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
| Issue | Provider Type | Guidance |
|---|---|---|
| Psych Add-On Payment for Advanced Practical Nurses (APN) | Behavioral Health | Psych Add-On Payment for Advanced Practical Nurses (APN) (PDF) (6/27/2025) |
| YouthCare Behavioral Health Billing Quick Tips | Behavioral Health | YouthCare Behavioral Health Billing Quick Tips |
| Reimbursement Error | Provider Type 57 (Home Health Agency) | See IAMHP Billing Guide |
| Physician Certification Statement (PCS) Forms Requirements for Transportation Providers | Transportation Providers | Physician Certification Statement (PCS) Forms Requirements for Transportation Providers (5/2/25) |
| Billing Requirements for Emergency Department Services | Emergency Department Services | Billing Requirements for Emergency Department Services (4/9/25) |
| FQHC and RHC -N2 Denials | FQHC/RHC | FQHC and RHC -N2 Denials (Date: 03/10/25) (PDF) |
| Updates to the Requirements for Behavioral Health Coding | Behavioral Health | Updates to the Requirements for Behavioral Health Coding (10/15/24) |
| Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) Claims Reminder | FQHC, RHC | Federally 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) | All | Guide to Avoiding Denials for Substance Use Prevention and Recovery (SUPR) (2/28/23) |