![]() The received date of the claim by the delegate, and the date mailed (date of forwarding the misdirected claim). During the national public health emergency period, the Centers for Medicare & Medicaid Services (CMS) is allowing Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to provide and bill for visiting nursing services by a registered nurse (RN) or licensed practical Nurse (LPN) to homebound individuals in designated home health agency shortage areas. Customer service representatives are available to, , Health (6 days ago) WebHealth plan identification (ID) cards - 2022 Administrative Guide Prior authorization and notification requirements - 2022 Administrative Guide You must file the claim within the timely filing limits or we may deny the claim. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. For commercial plans, we allow up to 180 days for non-participating health care providers from the date of service to submit claims. However, Medicare timely filing limit is 365 days. You can call Meritain Health Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. Additional benefits or limitations may apply in some states and under some plans during this time. ![]() Photo or scanned copies are not accepted.We bill the delegated entity for all remediation enforcement activities. Claim must be original, using national or state form types as applicable.Providers may also submit and check the status of claims electronically via the secure Meridian Provider Portal.Specialty physician claims should include a PCP referral form and/or a corporate prior authorization number for payment.Providers must use industry standard procedure and diagnosis codes such as CPT, Revenue, HCPCS and ICD-10 when billing Meridian.Providers must use a standard CMS 1500 Claim Form or UB-04 Claim Form for submission of claims to Meridian.If you are re-submitting a claim for a status or a correction, please indicate “Status” or “Claims Correction” on the claim. Submit all initial claims for adjucation through electronic claims submission or by mail to: Meridian may add new clearinghouses from time to time, so please contact Provider Services at 86 to see if your clearinghouse partner is on the list. ![]() ![]() IMPORTANT: Please refer to Member ID card for changes effective on January 1, 2021, as the Payer IDs are not interchangeable. ![]() Meridian is currently accepting electronic claims from the following clearinghouses: Availity Below you'll see the clearinghouses Meridian is currently accepting electronic claims from. PaySpan is a free solution that simplifies administrative tasks for electronic payments and automatic reconciliation.įor faster claims processing, we strongly encourage all providers to submit claims via electronic data interchange (EDI) or online using our secure web portal. Please follow these guidelines for claims submission to Meridian: PaySpan: A Faster, Easier Way to Get Paid Meridian follows State Medicaid guidelines for claims payment. The following are the standard claims billing requirements for providers. ![]()
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