endobj A description of the services provided. ]W9n9. 76 0 obj xPpurb & Your heart is a hard worker. 159 0 obj <>/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>> endobj To reach us by phone, dial the toll-free number on the back of the patient's ID card. 23 0 obj 35 0 obj 61 0 obj This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. endobj 93 0 obj If you have questions about claims or benefits, were happy to help. 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 125 0 obj <>/Subtype/Form/Type/XObject>>stream At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Each member may setup a Login for themselves as well as any minor children covered by the plan. 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. 95 0 obj Claims Information | UFCW Local 655 Welfare Fund endobj x3P0 t.C=30agE\i\ gs Or fax to (763)-852-5057. endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 552.6 506.76 579.6 528.96]/Subtype/Widget/T(Sex_3)/TU(Sex)/Type/Annot>> 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 Member. endstream endobj Complete Meritain Vision Claim Form online with US Legal Forms. 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. For the fastest service, dial the toll-free number on the back of your ID card. "LR 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. You can locate the number on the back of your ID Card. <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 143.52 401.52 153.6 411.48]/Subtype/Widget/T(No go to section 4)/TU(No \(go to section 4)/Type/Annot>> %PDF-1.4 % endobj 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 $600 million acquisition of Meritains parent company announced Thursday at Aetnas quarterly shareholders meeting. Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 Email: Health-improve.org Category: Health Detail Health Meritain Health Benefit/Claim Customer Service 1 Health x3P0 t.C=3C=3=3 6P(JJ grs endstream endobj 0000047241 00000 n More goes into building one than you might think. <>/Subtype/Form/Type/XObject>>stream endobj 0000026596 00000 n endstream You can accommodate anything, and you build it into the process. <>/Subtype/Form/Type/XObject>>stream Plan and member information H23U0t.=s#0agf$LR@PBPBLDA k endstream Enter a name to find & verify an email >>> Rocketreach finds email, phone & social media for 450M+ professionals. It is recommended that plans consult with their own experts or counsel to review all applicable federal and state legal requirements that may apply to their group health plan. 0000222146 00000 n 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. Select Dental and DVH (Dental Only) ** Network by Aetna. 0000002620 00000 n What are the hallmarks of a good provider network? xPpurb & <>/Subtype/Form/Type/XObject>>stream endobj 149 0 obj endobj 131 0 obj endobj endstream "LR 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 16 0 obj 84 0 obj xPpurb & 37 0 obj 0000070600 00000 n endobj xPpurb & If you havent created an account, click Register at the top right of this page and follow the prompts. For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. 0000047749 00000 n <>/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>> startxref endobj endobj endstream 87 0 obj Via Meritain's Provider Relations Team: 866-761-3018 a. LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g Aetna address and Aetna Provider Phone Number - Claims endobj xPpurb & endstream endstream endstream 40 0 obj endobj 174 0 obj <> endobj 0000023547 00000 n endstream Provider. HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| endobj 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. <>/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>> We are your Advocates for Healthier Living, and we're here to connect you and your family to the care you need, right when you need it. Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. To reach us by phone, dial the toll-free number on the back of the patients ID card. 0000014276 00000 n endobj 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. 0000030202 00000 n endobj 0000244289 00000 n x33U0t.=s#0agf$LR !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K endobj 0 <>/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>> <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 491.689 575.64 579.6 597.84]/Subtype/Widget/T(Home Telephone)/TU(Home Telephone \( \))/Type/Annot>> 158 0 obj xPpurb & IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 356.16 213.36 462.84 225.24]/Subtype/Widget/T(Name of insurance company)/TU(Name of insurance company)/Type/Annot>> endstream endobj startxref 0000047633 00000 n 29 0 obj Meritain Health Email Format | meritain.com Emails - RocketReach endobj endobj For 24-hour access to your personal health information,log in to your account. xPpurb & 0000245015 00000 n endstream 0000030860 00000 n 28 0 obj If you have questions about claims or benefits, were happy to help. <>/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>> The following is a description of how to complete the form. 0000002739 00000 n If you're a Member or Provider please call 888-509-6420. %%EOF 92 0 obj 239 0 obj <>stream endstream endobj Meritain Health <> Section 2. 0000071557 00000 n With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. 45 0 obj endstream To reach us by phone, dial the toll-free number on the back of the patients ID card. <>/Subtype/Form/Type/XObject>>stream Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. 97 0 obj endobj 147 0 obj address where services were provided and Tax Identification Number (TIN) z Detailed invoice including CPT code or description of services and diagnosis code How to submit a claim online 1. endobj . Your patients health and your ability to access their information is important to us. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) 104 0 obj 0000077747 00000 n endobj Service address(es) Telephone number(s) Website address Specialty(ies) Accepting new patients Oce hours Languages spoken Cultural competency training completed ADA Accessibility For Commercial Health Plans: Email Fax Mail registrar@multiplan.com* 781-487-8273 MultiPlan, ATTN: Registrar, 16 Crosby Drive, Bedford, MA 01730 HWnF}G(W{_04A>ye $wfI@b3mltGgI4xmjwKfIah8`g4Bp0z'}$O2%. 0000221112 00000 n <>/Subtype/Form/Type/XObject>>stream endobj 0000030938 00000 n 0000030825 00000 n If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. <>/Subtype/Form/Type/XObject>>stream 0000001388 00000 n Note: Incomplete Claims Forms will be returned to you for missing information. Meritain Health Claim Mailing Address Health (9 days ago) Web (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. endobj endobj <>/Subtype/Form/Type/XObject>>stream 0000091099 00000 n 0000244435 00000 n 0000011755 00000 n In the meantime, you can check your claims activity by visiting Grandrounds.com/cop, downloading the Grand Rounds Health app, or calling your personal care team at 1.855.498.4661. endobj <>/Subtype/Form/Type/XObject>>stream Or fax to (763)-852-5057. endobj endobj endstream 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. 96 0 obj }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp endobj endobj endobj endobj 59 0 obj 7 0 obj 18 0 obj All rights reserved. 0000002399 00000 n H23U0t.=s#0agf!R 0000005626 00000 n 72 0 obj 0000070325 00000 n 154 0 obj 0000221498 00000 n 0000262626 00000 n 0000018717 00000 n <>/Subtype/Form/Type/XObject>>stream EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health 110 0 obj All rights reserved. endobj If you need mental health, behavioral health, or substance abuse services .Summary of Benefits and Coverage - content.meritain.comwww.uslegalforms.com/form-library/314394-meritain-healDoes meritain cover telehealth?Telehealth visits are a useful way for Meridian members to get health services. 25 16 endobj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endstream endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 205.92 575.64 237.6 597.84]/Subtype/Widget/T(State)/TU(State)/Type/Annot>> xPpurb & Contact Us | Allstate Health Solutions Section 6. H23U0t.=s#0agf!R@PBLX n 0000263019 00000 n Section 4. <>/Subtype/Form/Type/XObject>>stream Welcome to Meritain Health - Meritain Health endobj 94 0 obj endobj endobj endobj endobj 0000222181 00000 n Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 , https://www.health-improve.org/meritain-health-claim-mailing-address/, Health (9 days ago) Web(9 days ago) WebMeritain Health Claims Mailing Address Health (9 days ago) Web (1 days ago) WebHealth Claim Form Complete and send to: Meritain Health P.O. endstream 152 0 obj xPpurb & <>/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[ 402.96 506.76 534.6 528.96]/Subtype/Widget/T(Childs Name first last initial)/TU(Childs Name \(first, last, initial\))/Type/Annot>> Box , https://www.health-mental.org/meritain-health-claims-mailing-address/, Health (6 days ago) WebMail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. Do you need a referral to see a specialist? 56 0 obj <>/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>> endobj endstream %%EOF 6 0 obj endstream 34 0 obj 132 0 obj endobj I am very impressed with Meritain Health. 82 0 obj endstream x <>/Subtype/Form/Type/XObject>>stream endobj endobj 122 0 obj 0000262751 00000 n <>/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>> endstream endstream xPpurb & xPpurb & 133 0 obj 83 0 obj 129 0 obj After logging in to your Meritain Health account, click on the Submit a Claim link at the top of the page. 0000078102 00000 n trailer Allstate Health Solutions P.O. Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. 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. endobj endobj 113 0 obj 223 0 obj <>stream Listen to Your Gut to Improve Your Health March 13, 2023 Sure, you've probably trusted a gut feeling when deciding something. H23U0t.=s#0agf!R 0000221647 00000 n To reach us by email:service@meritain.com. 8 0 obj <>/Subtype/Form/Type/XObject>>stream 146 0 obj x3P0 t.C=3C=3=3 6P(JJ grs endobj <>/Subtype/Form/Type/XObject>>stream 0000006310 00000 n endstream 136 0 obj 49 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 359.76 483.36 441.24 505.56]/Subtype/Widget/T(Childs Birthdate)/TU(Childs Birthdate)/Type/Annot>> 21 0 obj (5 days ago) WebClaims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921. xPpurb & 65 0 obj xPpurb & 0000030597 00000 n endobj %R H23U0t.=s#0ag Shop Insurance. 53 0 obj 89 0 obj 38 0 obj <>/Subtype/Form/Type/XObject>>stream <>/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>> Meritain Health builds connections and solutions that drive down <>/Subtype/Form/Type/XObject>>stream xPpurb & <>/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>>

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