endstream <>/Subtype/Form/Type/XObject>>stream Our phone lines are open 24 hours a day, seven days a week. HMO Based Plans (California) 800-624-0756. endobj 147 0 obj If you have questions about claims or benefits, were happy to help. All sections of the form must be complete for the form to be considered. Combined with our own in-house products and valued vendor partnerships, our . endobj &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V x3P0 t.C=C=33=aP gos Meritain Health <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 77.52 599.04 341.16 621.24]/Subtype/Widget/T(Home Address)/TU(Home Address)/Type/Annot>> xPpurb & PDF Meritain Health Customer Service - EPC This will delay the processing of the claim. 124 0 obj H23U0t.=s#0agf!R@PBLX n x 96 0 obj endobj 34 0 obj endobj endobj 112 0 obj endobj 0000262626 00000 n endstream endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 433.2 622.44 579.6 644.52]/Subtype/Widget/T(Employer Name)/TU(Employer Name)/Type/Annot>> endobj Shop Insurance. H23U0t.=s#0agf!R 174 0 obj <> endobj Protect yourself and your community.Telehealth for Cold and Flu - Meritain Healthwww.meritain.com/telehealth-for-cold-and-flu/FeedbackMeritainhttps://www.meritain.com/about-us-self-fundedProvider services - Meritain HealthWebIf you have questions about claims or benefits, were happy to help. <>/Subtype/Form/Type/XObject>>stream endobj Copyright 2023 Meritain Health. 95 0 obj 0000026631 00000 n The Authorization for Release of Information form is required according to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), specifically 45 CFR 164.508 of the HIPAA Regulations. 4 0 obj <>/Subtype/Form/Type/XObject>>stream 47 0 obj PDF Health Complete and send to: Meritain Health Claim Form - TPA endobj xPpurb & Meritain Health uses 6 email formats: 1. first '.' [email protected] (82.5%). <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 92.28 459.96 579.6 482.04]/Subtype/Widget/T(Spouses Employer)/TU(Spouses Employer)/Type/Annot>> 11 0 obj It is believed to be accurate at the time of posting and is subject to change. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) December 23, 2022 by NSingh Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. 24 0 obj 0000071557 00000 n To reach us by phone, dial the toll-free number on the back of the patients ID card. In a year sure to be filled with many milestones, For some people, memory loss can simply occur as a natural part of getting older. 131 0 obj 1 Health and Welfare IBEW Local 1 Health & Welfare Fund x <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 376.92 75.6 579.6 95.64]/Subtype/Widget/T(Employees Signature)/TU(Employees Signature)/Type/Annot>> x3P0 t.C=C=33=aP gos If you're a Member or Provider please call 888-509-6420. endstream endobj 26 0 obj<> endobj 27 0 obj<> endobj 28 0 obj<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>> endobj 29 0 obj<> endobj 30 0 obj<> endobj 31 0 obj<> endobj 32 0 obj[/ICCBased 38 0 R] endobj 33 0 obj<> endobj 34 0 obj<> endobj 35 0 obj<> endobj 36 0 obj<>stream 3 0 obj "LR <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 208.56 352.32 218.64 362.4]/Subtype/Widget/T(Group)/TU(Group)/Type/Annot>> endstream To reach us by phone, dial the toll-free number on the back of the patients ID card. xPpurb & and helpful tips for boosting good healthfor you, and your family. At Meritain Health, our jobs are simple: we're here to help take care of you. endstream 0000221647 00000 n Access information quickly For 24-hour access to your patient's health information, log in to your account. 0000010062 00000 n Resources for Members - Meritain Health insurance and provider search 0000222259 00000 n <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 33.12 401.52 43.08 411.48]/Subtype/Widget/T(Yes then complete)/TU(Yes \(then complete)/Type/Annot>> The amount paid. endobj 67 0 obj 0000222181 00000 n Claims can be submitted for any covered member. %R If the patient is the employee, go directly to the area below the shaded box. endstream <>/Subtype/Form/Type/XObject>>stream endobj Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. 0000077747 00000 n 20 0 obj All other Plans (California) 888-632-3862. xref <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 235.56 541.08 245.64 551.16]/Subtype/Widget/T(Employees Spouse)/TU(Employees Spouse)/Type/Annot>> <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 442.92 483.36 579.72 499.68]/Subtype/Widget/T(Childs Social Security Number)/TU(Childs Social Security Number)/Type/Annot>> <>/Subtype/Form/Type/XObject>>stream endobj <>/Subtype/Form/Type/XObject>>stream To reach us by phone, dial the toll-free number on the back of the patient's ID card. <>/Subtype/Form/Type/XObject>>stream 33 0 obj 12 0 obj 0000078102 00000 n <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 237.84 238.2 247.8 248.16]/Subtype/Widget/T(undefined_3)/TU(undefined)/Type/Annot>> Via Meritain's Provider Relations Team: 866-761-3018 a. Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. <>/Subtype/Form/Type/XObject>>stream (5 days ago) WebClaims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921. Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 127.56 541.08 137.64 551.16]/Subtype/Widget/T(The employee)/TU(The employee)/Type/Annot>> 152 0 obj endobj By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice. For 24-hour access to your personal health information,log in to your account. Not only can we customize your plan, we want to. 74 0 obj PDF Claims Submission and Payment - mbh-eap.com endobj endobj Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. endstream endstream For 24-hour , https://qa.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/, Health (8 days ago) WebMailing Address. Please have your tax ID number, provider name and address exactly as it appears on the W-9 you submitted along with your NPI and phone number. 25 0 obj <> endobj xPpurb & endobj Welcome to Meritain Health - Meritain Health Meritain Health 7 0 obj Meritain health prior authorization form, Health (8 days ago) FeedbackThanks!Tell us moreWelcome to the new BingYour AI-powered copilot for the webAsk anythingLet's ChatPeople also askIs meritain health the same as Aetna?Meritain Health is a subsidiary of Aetna and is one of the nations largest administrators of health benefits. endstream <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 95.16 267.36 105.24 277.44]/Subtype/Widget/T(undefined_2)/TU(undefined)/Type/Annot>> 0000006310 00000 n endstream Transition or Continuity of Care (in Spanish). xPpurb & Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Coventry Health Care P.O. <>/Subtype/Form/Type/XObject>>stream endobj endobj <>/Subtype/Form/Type/XObject>>stream %R@PBL1X Kh endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 348.36 201.72 364.68]/Subtype/Widget/T(Other Insurance Carriers or Plans Telephone)/TU(Other Insurance Carriers or Plans Telephone #)/Type/Annot>> Employee information: if you are NOT the employee of the plan 53 0 obj . A description of the services provided. endobj LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g Toll free number 800.877.1444 Clients/Payers: For claims and other inquiries, you can request service online here or call 800.877.1444 Healthcare Providers: For the fastest service, please contact us online here or use the contact information provided here. 0000195637 00000 n Business Profile for CBSA Performax, A Meritain Health Company Section 5. Questions? For ALL claims, this area must be filled in completely. endstream MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis - Yelp Section 2. 39 0 obj 79 0 obj endobj For language services, please call the number on your member ID card and request an operator.Is meritain the same as Aetna?psichologyanswers.com/library/lecture/read/489793-is-meIs meritain part of Aetna?Meritain Health will become part of the Aetna family, part of a $600 million acquisition of Meritains parent company announced Thursday at Aetnas quarterly shareholders meeting. xPpurb & 0000243858 00000 n 9 0 obj endstream endobj endobj We understand. Address, phone number, and practice changes Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Allstate Health Solutions P.O. <>/Subtype/Form/Type/XObject>>stream Vgmf9q0ATr@ XaFr ` ! Or fax to (763)-852-5057. endobj <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 436.56 579.6 458.76]/Subtype/Widget/T(Spouses Employers Address)/TU(Spouses Employers Address)/Type/Annot>> endobj 5 0 obj 98 0 obj x 0000243974 00000 n endstream endobj 239 0 obj <>stream Contact us at 1.800.925.2272 if you have . Mail completed Meritain Health form to: P.O. <>/Subtype/Form/Type/XObject>>stream For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 Email: Health-improve.org Category: Health Detail Health Meritain Health Benefit/Claim Customer Service 1 Health 0000263210 00000 n endobj endstream 54 0 obj 22 0 obj I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 402.96 506.76 534.6 528.96]/Subtype/Widget/T(Childs Name first last initial)/TU(Childs Name \(first, last, initial\))/Type/Annot>> 0000244550 00000 n x3P0 t.C=63E\i\ g3s Health (3 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. <>/Subtype/Form/Type/XObject>>stream 25 16 xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 104 0 obj 0000002620 00000 n endobj Addresses and accounts , https://www.mbh-eap.com/wp-content/uploads/Claim-Submission-and-Payment-Addresses-7-1-2017.pdf, Health (2 days ago) WebContact us. <>/Subtype/Form/Type/XObject>>stream 19 0 obj ,L"\H4~Zzyv4vet{&+8*BYOl+:;C ks#6i}$9wNB;I@~d hop^F. 0000047633 00000 n If you have any questions about your benefits or claims, were happy to help. endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 397.92 348.36 453.6 370.56]/Subtype/Widget/T(Group Number_2)/TU(Group Number)/Type/Annot>> endobj <>/Subtype/Form/Type/XObject>>stream By prioritizing data for plan building and success to a variety of member tools, well support you every step of the way. To reach us by phone, dial the toll-free number on the back of the patient's ID card. Your patients health and your ability to access their information is important to us. 0000006809 00000 n Click the Register button to get started. s0G}JbfX^Z@0R ;]Vomm.mu:bq[0iiz=s7^weqE|ZV%%|-%9 0000002362 00000 n Contact us If you have questions about claims or benefits, we're happy to help. endobj <>/DR<>/Font<>>>/F 4/P 4 0 R /Parent 130 0 R /Rect[ 496.92 51.72 579.48 74.28]/Subtype/Widget/Type/Annot>> endobj Visit our Meritain Health YouTube channelOpens in new window to learn more. 0000020823 00000 n PDF Vision Complete and send to: Claim Form P.O. Box 853921 - Meritain endobj x 0000221985 00000 n What are the hallmarks of a good provider network? endstream 0000124097 00000 n You might occasionally. 0000000854 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 359.04 622.44 377.16 644.52]/Subtype/Widget/T(Sex)/TU(Sex)/Type/Annot>> 109 0 obj {1O 60 0 obj Note: , https://www.pangeafg.us/s/article/National-General-Meritain-Health-How-to-Submit-a-Medical-Claim, Health (2 days ago) WebBelow is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. Section 6. 127 0 obj endobj endstream x /j(0`P k o5pn*P j(H Skip to content. 0000047941 00000 n 106 0 obj the cost of care for our plan sponsors and members. endstream 80 0 obj Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). 46 0 obj 48 0 obj xPpurb & <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 166.2 483.36 303 499.68]/Subtype/Widget/T(Spouses Social Security Number)/TU(Spouses Social Security Number)/Type/Annot>> Box 30111 Lansing, MI 48909 Fax to: 888.837.3725 https://www.meritain.com/wp-content/uploads/2021/02/Microsoft-Word-FSA-Claim-Form_MI_2018.pdf <>/Subtype/Form/Type/XObject>>stream endobj 0000011755 00000 n <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0ag endobj For the fastest service, dial the toll-free number on the back of your ID card. 102 0 obj 160 0 obj endobj endstream 141 0 obj Box 7796 London, KY 40742 (877) 232 . Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ yuU`&ZfwZ1)`YO>E+*w* endobj Claims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921 EDI: WebMD/Emdeon 41124 McKesson/Relay Health 1761 Dental Claims Paper Claim Mailing Address: Anthem Dental Claims PO Box 659444 San Antonio, TX 78265-9444 Electronic claims are submitted via payor ID 84105 Dental Claims Inquiries Paper Fax: 314.984.8653 Electronic Fax: xPpurb & <>/Subtype/Form/Type/XObject>>stream Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. endstream 0000001905 00000 n endobj C Your patients health and your ability to access their information is important to us. H|VYOF~G[Z7} X#`) 4cb{X_5 <>/Subtype/Form/Type/XObject>>stream Once you register, youll be able to view: If you are a client or broker with questions about an existing plan, please contact your client solutions manager. %PDF-1.4 % endobj endstream "LR@PBPBLM, k !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K 153 0 obj endobj endobj <>/Subtype/Form/Type/XObject>>stream 63 0 obj xPpurb & endstream 42 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 102.24 622.44 341.16 644.52]/Subtype/Widget/T(Name last first initial)/TU(Name \(last, first, initial\))/Type/Annot>> 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. endobj %%EOF <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 233.16 371.76 372.6 393.96]/Subtype/Widget/T(Address)/TU(Address)/Type/Annot>> Try for free at rocketreach.co . 18 0 obj endstream Our industry-leading programs and partnerships with health care innovators allow us to connect our plan sponsors with the right benefits to meet commonand not-so-commonself-funding challenges. endstream 0000221360 00000 n 68 0 obj If your ID card is available, please use the number on the back for faster service. Get Meritain Vision Claim Form - US Legal Forms 0000262548 00000 n Section 4. <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 295.68 51.72 476.04 74.28]/Subtype/Widget/T(NPI Number)/TU(NPI Number)/Type/Annot>> 62 0 obj 26 0 obj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream ]W9n9. Meritain Health Provider Services - Meritain Health endobj endstream <>/Subtype/Form/Type/XObject>>stream %%EOF 23 0 obj startxref endobj H23U0t.=s#0agf!R 157 0 obj xPpurb & You can accommodate anything, and you build it into the process.
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