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Billing and Payments

The following are the standard claims billing requirements for providers. Meridian follows State Medicaid guidelines for claims payment. Please follow these guidelines for claims submission to Meridian:

How to Submit Claims:

For faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. Below you'll see the clearinghouses Meridian is currently accepting electronic claims from.

Submit Claims Electronically

Meridian is currently accepting electronic claims from the following clearinghouses:

Availity

Customer Support: 800-282-4548

Claim Types: Professional/Facility

Payer ID:  

IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable.  

Date of Service

Health Plan Name

Payer ID

On or before

Dec. 31, 2020

MeridianTotal 68069

On or before 

Dec. 31, 2020

MeridianComplete 13189

On or before 

Dec. 31, 2020

MeridianHealth Illinois 13189

On or after 

Jan. 1, 2021

MeridianComplete

MHPIL

On or after

Jan. 1, 2021

MeridianHealth Illinois

13189

On or after 

July 1, 2021

MeridianHealth Illinois

MHPIL


Meridian may add new clearinghouses from time to time, so please contact Provider Services at 866-606-3700 to see if your clearinghouse partner is on the list.

Submit Claims By Mail

Submit all initial claims for adjucation through electronic claims submission or by mail to:

For DOS prior to July 1, 2021
Meridian
Attn: Claims Department
1 Campus Martius, Suite 720
Detroit, MI  48226

For DOS on or after July 1, 2021
Meridian
PO Box 4020
Farmington, MO 63640-4402

If you are re-submitting a claim for a status or a correction, please indicate “Status” or “Claims Correction” on the claim.

Claims Billing Requirements:

  • Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission of claims to Meridian
  • Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10 when billing Meridian
  • Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment
  • Providers may also submit and check the status of claims electronically via the secure Meridian Provider Portal
  • Claim must be original, using national or state form types as applicable. Photo or scanned copies are not accepted. The claim information must be typed, with no hand-written information other than applicable signatures