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Billing Opportunities

When Meridian identifies an opportunity for clarification of billing requirements, information will be posted to allow providers an opportunity to submit a corrected claim for adjusted reimbursement as appropriate

If you have a claim that should be included in one of the claim projects below (which you believe denied incorrectly) and it has not yet been adjusted as of the date the project is closed, please let us know the claim number so that we can research it and confirm. You may  confirm claim status via the Meridian Service Portal (preferred), contacting the call center at 866-606-3700 or reach out to your provider contact for more information.

Billing Opportunities

IssueProvider TypeGuidance
Psych Add-On Payment for Advanced Practical Nurses (APN)Behavioral HealthPsych Add-On Payment for Advanced Practical Nurses (APN) (PDF) (6/27/2025)
YouthCare Behavioral Health Billing Quick TipsBehavioral HealthYouthCare Behavioral Health Billing Quick Tips
Reimbursement ErrorProvider Type 57 (Home Health Agency)See IAMHP Billing Guide
Physician Certification Statement (PCS) Forms Requirements for Transportation ProvidersTransportation ProvidersPhysician Certification Statement (PCS) Forms Requirements for Transportation Providers (5/2/25)
Billing Requirements for Emergency Department ServicesEmergency Department ServicesBilling Requirements for Emergency Department Services (4/9/25)
FQHC and RHC -N2 DenialsFQHC/RHCFQHC and RHC -N2 Denials (Date: 03/10/25) (PDF)
Updates to the Requirements for Behavioral Health CodingBehavioral HealthUpdates to the Requirements for Behavioral Health Coding (10/15/24)
Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) Claims ReminderFQHC, RHCFederally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) Claims Reminder (5/18/23)
Guide to Avoiding Denials for Substance Use Prevention and Recovery (SUPR)AllGuide to Avoiding Denials for Substance Use Prevention and Recovery (SUPR) (2/28/23)