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Provider Network Participation & Enrollment Process

Add Provider to Existing Contract

If you are a provider who is part of an existing contracted medical or behavioral health entity, use this online contracted enrollment form to enroll a new provider.

Demographic Updates

If you are already a contracted provider with Meridian and would like to update existing information, please use our online provider update forms.

Practitioner Termination Form

If you are already a contracted provider with Meridian and would like to update existing information, please use our online provider update forms.

Definition of Enrollment

Contact Us

Login to your provider portal account to send a secure message. Our Contact Us page is always available for general questions or you can call Meridian at 1-888-773-2647.

Last Updated: 10/17/2024