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, Inc.
777 Woodward Avenue, Suite 700
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:

The Payer Id # for the Contracted Vendors is: 13189

Meridian Health Plan may add new clearinghouses from time to time, so please contact Provider Services at 1-866-606-3700 to see if your clearinghouse partner is on the list.