Meridian Health
General information
Precertification
Claims
Additional information
Prior Authorization Requirements
Additional information
Medicaid manual as well https://www.mimeridian.com/content/dam/centene/meridian/mi/pdf/PSM-MI-Provider-Manual-2022.pdf
Availity® Meridian 1-800-282-4548
Effective April 1, 2022, the fax numbers to submit authorization requests will change and are listed below:
Description and Fax number
Meridian Medicaid Assessments 833-341-2052
Meridian Medicaid Buy & Bill Jcode Requests 833-341-2049
Meridian Medicaid Concurrent Review 833-655-2188
Meridian Initial Admission / Face Sheets 833-467-1212
Meridian Medicaid Medical Records 833-431-3313
Meridian Medicaid Prior Authorization-ip/op 833-467-1237
Meridian Medicaid Transplant 833-920-4419
Meridian Medicaid Behavioral Health-Outpatient 833-655-2191
PROVIDER ADMINISTERED MEDICATIONS
For provider administered medications (also referred to as J-codes or biopharmacy), the prior authorization fax number will be 833-341-2049.
HEALTHY MICHIGAN PLAN HRA CHANGES
Healthy Michigan Plan (HMP) Health Risk Assessments (HRA) can be faxed to (833) 341-2052 (MER Fax) and the (517) 763-0200 (State Fax) or via the CHAMPS system. The previous 313 fax number will be retired as of April 1, 2022.
Other Provider Service Inquiries
For eligibility/benefit information, prior authorization, claim status or other claims-related inquires you may have, please contact your Provider Services Relations Representative or call Meridian Provider Services at 888-437-0606 (TTY 711) Monday through Friday 8 a.m. to 6:30 p.m.
MI Claim Payment Disputes (Related to untimely filing, incidental procedure, unlisted procedure code)
Meridian
Attn: Claims Disputes Department
PO Box 8080
Farmington, MO 63640-8080
MI Claim Appeals (Medical) (Medical necessity, authorization denials, and benefits exhausted)
Meridian
Attn: Claims Appeals Department
PO Box 8080
Farmington, MO 63640-8080
