Claims Project Status
Welcome to the Claims Project Status Page
To improve transparency and streamline communication, Meridian has created this page to provide real-time status updates on claims related projects. Here, you can easily track progress and access key details without the need for frequent follow-ups.
If your project is marked as “Complete” but the issue remains unresolved on your end two weeks after the indicated completion date, you may submit an escalation through a Provider Relations Contact Form.
We appreciate your cooperation and patience as we work to resolve claims efficiently.
| Project Summary | Projects Affected | Created | Estimated Completion Date |
|---|---|---|---|
| Multiple Procedure Payment Reduction (MPPR) for therapies was automated by MI HP. | PROJ-786049055 | 9/3/2026 | 1/1/2027 |
| Multiple Procedure Payment Reduction (MPPR) for therapies was automated by MI HP. | PROJ-787357430 | 9/8/2026 | 1/6/2027 |
| MDHHS capitation recoupment. Recovering funds where Member has capitation for specific months. | PROJ-771714180 | 7/22/2026 | 11/19/2026 |
| PROJ-759527792 | 6/17/2026 | 10/15/2026 | |
| PROJ-740982911 | 4/27/2026 | 9/30/2026 | |
| Attending provider billed on the claim is not active with MDHHS on the date of service or not registered with MDHHS. | PROJ-754402276 | 6/3/2026 | 10/1/2026 |
| Medicaid members that have no eligibility/capitation for specific months. | PROJ-749233966 | 5/19/2026 | 9/30/2026 |
| Accessory codes are not covered when CPAP machines are in their rental period. | PROJ-747577737 | 5/14/2026 | 9/30/2026 |
| A4239 Medicaid Unbundling AND Medicaid A4239: Two Issues addressed: * The following codes may not be billed on the same date of service as A4239 or on the same claim with A4239: A4233, A4234, A4236, A4244, A4245, A4246, A4247, A4250, A4253, A4255, A4256, A4257, A4258, A4259, E0607, E2100 and E2101. *Recoupment due to overpayment of A4239. Only 1 unit is allowed per month | PROJ-784195793 | 8/28/2026 | 12/26/2026 |
| PROJ-784194114 | 8/28/2026 | 12/26/2026 | |
| PROJ-784164881 | 8/28/2026 | 12/26/2026 | |
| Code Load Updates: Procedure Codes 81410, 81411, 81443 are non covered. | PROJ-770668444 | 7/20/2026 | 11/17/2026 |
| Behavioral Health claims exceeding the 24 visit limit without an authorization. Recoup Payments due to no authorization. | PROJ-771699172 | 7/22/2026 | 11/19/2026 |
| Per state guidelines, HCPCS code B4088 is limited to 3 units within a 6-month period. Members claims connected to this project have already reached the maximum allowable during the timeframe and need recouped. | PROJ-772511151 | 7/24/2026 | 11/21/2026 |
Project Name | Project Number | Project Notification Letter | Project Description | Impacted Specialties | Status | Completed Date |
|---|---|---|---|---|---|---|
DME Limits and Duplicate FTC Recoveries | PROJ-544726498 PROJ-540864403 PROJ-540854559 PROJ-540886536 PROJ-540889252 | DME and FTC Duplicate claims recovery project | See Notification | Complete
| 6/12/2025 | |
Diagnosis code inappropriate for age | Multiple | Based on the members date of birth, these claims were billed with diagnosis codes that are outside the age restriction per CHAMPS. These claims were paid in error, and the associated Encounters were rejected by MDHHS. | Multiple | Complete | 4/30/2025 | |
MDHHS Carve-Out Codes | PROJ-575528019 & PROJ-575527598 | Previously, these carve-out codes required prior authorization (PA) through MDHHS. Moving forward, they will be considered conditional services rendered through MDHHS Fee-for-Service (FFS). | See Notification | Complete | 4/1/2025 & | |
Invalid Provider Specialty for Claim Type Billed |
Multiple | Invalid Provider Specialty for Claim Type Billed Notification |
The purpose of this project is to recover claims where the referring/ordering/attending provider specialty is not valid for the claim type billed. These claims were paid and the associated Encounter rejected by MDHHS | Multiple | Complete | n/a |
Provider CHAMPS Rejections | Multiple |
The purpose of this project is to recover claims where the billing, referring, or attending provider NPI is not active in CHAMPS for the claims DOS. These claims were paid, and the associated Encounters were rejected by MDHHS. | Multiple | Complete | n/a | |
Updates to Billing Configurations & Recoupment Project - PROJ 546810384 | Project - PROJ 546810384 | Updates to Billing Configurations & Recoupment Project - PROJ 546810384 Details | The purpose of this project is to recover claims that were impacted by configuration updates. | Multiple | Complete | 5/30/2025 |
Recoupment Project and Application of 'Lesser Of' Logic | PROJ-539331320 | Recoupment Project and Application of 'Lesser Of' Logic Details | The purpose of this project is to recover claims that were impacted by configuration updates to apply the “less of” logic to waiver provider payment rules. | Multiple | Complete | 2/11/2025 |
Recoupment project of payments over authorized units of T1019 | PROJ-596412600 | Recoupment project of payments over authorized units of T1019 Details | Claims billed with T1019 were paid with no authorization on file. Due to lack of authorization, these claims need to be recouped. | Multiple | Complete | 6/6/2025 |
MME Member Claims Paid as Primary in Error | PROJ-594438829 | An in-depth analysis was conducted on the claims for MME members to verify valid Medicare coverage and Medicare primary billing. | Multiple | Complete | 8/14/2025 | |
Recoupment Project: Payments Without Authorization | PROJ-618466266 | Recoupment Project: Payments Without Authorization Notification | Claims are being paid in error when there is no auth on file, or the authorization was updated and there was no reprocessing performed. System updates were performed and education provided. | Skilled Nursing Facility (SNF) | Complete | 9/4/2025 |