Contact

Call

Provider

Services at

888-773-2647 (TTY 711), Monday - Sunday from 8 a.m. – 8 p.m.

with any questions. You can also use our Live Chat for fast and friendly service (on the left side of the page).

 

Or, you can always contact your Provider Network Development Representative.

Email support is available at Providerhelp.MI@mhplan.com

Health Library

The Health Library is a free resource exclusively for Meridian members and providers where you can get tips to help your patients manage their health.


ACCESS HEALTH LIBRARY

FAQS


 

You’ve got questions, we’ve got answers. If there’s a question you can’t find the answer to on our website, call

Provider

Services at

888-773-2647 (TTY 711), Monday - Sunday from 8 a.m. – 8 p.m.

Who do I call with billing or claims questions?


Visit our Billing and Payment page for more information. If you still have questions, please call

888-773-2647

and we will connect you with our Claims Department.


What are the advantages of becoming a Meridian Provider?


Learn more about what Meridian can do for you on our Why Meridian? page.


How can I join the Meridian Provider Network?


Meridian contracts with Primary Care Providers, Specialists, Hospitals, and Ancillary Providers. To become a contracted Meridian provider, fill out our online form or call Provider Services at

888-773-2647

.

In order to ensure and maintain a high level of medical care, all providers are credentialed by

MeridianComplete

.


Do PCPs need a referral to see a

MeridianComplete

Plan member not assigned to their panel?


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.


Do Specialists need a referral to provide services to

MeridianComplete

members in the office?


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.


I have patients who speak other languages, are hard of hearing or have other cognitive limitations. Can you help me communicate with them?


Yes, Meridian 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

MeridianComplete

at

888-773-2647

to access these services.


MEDICARE DISCLAIMER

Meridian Complete is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees.

 

ATTENTION:  If you speak English, language assistance services, free of charge, are available to you.  Call 1-855-323-4578 (TTY: 711).

Meridian Health Plan of Michigan (Medicare-Medicaid Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 

 

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-855-323-4578 (TTY: 711).

Meridian Health Plan of Michigan (Medicare-Medicaid Plan)  cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. 

 

لحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-855-323-4578 (رقم هاتف الصم والبكم: 711).

يلتزم Meridian Health Plan of Michigan (Medicare-Medicaid Plan) بقوانين الحقوق المدنية الفدرالية المعمول بها ولا يميز على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو الجنس.  

 

 

Limitations, restrictions, and patient pay amounts may apply. This means that you may have to pay for some services and that you need to follow certain rules to have Meridian Complete pay for your services. For more information, call Meridian Complete Member Services or read the Meridian Complete Member Handbook. Benefits, List of Covered Drugs, and pharmacy and provider networks may change from time to time throughout the year and on January 1 of each year. Please contact the plan for more details.

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.

 

For certain kinds of drugs, you can use the plan’s network mail-order services. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. Usually a mail-order pharmacy order will get to you in no more than 5 days. If you experience any problems receiving your mail order prescription, call Member Services at

888-773-2647 (TTY users should call 711)

.

Page Last Modified: 2/17/2017 3:19:37 PM