Meridian Health

General information

Provider portal: mimeridian.com/
Phone: (888) 437-0606
Email: memberservices.MI@mhplan.com
Website: mimeridian.com/

Precertification

Phone: (888) 873-2647
Fax: (313) 202-0008

Claims

Meridian ATTN: Claims Department
1 Campus Martius
Suite 710
Detroit, MI 48226

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

Manual: https://corp.mhplan.com/ContentDocuments/default.aspx?x=FufBveTWnomftaMXIWBAorY/QcUu4wRObgoKdK0ty93wcfuDWdTxbTzbfhv5RqXvoYesivEyqSCnKAmOpE8yTw==

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 Department
PO Box 8080
Farmington, MO 63640-8080

MI Claim Appeals (Medical) (Medical necessity, authorization denials, and benefits exhausted)

Meridian
Attn: Appeals Department
PO Box 8080
Farmington, MO 63640-8080