Claim Billing Requirements
The following are the standard claims billing requirements for providers. Meridian Health Plan follows the State Medicaid guidelines for claims payment. Providers should refer to the State Medicaid Provider manual for more information.
Please follow these guidelines for claims submission to Meridian Health Plan:
Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission of claims to MHP.
Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-9 when billing MHP.
Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment.
Lab claims must be submitted on a CMS 1500 or Illinois 2360 Form.
Submit all claims for payment to:
Meridian Health Plan 1001 Woodward Avenue, Suite 520 Detroit, MI 48226 Attn: Claims Department
If you are re-submitting a claim for a status or a correction, please indicate “Status” or “Claims Correction” on the claim.
Electronic Claims Submission
MHP is currently accepting electronic claims from the following clearinghouses: