Meridian

Clinical Criteria Evaluation. Automated. Auditable.
At Scale.

Meridian is 2Q's AI-native platform for evaluating unstructured clinical evidence against structured criteria — accurately, at scale, and under strict compliance requirements. From utilization management to clinical trial matching to quality measure audits, TigerAuth replaces manual chart-chasing with a verified, automated evaluation pipeline.

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Healthcare Organizations Are Drowning in Manual Clinical Review

The Problem

Across dozens of administrative and clinical workflows, healthcare organizations face the same fundamental challenge: evaluating unstructured clinical evidence — from faxes, PDFs, and clinical notes — against structured, rule-based criteria. Accurately. At scale. Under strict compliance requirements.

The manual approach isn't just slow. It's structurally broken:

Clinical and administrative staff spend the majority of their time on data entry and document sorting rather than judgment and care
Unstructured documents arrive in inconsistent formats, making standardized extraction nearly impossible without AI
Legacy automation tools rely on rigid, static models that can't navigate the complexity of real clinical documentation
Every manual handoff between workflow steps introduces delay, inconsistency, and audit risk

Meridian was built to solve this at the source — not by adding headcount, but by deploying an AI agent swarm that handles extraction, evaluation, and routing autonomously, with verification gates at every consequential step.

Document Ingestion and Extraction

Meridian reliably ingests complex medical documents — faxes, PDFs, clinical notes, unstructured narratives — and extracts the relevant clinical evidence automatically. No manual data entry. No missed fields.

Agent-Driven Workflow Orchestration

Specialized AI agents handle distinct phases of each evaluation lifecycle, handing off tasks autonomously based on the criteria and workflow defined. The orchestration layer coordinates every step — from intake through final routing — without requiring manual intervention between stages.

Deterministic Criteria Scoring

Meridian applies transparent, deterministic scoring against configurable criteria sets — payer policies, clinical guidelines, regulatory requirements, or trial eligibility protocols. The scoring logic is explicit, auditable, and traceable back to source documentation.

Multi-Stage Quality Gates

Rather than relying solely on probabilistic AI output, Meridian enforces a multi-stage quality gate architecture. Each agent's output is evaluated before it proceeds. Claimed clinical facts are verified against source documents. Final outputs are generated only after passing structured review gates — giving you the throughput advantages of AI with the accuracy and auditability healthcare operations require.

Human Review and Routing

Clinical and administrative staff engage at the point that matters: reviewing structured, verified outputs — not sorting documents or chasing data. The platform routes cases to the right reviewer with everything they need already assembled.

An Autonomous AI Evaluation Pipeline —

With Verification Built In

The Solution

Meridian coordinates multiple specialized AI agents across every phase of the clinical evaluation lifecycle. Each agent handles a distinct task. Each output is verified before it advances. Nothing moves forward on a single model call.

Use Cases

One Platform. Multiple High-Value Workflows.

Utilization Management

Utilization Management Automate the extraction and evaluation of clinical evidence against payer-specific criteria for coverage determinations. Reduce manual review time and administrative overhead while improving consistency and audit readiness.

Clinical Trial Matching

Evaluate patient records against structured inclusion and exclusion criteria to identify eligible participants at scale. What once required manual chart review across thousands of records can be completed in a fraction of the time.

Regulatory and Policy Compliance Review

Assess clinical documentation against compliance criteria, formulary policies, or population health benchmarks — automatically, with full traceability back to source materials.

Quality Measure Audit Preparation

Automatically surface the clinical evidence needed to satisfy HEDIS, Stars, or similar quality measure requirements. Reduce audit preparation time and improve confidence in reported metrics.

Before & After

TODAY

WITH MERIDIAN

Document intake

Manual sorting and data entry

Automated ingestion and extraction

Criteria evaluation

Manual chart review

AI-driven scoring against configurable criteria sets

Accuracy controls

Single reviewer, inconsistent

Multi-stage verification gates, source-verified

Staff time

Spent on data entry and sorting

Spent on reviewing verified, structured outputs

Audit readiness

Reconstructed after the fact

Built in — full traceability at every step

Workflow expansion

Rebuild for each new use case

Configure criteria sets on existing architecture

Built on the Nya Platform

Meridian is built on 2Q's proprietary governed multi-agent AI platform — which means the agent swarm, verification gates, and audit trail architecture are native to how the system works, not layered on afterward. Each Meridian deployment is configured to your specific criteria sets, document types, and workflow requirements. As your needs expand to new use cases, the underlying architecture doesn't need to change — just the configuration.

Built to scale and last.

Technical Highlights

HIPAA-compliant architecture

Three-tier RBAC system (Super Admin, Organization Admin, Case Manager)

Multi-stage quality gate verification on every output

Configurable criteria sets — payer policies, clinical guidelines, regulatory requirements, trial eligibility protocols

EHR integration roadmap (MedPlum, OpenEMR)

eFax integration via UBIX

See Meridian in Action

Whether you're managing utilization review, trial matching, or quality audits — Meridian was built to handle it, and built to be configured to your specific criteria and workflows.

Address

20937 Ashburn Road

Ashburn, VA 20147

info@2q.com