highly addressable.
Activation Infrastructure
Meridian delivers AI-generated, practice-specific playbooks built on proven change management methodology, showing BD teams which practices to prioritize, what to say, and why it matters.
Outcomes-Based Partnership
Meridian is an outcomes-based partnership. Our fee is tied to measured revenue improvement at the service line level. We do not get paid unless you do.
OUTCOMES-BASED PARTNERSHIP
Aligned Economics
Our fee structure is tied to measurable results.
We are not a vendor, and this is not another software subscription. We are a partner whose success is defined by the same metrics as yours, with a single fee tied to measured improvement against a mutually agreed baseline at the service line level.
Ready to transform
your referral network?
Schedule a personalized briefing with our team. We'll show you the opportunity value specific to your organization — and how you can capture it.