Provider Relations Intake Form

Effective July 17th, 2023, Meridian Network Team will introduce a new intake communication form that will allow a streamlined approach to assisting our providers. The new communication tool will allow providers to make an inquiry via our website for an array of issues.

Who? All providers except providers part of:

  • Hospital
  • PHO/PO
  • Value-Based


  • Provide faster turnaround times for responses
  • Capture all needed information to properly assist and accurately resolve issues

For more information and Frequently Asked Questions, see our Provider Relations Inquiry support document (PDF).

We Want to Hear From You

Please lead feedback regarding the new process on the Provider Relations Inquiry Form Survey. The survey is seven questions and should only take a few minutes to complete!

Provider Relations Intake Form Survey