MDN New Client - Guardian

Effective: June 1, 2014

  • If your practice is already contracted with Guardian, the Maverest fee schedule will not apply to this arrangement and you will continue under the terms of your current contract with Guardian.
  • Reimbursement is based on your current Maverest fee schedule. Always submit claims at your full fee.
  • Verify member eligibility and benefits by calling the phone number listed on the member ID card. The Explanation of Benefits (EOB) for these claims will identify Maverest as the network used to determine the applicable fee schedule.
  • Maverest participating providers may opt-out of participation with Guardian by contacting Maverest Professional Relations at (888) 458-2137, option 4.
  • Maverest participating providers are considered in network with Guardian and will be listed as such on Guardians’ online provider directory.
  • Guardian network participation is currently limited to practices in the following states: AK, AL, AR, AZ, CA, CO, DC, DE, FL, GA, HI, ID, IN, KS, LA, MD, MI, MN, MO, MS, MT, NE, NH, NJ, NM, NY, OH, OK, OR, RI, SC, SD, TN, TX, UT, VT, WA, WI, WV, and WY.