Meridian (Illinois)
Meridian (Illinois) is a payer organization operating in Illinois. For an ASC, what matters isn't the logo. It's how Meridian (Illinois) pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Meridian (Illinois) analysis
Tell us where to send it. Our team will prepare an analysis of Meridian (Illinois) covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Meridian (Illinois) pays
See how Meridian (Illinois) reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Meridian (Illinois)'s presence spans Illinois. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Meridian (Illinois) and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Meridian (Illinois)'s volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Meridian (Illinois) up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Meridian (Illinois)
- Payer ID
- 13189 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Meridian (Illinois) through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Meridian (Illinois) members are verified before the date of service, through a clearinghouse using payer ID 13189or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Meridian (Illinois) directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Meridian (Illinois) the way it pays.
- What is Meridian (Illinois)'s payer ID?
- Meridian (Illinois)'s electronic payer ID is 13189. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Meridian (Illinois) through a clearinghouse.
- How do ASCs verify eligibility for Meridian (Illinois) members?
- Eligibility and benefits for Meridian (Illinois) members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 13189) or through the payer's provider portal.
- Does Meridian (Illinois) require prior authorization for ASC procedures?
- Prior-authorization requirements for Meridian (Illinois) are set per plan and per procedure. Confirm whether an authorization is required with Meridian (Illinois) directly before the date of service.
- What type of payer is Meridian (Illinois)?
- Meridian (Illinois) is a payer organization operating in Illinois.
- How does Meridian (Illinois) compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Meridian (Illinois) pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Meridian (Illinois) paying my ASC below market?
- Put your own Meridian (Illinois) contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.