Billing Requirements for Transportation Providers Reminder

Date: 07/03/25

Meridian would like to remind providers of requirements for billing Air and Medicar transportation services for Meridian Medicaid Plan and YouthCare HealthChoice.

HFS requires transportation providers to indicate the following data points on any transportation claim in Box 19 of the CMS 1500 paper format or the 2300 NTE02 on X12 5010 837P electronic format.

Data Element	Field Length	Position	Example
State or Province Code	2 digits	Position 1-2	‘IL’ ‘WI’
Comma - ‘	1 digit	Position 3	Must be comma ,
License Plate Number or FAA ‘N’ Number (Tail Number)	Must be left justified and space filled for 8 characters	Position 4-11	00000001
Comma - ‘	1 digit	Position 12	,
Departure in Military Time (Time as follows: HHMM, where H = hours (00-24), M- minutes (00-59)	4 numeric	Position 13-16	1155
Comma - ‘	1 digit	Position 17	,
Arrival in Military Time (Time as follows: HHMM, where H = hours (00-24), M- minutes (00-59)	4 numeric	Position 18-21	1220

Effective July 1, 2025, if any transportation claim fails to have this information in the above format, the claim will be denied EXec DENY Check NTE Transportation Rule IL Medicaid*

For more information on billing requirements please consult the IAMHP billing guide.

For questions please contact Provider Services at 866-606-3700 or reach out to your Provider Engagement contact.

*CARC 252/RARC N710