What are the hallmarks of a good provider network? endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 226.094 254.76 579.48 273.867]/Subtype/Widget/T(Describe injury when and how it happened or nature of illness)/TU(Describe injury, when and how it happened or nature of illness:)/Type/Annot>> For more information, please call Meridian Member Services at 888-437-0606 (Michigan) or 866-606-3700 (Illinois). endobj endstream Copyright 2023 Meritain Health. Below is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health endobj Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. 0000153847 00000 n endstream Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone endobj endstream 0000221647 00000 n endobj 0000026482 00000 n 0000244069 00000 n 0000001905 00000 n startxref 0000002620 00000 n %PDF-1.5 % 67 0 obj endstream 0000071557 00000 n You can locate the number on the back of your ID Card. H23U0t.=s#0agf!R 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 <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 542.04 371.76 579.6 393.96]/Subtype/Widget/T(Zip Code_2)/TU(Zip Code)/Type/Annot>> For 24-hour access to your patients health information,log in to your account. endstream endobj 178 0 obj <>stream endobj endobj x endobj For 24-hour automated phone benefits and claims information, call us at 1.800. endobj 26 0 obj Shop Insurance. 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 endobj endobj N.-BE+!W9wX4]c&OGQ 99 0 obj endobj xPpurb & 29 0 obj 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. 0000006809 00000 n "LR endobj For ALL claims, this area must be filled in completely. Mail completed Meritain Health form to: P.O. <>/Subtype/Form/Type/XObject>>stream xPpurb & Your network, benefit plans, programs and member communications will be tailored to you. <>/Subtype/Form/Type/XObject>>stream endobj 127 0 obj I absolutely love placing business with Meritain, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, Five Things to Know About Alzheimers Disease. 239 0 obj <>stream If you have questions about claims or benefits, were happy to help. 129 0 obj 134 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>> 144 0 obj endstream endobj Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. 20 0 obj xPpurb & 566.9311. 0000124845 00000 n <> <>/Subtype/Form/Type/XObject>>stream 25 0 obj <> endobj x A description of the services provided. endobj 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. 90 0 obj x 42 0 obj <>/Subtype/Form/Type/XObject>>stream endstream To reach us by phone, dial the toll-free number on the back of the patient's ID card. endstream Signature of member or members guardian. 0000047749 00000 n <>/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>> If your ID card is available, please use the number on the back for faster service. 0000220396 00000 n 115 0 obj <>/Subtype/Form/Type/XObject>>stream 147 0 obj Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ yuU`&ZfwZ1)`YO>E+*w* . <>/Subtype/Form/Type/XObject>>stream endstream 69 0 obj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Vgmf9q0ATr@ XaFr ` ! Not only can we customize your plan, we want to. <>/Subtype/Form/Type/XObject>>stream Provider. xref 0000245015 00000 n <>/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>> Or fax to (763)-852-5057. "LR@PBPBLM, k 102 0 obj <>/Subtype/Form/Type/XObject>>stream x33U0t.=s#0agf$LR [ 6 0 R 10 0 R 12 0 R 14 0 R 16 0 R 18 0 R 20 0 R 22 0 R 24 0 R 26 0 R 28 0 R 30 0 R 32 0 R 37 0 R 42 0 R 47 0 R 49 0 R 51 0 R 53 0 R 55 0 R 57 0 R 59 0 R 61 0 R 63 0 R 65 0 R 67 0 R 72 0 R 77 0 R 79 0 R 81 0 R 83 0 R 85 0 R 87 0 R 89 0 R 91 0 R 96 0 R 101 0 R 103 0 R 105 0 R 107 0 R 109 0 R 111 0 R 116 0 R 121 0 R 123 0 R 128 0 R 133 0 R 135 0 R 137 0 R 139 0 R 144 0 R 149 0 R 151 0 R 153 0 R 155 0 R 157 0 R ] <>/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>> endobj 68 0 obj endobj H23U0t.=s#0agf!R@PBLX n endobj 4. 0000195598 00000 n Allstate Health Solutions P.O. endstream 87 0 obj endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 483.12 599.04 512.16 621.24]/Subtype/Widget/T(Birthdate)/TU(Birthdate)/Type/Annot>> 0000078515 00000 n endobj and helpful tips for boosting good healthfor you, and your family. I have never dealt with a large company who answers their phone right away and always gives good service. x3P0 t.C=63E\i\ g3s 0000011755 00000 n 0000244550 00000 n 139 101 Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. Copyright 2023 Meritain Health. Section 6. With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 33.12 267.36 43.08 277.44]/Subtype/Widget/T(undefined)/TU(undefined)/Type/Annot>> Complete Meritain Vision Claim Form online with US Legal Forms. For tips on taking care of your heart, we asked our friends at Meritain Health Pharmacy Solutions (MPS). 0000030860 00000 n <>/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>> <>/Subtype/Form/Type/XObject>>stream I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. <>/Subtype/Form/Type/XObject>>stream endobj endobj 30 0 obj Were making access just a click away. endstream V>j>Or`DVGlM|v]%Yv+)mv>m{=umfofn]{H+T(T014p0fcO&qtkO^);nu|2@]T Gdd,LO~|4 ^'A{ @21xqW 1`6U Skip to content. xPpurb & <>/Subtype/Form/Type/XObject>>stream Doctor Lookup. All other Plans (California) 888-632-3862. 132 0 obj Or fax to (763)-852-5057. If the patient is the employee, go directly to the area below the shaded box. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 134.04 506.76 260.16 528.96]/Subtype/Widget/T(Spouses Name last first initial)/TU(Spouses Name \(last, first, initial\))/Type/Annot>> 40 0 obj The member whose information is to be released is required to sign the authorization form. Your heart is a hard worker. 1-866-221-4988. endstream endstream endobj xPpurb & endstream 135 0 obj endobj endobj x 1 0 obj xPpurb & H23U0t.=s#0agf!R endobj 114 0 obj 0000002362 00000 n You can see the specialist you choose without a referral.. endobj The latest from Meritain Health Offering Easy Access to Virtual Mental Well-being Providers April 9, 2023 Today's employees crave support for their emotional and mental well-being. <>/Subtype/Form/Type/XObject>>stream 77 0 obj To reach us by phone, dial the toll-free number on the back of the patient's 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. 24 0 obj endobj endstream 146 0 obj Via Meritain's Provider Relations Team: 866-761-3018 a. xPpurb & Sign Up For Free G2Crowd Trusted. 0000263097 00000 n <>/Subtype/Form/Type/XObject>>stream xPpurb & 45 0 obj 1 Health and Welfare IBEW Local 1 Health & Welfare Fund %R <>/Subtype/Form/Type/XObject>>stream 0000030938 00000 n Were adding new tools and resources all the time. Learn more about whats covered and what you need to do to get reimbursed and get answers to other frequently asked questions about at-home COVID-19 self-test coverage. 0000026121 00000 n 52 0 obj /I|;5iqOb: 8]m Section 5. 84 0 obj 0000075777 00000 n endobj 0000018652 00000 n 0000002916 00000 n 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. AZ Foundation for Medical CareOpens in new window, Baptist Health Plan (formerly Bluegrass)Opens in new window, California Foundation for Medical CareOpens in new window, Century Health SolutionsOpens in new window, Community Health Alliance (CHA)Opens in new window, Evolutions Healthcare SystemsOpens in new window, First Choice Health NetworkOpens in new window, First Choice of the MidwestOpens in new window, Freedom Networks (PHP)Opens in new window, Frontpath Health CoalitionOpens in new window, Gulf Coast Provider NetworkOpens in new window, Idaho Physicians Network (IPN)Opens in new window, Mississippi Physicians Care Network (MPCN)Opens in new window, Nevada Preferred(UHN)Opens in new window, North American Preferred (NAP)Opens in new window, Ohio Health Choice (OHC)Opens in new window, Parkview Signature CareOpens in new window, Preferred Community Choice (PCC OK)Opens in new window, Presbyterian Select Provider Network (SPN)Opens in new window, Private Health Care Systems (PHCS)Opens in new window, The Alliance of WisconsinOpens in new window, Virginia Health NetworkOpens in new window. endobj Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. endstream xPpurb & 159 0 obj <>/Subtype/Form/Type/XObject>>stream 72 0 obj As a Meritain Health member, per the Federal Government, you are eligible for insurance reimbursement under a qualified plan for FDA-authorized COVID-19 at-home tests purchased on or after January 15. You might occasionally. Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. endobj <>/Subtype/Form/Type/XObject>>stream endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. endstream endstream 0000439614 00000 n 149 0 obj endobj 83 0 obj <>/Subtype/Form/Type/XObject>>stream Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. Aetna Open Choice PPO Network. endobj To reach us by email:service@meritain.com. Producer. endstream Box 7796 London, KY 40742 (877) 232 . endobj <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0ag For 24-hour , https://qa.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/, Health (8 days ago) WebMailing Address. 139 0 obj 112 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 418.2 395.16 579.6 417.36]/Subtype/Widget/T(Name of Policy Holder)/TU(Name of Policy Holder:)/Type/Annot>> <> 148 0 obj 0000262751 00000 n 38 0 obj H23U0t.=s#0ag On-demand services such as Teladoc, giving you access to qualified physicians 24/7/365 by phone, online or app, Convenient access to information and support via our online member portal, Meritain Health app, printed and digital resources, and customer service, Healthcare Bluebook, an online tool that allows you to compare health care services you need to find the best prices, Access to wellness programs like the Healthy Merits Wellness Program, letting you focus on your own wellness journey in areas like nutrition, fitness, financial wellness, and social and emotional health, Aetnas network of providers, connecting you to over 600,000 doctors and ancillary providers nationwide, Nurse Health Coaching and support services for your health care journey, including diabetes care and fertility care. Section 1. endobj Mississippi Physicians Care Network (MPCN), Presbyterian Select Provider Network (SPN). 71 0 obj 62 0 obj <>/Subtype/Form/Type/XObject>>stream endobj Our phone lines are open 24 hours a day, seven days a week. xPpurb & Copyright 2023 Meritain Health. %PDF-1.7 endobj 0 {To receive a copy of an Explanation of , https://epc.org/wp-content/uploads/Files/4-Resources/1-Benefits/6-2022/2022MeritainCustomerServiceInformation.pdf, Health (8 days ago) WebASA and Meritain - use phone number on member's ID card; BRCA genetic testing (precertification and information) - 1-877-794-8720 (TTY: 711) Claims - if you have , https://qawww.aetna.com/health-care-professionals/contact-aetna.html, Unitedhealthcare medicare advantage claims address, Drexel behavioral health continuing education, Prohealth westwood health and fitness center, Philippines one health pass registration, Devoted health plan of florida providers, Shadow health gastrointestinal subjective, 2021 health-improve.org. 9 0 obj <>/Subtype/Form/Type/XObject>>stream endstream 0000075278 00000 n Weve got more than a few tricks up our sleeves to help you live your best life, and keep your cost of care budget-friendly. xPpurb & endobj endobj endobj 0000243461 00000 n Contact us If you have questions about claims or benefits, we're happy to help. 74 0 obj <>/Subtype/Form/Type/XObject>>stream 0000047819 00000 n You can also click here for our Member User Guide. xPpurb & Call Meritain (866) 209-3061 to obtain claim #; then call IBEW-IL (618) -2002 to get claim status. <>/Subtype/Form/Type/XObject>>stream endobj When on the portal, you can also download our free mobile app. 50 0 obj This content is being provided as an informational tool. endstream 0000220644 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 90.84 483.36 164.52 505.56]/Subtype/Widget/T(Spouses Birthdate)/TU(Spouses Birthdate)/Type/Annot>> 70 0 obj endstream xPpurb & <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Section 4. <>/Subtype/Form/Type/XObject>>stream 12 0 obj 82 0 obj endobj 158 0 obj 143 0 obj Lastly, just mail the completed form and original invoice to , https://www.employeeconnects.com/wp-content/uploads/2021/06/Grand-Rounds-Submitting-a-Claim.pdf, Health (9 days ago) WebHealth Claim Form - KP Health (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. 0000002847 00000 n 93 0 obj 0000016302 00000 n endstream If you have questions about claims or benefits, were happy to help. xHMef2'oj,Fm'6bCL{@4t./~I2_d>\@+h?Mu(\bu 7FY,Q$jJ 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. endobj endstream endstream <>/Subtype/Form/Type/XObject>>stream You can submit . 117 0 obj Section 2. Meritain is a division of Prodigy Health Group, the nations largest independent third-party administrator of self-funded health plans.Meritain part of $600M Aetna purchase - Buffalo Business Firstwww.bizjournals.com/buffalo/news/2011/04/28/meritain-Does meritain health require referrals?meritain or call 1-800-847-8361 for a list of network providers. 133 0 obj All rights reserved. endstream 0000222259 00000 n 0000244628 00000 n 140 0 obj endobj 19 0 obj HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| The form linked below should be completed by a member who needs togrant access to their PHIto another individual in connection with an appeal. xref endstream 0000001388 00000 n &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V endobj xPpurb & endstream Transition or Continuity of Care (in Spanish). Listen to Your Gut to Improve Your Health March 13, 2023 Sure, you've probably trusted a gut feeling when deciding something. )wA x3P0 t.C=C=33=aP gos endobj 58 0 obj 76 0 obj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. x3P0 t.C=63E\i\ g3s 1 Health and . 0000005765 00000 n 150 0 obj endobj To reach us by phone, dial the toll-free number on the back of the patients ID card. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Access information quickly For 24-hour access to your patient's health information, log in to your <>/Subtype/Form/Type/XObject>>stream endstream endobj 160 0 obj But do you listen to your gut when it comes to your health? endstream <<786CC871D6E58841AFFFF22908309F57>]/Prev 447040/XRefStm 2739>> 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. <>/Subtype/Form/Type/XObject>>stream Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. <>/Subtype/Form/Type/XObject>>stream 51 0 obj Have your ID card with you so set-up is fast and easy. 59 0 obj <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 234.36 198.96 244.44 209.04]/Subtype/Widget/Type/Annot>> <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 281.52 238.2 291.6 248.16]/Subtype/Widget/T(undefined_4)/TU(undefined)/Type/Annot>> <>/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>> 15 0 obj Hl Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. 9fK3J*9zl3$6)6}t+d=u+iTv5G(. h|]1Lf2wO^%L[^'t7o1/ V5?? <>/Subtype/Form/Type/XObject>>stream endobj endobj 5 0 obj xPpurb & 91 0 obj <>/Subtype/Form/Type/XObject>>stream 34 0 obj Provider services - Meritain Health. 23 0 obj At Meritain Health, we create unrivaled connections. 105 0 obj 0000221498 00000 n endobj 0000221985 00000 n <>/Subtype/Form/Type/XObject>>stream It is believed to be accurate at the time of posting and is subject to change. For the fastest service, dial the toll-free number on the back of your ID card. 0000009416 00000 n 0000047633 00000 n 104 0 obj endobj 153 0 obj endstream 120 0 obj 10 0 obj endstream 130 0 obj To reach us by phone, dial the toll-free number on the back of the patients ID card. endstream endstream <>/Subtype/Form/Type/XObject>>stream endobj For 24-hour access to your personal health information,log in to your account. Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. <>/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>> MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis, Minnesota - Insurance - Phone Number - Yelp Restaurants Home Services Auto Services Meritain Health 117 reviews Unclaimed Insurance Write a review Add photo Photos & videos See all 7 photos Add photo x Try for free at rocketreach.co . 18 0 obj <>/Subtype/Form/Type/XObject>>stream endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 464.16 213.36 579.84 225.24]/Subtype/Widget/T(Address city state zip)/TU(Address \(city, state, zip\))/Type/Annot>> endobj 39 0 obj endobj <>/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>> <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s Meritain Health Claim Mailing Address Health (9 days ago) Web (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. endstream <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 344.836 599.04 449.16 617.818]/Subtype/Widget/T(Identification Number)/TU(Identification Number)/Type/Annot>> Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. <>/Subtype/Form/Type/XObject>>stream 155 0 obj endobj endstream All rights reserved. Mail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. 0000154272 00000 n H23U0t.=s#0agf!R <>/Subtype/Form/Type/XObject>>stream 119 0 obj <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 51.72 251.28 68.64]/Subtype/Widget/T(Providers tax ID number or Social Security Number)/TU(Providers tax ID number or Social Security Number)/Type/Annot>> At Meritain Health, our jobs are simple: we're here to help take care of you. 60 0 obj <>/Subtype/Form/Type/XObject>>stream endstream x3P0 t.C=63E\i\ g3s <>/Subtype/Form/Type/XObject>>stream 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. xPpurb & Customer service representatives are available to help you Monday through Fridayjust call 1.800.925.2272. . 142 0 obj endstream Patient Information <>/Subtype/Form/Type/XObject>>stream endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 296.88 213.36 354.72 231.12]/Subtype/Widget/T(Policy)/TU(Policy #)/Type/Annot>> 0000070325 00000 n Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number <>/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>> You can get medical advice, a diagnosis or a prescription by video or phone. 0000243858 00000 n Mail completed Meritain Health form to: P.O. xPpurb & 0000002365 00000 n Whether you're building an employee benefits program, researching your member benefits or offering support to your patients, we're ready to help you do more with your health plan. 0000262548 00000 n 0000030202 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 92.28 324.96 579.6 347.04]/Subtype/Widget/T(Spouses Employer_2)/TU(Spouses Employer)/Type/Annot>> 113 0 obj We're making access just a click away. }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp %R@PBL1X Kh endobj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endobj {For the status of submitted claims. <> 151 0 obj 0000247732 00000 n endobj endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 272.04 575.64 314.16 597.84]/Subtype/Widget/T(Zip Code)/TU(Zip Code)/Type/Annot>> trailer The following is a description of how to complete the form. 125 0 obj endobj <>/Subtype/Form/Type/XObject>>stream Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 [ 313 0 R 160 0 R 161 0 R 162 0 R 163 0 R 164 0 R 165 0 R 166 0 R 167 0 R 314 0 R 315 0 R ] <>/Subtype/Form/Type/XObject>>stream endobj 0000075478 00000 n <>/Subtype/Form/Type/XObject>>stream 0000023547 00000 n xPpurb & 0000220357 00000 n endobj Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). H23U0t.=s#0agf!R <>/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>> 32 0 obj endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 390.6 371.76 471.6 393.96]/Subtype/Widget/T(City_2)/TU(City)/Type/Annot>> xPpurb & endobj endobj endobj 0000003072 00000 n endstream endobj endstream Our Meritain Health client management team is by far the best weve ever worked with. 0000030597 00000 n %PDF-1.4 % If you have any questions about your benefits or claims, were happy to help. 0000221360 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 142.44 254.76 219.48 279]/Subtype/Widget/T(Injury Illness Date and time of accident)/TU(Injury Illness Date and time of accident:)/Type/Annot>> 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. 0000071023 00000 n 0000263210 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 90.84 75.6 302.88 95.64]/Subtype/Widget/T(Provider to be paid)/TU(Provider to be paid)/Type/Annot>> endstream We understand. 0000004995 00000 n Aetna Claim Address , https://medicalbillingrcm.com/aetna-claim-address-phone-number/, Health (4 days ago) WebList of Accounts managed by Mercy Managed Behavioral Health - effective 7/01/17 **Send claims directly to the third party administrator. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 455.28 348.36 579.72 364.68]/Subtype/Widget/T(Contract or Policy Number)/TU(Contract or Policy Number)/Type/Annot>> 80 0 obj endobj Short term medical; . <>/Subtype/Form/Type/XObject>>stream 138 0 obj endobj 0000243792 00000 n All rights reserved. endobj Hours are 5 am - 6 pm PST. endobj 37 0 obj %%EOF H23U0t.=s#0agf!R@PBLX n endstream H23U0t.=s#0agf$LR@PBPBLDA k endstream endobj 0000007254 00000 n 0000000016 00000 n endobj 0000263019 00000 n IBEW Local No. xPpurb & <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 436.56 579.6 458.76]/Subtype/Widget/T(Spouses Employers Address)/TU(Spouses Employers Address)/Type/Annot>> endobj endstream <>/Subtype/Form/Type/XObject>>stream 0000018717 00000 n endobj !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K PO Box 853921 Meritain Healths claim appeal procedure consists of three levels: There are two forms listed below that a member must complete and give to the provider submitting the formal written appeal. endobj endobj 36 0 obj xPpurb & endobj By prioritizing data for plan building and success to a variety of member tools, well support you every step of the way. If you havent created an account, click Register at the top right of this page and follow the prompts. (5 days ago) WebClaims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921. x3P0 t.C=30agE\i\ gs Looking to build a benefits plan? %R 174 0 obj <> endobj 35 0 obj Contact Information 400 Highway 169 S Ste 800 Minneapolis, MN 55426-1141 Visit Website Email this Business (952) 546-0062 Customer Complaints 13 complaints closed in last 3 years 4 complaints. 190 0 obj <>/Filter/FlateDecode/ID[<523141E2911DB04EA723064AFA5186F5>]/Index[174 50]/Info 173 0 R/Length 88/Prev 119184/Root 175 0 R/Size 224/Type/XRef/W[1 3 1]>>stream H23U0t.=s#0ag 65 0 obj 66 0 obj <>/Subtype/Form/Type/XObject>>stream Access information quickly For 24-hour access to your patient's health information, log in to your account. Employee information: if you are NOT the employee of the plan <>/Subtype/Form/Type/XObject>>stream Contact us at 1.800.925.2272 if you have . 0000243974 00000 n endobj We are your Advocates for Healthier Living, and were here to connect you and your family to the care you need, right when you need it. LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g 0000195637 00000 n 0000262626 00000 n H23U0t.=s#0agf!R@PBLX n <>/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>> <>stream 0000020823 00000 n Together, well explore your ideal plan to meet your <>/Subtype/Form/Type/XObject>>stream Attn: HIPAA Compliance Officer 111 0 obj x 0000244289 00000 n 154 0 obj 0000221902 00000 n x3P0 t.C=63E\i\ g3s endstream endobj <>/Subtype/Form/Type/XObject>>stream %PDF-1.4 % 123 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 493.92 371.76 507.6 393.96]/Subtype/Widget/T(State_2)/TU(State)/Type/Annot>>
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