meridian.

AI bookkeeping and spend
management, built for
independent medical practices

12,408Hours returned to practices this month
++Scroll to explore++

Run the practice.
Not the ledger.

Most independent practices run first-rate clinical software on top of stone-age finances: a shoebox of receipts, a generic bookkeeper, and a P&L that arrives six weeks late. Meridian pairs AI bookkeeping with smart spend controls — cards, bills, payroll, and month-end close, handled.

today's activity — live

Every transaction, coded before you see it.

A chart of accounts built for medicine. McKesson orders land as supplies, Quest invoices as lab services, payroll as payroll — reviewed by a human accountant on every close. PHI never touched: EHR sync is read-only.

VendorStatus
McKesson Medical
Supplies · Exam room 3
$1,284.00Auto-coded
Henry Schein
Supplies · Recurring
$642.18Auto-coded
Quest Diagnostics
Lab services
$3,090.00Auto-coded
Phreesia
Software · Intake
$429.00Auto-coded
Payroll — 12 staff
Bi-weekly run
$38,412.55Reviewing

One system

For practice finances — working around the clock

Bookkeeping that codes itself

AI Coding • Chart of Accounts • Auto-Close

MERIDIAN•••• 4021
DR. A. REYES — EXAM SUPPLIES

Spend controls before the statement

Cards • Limits • Approvals

CFO intelligence without the CFO

Per-Provider P&L • Payer Mix • Forecast

4 daysavg. close

Month-end close in 4 days

Human-Reviewed • Days Not Weeks

Every dollar.
Accounted for.

HIPAA-conscious · Read-only EHR sync · Human on every close
Continue to scroll