Frequently Asked Questions

Visit our Billing and Payment page for more information. If you still have questions, please call 1-855-580-1689 and we will connect you with our Claims Department.

Meridian Medicare-Medicaid Plan is happy to assist providers with claim status!

Providers are able to check claims status using our self-service tool by calling Member Services at 1-855-580-1689 (TTY:711). Please have the NPI, claim number, and member information available when using this tool.

Learn more about what Meridian Medicare-Medicaid Plan can do for you on our Why Meridian? page

Meridian Medicare-Medicaid Plan contracts with Primary Care Providers, Specialists, Hospitals, and Ancillary Providers. To become a contracted Meridian Medicare-Medicaid Plan provider, call Provider Services at 1-855-580-1689. In order to ensure and maintain a high level of medical care, all providers are credentialed by MeridianComplete. 

Yes, members must choose an in-network PCP to provide their care.  In most situations, the member's in-network PCP or our plan must provide a referral before the member can use other providers in the plan’s network, such as specialists, hospitals, skilled nursing facilities, or home health care agencies.

Referrals from the member's PCP are not required for emergency care or urgently needed care.

Yes, members must choose an in-network PCP to provide their care.  In most situations, the member's in-network PCP or our plan must provide a referral before the member can use other providers in the plan’s network, such as specialists, hospitals, skilled nursing facilities, or home health care agencies.

Referrals from the member's PCP are not required for emergency care or urgently needed care.

Yes, Meridian Medicare-Medicaid Plan helps providers meet the individual needs of members by providing interpreters for those who are deaf or hard of hearing, accommodations for those with cognitive limitations, and interpreters for those who do not speak English. Call Meridian Medicare-Medicaid Plan at 1-855-580-1689 to access these services.

Visit our Billing and Payment page for more information. If you still have questions, please call 1-855-580-1689 and we will connect you with our Claims Department.

Meridian Medicare-Medicaid Plan is happy to assist providers with claim status!

Providers are able to check claims status using our self-service tool by calling Member Services at 1-855-580-1689 (TTY:711). Please have the NPI, claim number, and member information available when using this tool.

Meridian Medicare-Medicaid Plan contracts with Primary Care Providers, Specialists, Hospitals, and Ancillary Providers. To become a contracted Meridian Medicare-Medicaid Plan provider, call Provider Services at 1-855-580-1689. In order to ensure and maintain a high level of medical care, all providers are credentialed by MeridianComplete. 

Yes, members must choose an in-network PCP to provide their care.  In most situations, the member's in-network PCP or our plan must provide a referral before the member can use other providers in the plan’s network, such as specialists, hospitals, skilled nursing facilities, or home health care agencies.

Referrals from the member's PCP are not required for emergency care or urgently needed care.

Yes, members must choose an in-network PCP to provide their care.  In most situations, the member's in-network PCP or our plan must provide a referral before the member can use other providers in the plan’s network, such as specialists, hospitals, skilled nursing facilities, or home health care agencies.

Referrals from the member's PCP are not required for emergency care or urgently needed care.

Yes, Meridian Medicare-Medicaid Plan helps providers meet the individual needs of members by providing interpreters for those who are deaf or hard of hearing, accommodations for those with cognitive limitations, and interpreters for those who do not speak English. Call Meridian Medicare-Medicaid Plan at 1-855-580-1689 to access these services.