meritain claims address

by · 17 maig, 2023

105 0 obj endstream H23U0t.=s#0agf!R H23U0t.=s#0agf$LR@PBPBLDA k endobj <>/Subtype/Form/Type/XObject>>stream endobj 0000221498 00000 n [ 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[ 359.76 483.36 441.24 505.56]/Subtype/Widget/T(Childs Birthdate)/TU(Childs Birthdate)/Type/Annot>> 68 0 obj endobj H23U0t.=s#0agf!R@PBLX n endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 301.56 579.6 323.76]/Subtype/Widget/T(Spouses Employers Address_2)/TU(Spouses Employers Address)/Type/Annot>> x3P0 t.C=63E\i\ g3s endstream 107 0 obj endobj 11 0 obj 13 0 obj endobj endstream endobj No. 36 0 obj 85 0 obj endstream Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. Our navigation partnerships and holistic approach to plan design helps support member health journeys. With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. %PDF-1.4 % endstream The form linked below should used by a member who would like to grant permission to another individual to act on their behalfin connection with an appeal. endstream endobj We understand. endobj {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. endstream xPpurb & 0000245015 00000 n 0000243858 00000 n endobj 64 0 obj 76 0 obj endobj 153 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>> All sections of the form must be complete for the form to be considered. <>/Subtype/Form/Type/XObject>>stream xPpurb & 0 0000023547 00000 n x <> <>/Subtype/Form/Type/XObject>>stream 1 Health and . <>/Subtype/Form/Type/XObject>>stream "LR endobj 0000262751 00000 n HWnF}G(W{_04A>ye $wfI@b3mltGgI4xmjwKfIah8`g4Bp0z'}$O2%. 151 0 obj 0000000854 00000 n H23U0t.=s#0agf!R Skip to content. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 278.04 506.76 302.88 528.96]/Subtype/Widget/T(Sex_2)/TU(Sex)/Type/Annot>> Aetna Open Choice PPO Network. <>/Subtype/Form/Type/XObject>>stream 0000071557 00000 n xPpurb & x3P0 t.C=63E\i\ g3s If you have questions about claims or benefits, were happy to help. endobj H23U0t.=s#0ag Attn: HIPAA Compliance Officer <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 371.52 575.64 449.16 597.84]/Subtype/Widget/T(Work Telephone)/TU(Work Telephone )/Type/Annot>> endobj 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. bmV= 2)2`mXYg lUR(4uI?6"kwvdQBf-0d\+;#OA':(+ <>/Subtype/Form/Type/XObject>>stream For 24-hour access to your patients health information,log in to your account. Section 1. endstream 0000221112 00000 n endobj xPpurb & endstream 25 16 0000078102 00000 n startxref 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: <>/Subtype/Form/Type/XObject>>stream 29 0 obj 0000243461 00000 n <>/Subtype/Form/Type/XObject>>stream endobj <>/Subtype/Form/Type/XObject>>stream endobj All rights reserved. Patient Information <>/Subtype/Form/Type/XObject>>stream xPpurb & H23U0t.=s#0ag LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g <<3E4E844C759D00498F9F96196CE1CA18>]>> 30 0 obj Combined with our own in-house products and valued vendor partnerships, our . 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. endobj endstream %R@PBL1X Kh x <>/Subtype/Form/Type/XObject>>stream endobj H23U0t.=s#0ag Try for free at rocketreach.co . Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 86 0 obj endstream 160 0 obj <>/Subtype/Form/Type/XObject>>stream For 24-hour access to your patients health information,log in to your account. 57 0 obj 0000002365 00000 n 0000244168 00000 n endobj <>/Subtype/Form/Type/XObject>>stream 0000002620 00000 n 9fK3J*9zl3$6)6}t+d=u+iTv5G(. h|]1Lf2wO^%L[^'t7o1/ V5?? <>/Subtype/Form/Type/XObject>>stream endobj 49 0 obj 21 0 obj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. endstream xPpurb & 0000002916 00000 n %%EOF Well share all our advice <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endstream xPpurb & <>/Subtype/Form/Type/XObject>>stream 67 0 obj 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 This content is being provided as an informational tool. endstream 61 0 obj [ 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 ] xPpurb & endstream endstream endobj Or fax to (763)-852-5057. 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. H|VYOF~G[Z7} X#`) 4cb{X_5 You can locate the number on the back of your ID Card. <>/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>> <>/Subtype/Form/Type/XObject>>stream endobj <>/Subtype/Form/Type/XObject>>stream <>/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>> 138 0 obj 0000071642 00000 n Mississippi Physicians Care Network (MPCN), Presbyterian Select Provider Network (SPN). endobj 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. 0000001063 00000 n 0000047749 00000 n endobj xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 154 0 obj 0000015983 00000 n For 24-hour access to your personal health information,log in to your account. Mail completed Meritain Health form to: P.O. 239 0 obj <>stream 0000221902 00000 n xPpurb & 8 0 obj 0000075451 00000 n Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number 2 0 obj xPpurb & Sure, youve probably trusted a gut feeling when deciding something. H23U0t.=s#0ag 0000001905 00000 n 0000018652 00000 n Meritain Health PO Box 853921 Richardson, TX 75085-3921 WEBMD/Emdeon #41124, Mckesson/Relay Health #1761 (618) 344-2002 IBEW Local No. Meritain Health builds connections and solutions that drive down Mail completed Meritain Health form to: P.O. endstream Your patients health and your ability to access their information is important to us. 147 0 obj endobj 84 0 obj 129 0 obj 0000001388 00000 n endobj endstream hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r H23U0t.=s#0agf!R@PBLX n To reach us by phone, dial the toll-free number on the back of the patient's ID card. 300K . 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. endobj 0000263210 00000 n 118 0 obj the cost of care for our plan sponsors and members. endobj Below is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. 1000 or toll free 7) 232-3863 <>/Subtype/Form/Type/XObject>>stream At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. x3P0 t.C=3C=3=3 6P(JJ grs 72 0 obj 102 0 obj 0000220644 00000 n Section 6. endstream endstream endobj For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Hours are 5 am - 6 pm PST. 94 0 obj 131 0 obj 0000002399 00000 n endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. endobj endobj <>/Subtype/Form/Type/XObject>>stream IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 43 0 obj 0000030597 00000 n HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| 0000016302 00000 n endstream endobj H23U0t.=s#0agf!R endobj 0000070600 00000 n EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health . <>/Subtype/Form/Type/XObject>>stream 66 0 obj Resources. This will delay the processing of the claim. trailer endobj Vgmf9q0ATr@ XaFr ` ! endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 513.84 599.04 579.72 615.24]/Subtype/Widget/T(Group Number)/TU(Group Number)/Type/Annot>> 156 0 obj 0000002847 00000 n <>/Subtype/Form/Type/XObject>>stream <>/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>> Welcome to Meritain Health. 37 0 obj <>/Subtype/Form/Type/XObject>>stream 110 0 obj The member whose information is to be released is required to sign the authorization form. :Y iy}3q:tGp#bI4jH"KAmME#LVAdE!Q(?PS-uxqGkF&oeNwuS%uARm3E|wpy % endobj 0000026631 00000 n 117 0 obj "LR@PBPBLM, k endobj endobj Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card or call 1.888.324.5789 ** This is a general line, so you may experience hold times and/or need to be transferred. <>/Subtype/Form/Type/XObject>>stream 70 0 obj To reach us by phone, dial the toll-free number on the back of the patients ID card. endobj x endstream Shop Insurance. <>/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 <>/Subtype/Form/Type/XObject>>stream 136 0 obj You can see the specialist you choose without a referral.. Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. Contact us at 1.800.925.2272 if you have . 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. Learn how to partner with us. 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. 132 0 obj endstream 0000222040 00000 n The following is a description of how to complete the form. <>/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>> 0000030713 00000 n 78 0 obj Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend <>/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>> 0000078515 00000 n 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 If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. <>/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>> endobj Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. <>/Subtype/Form/Type/XObject>>stream <>/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>> endobj 139 0 obj <> endobj 0000026709 00000 n endstream 99 0 obj <>/Subtype/Form/Type/XObject>>stream <>/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>> 14 0 obj Copyright 2023 Meritain Health. 0000030531 00000 n Your network, benefit plans, programs and member communications will be tailored to you. endobj Producer. Call Meritain (866) 209-3061 to obtain claim #; then call IBEW-IL (618) -2002 to get claim status. x3P0 t.C=63E\i\ g3s 65 0 obj <>/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>> 90 0 obj What are the hallmarks of a good provider network? Section 4. 0000220396 00000 n 31 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$)/Type/Annot>> endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 226.094 254.76 579.48 273.867]/Subtype/Widget/T(Describe injury when and how it happened or nature of illness)/TU(Describe injury, when and how it happened or nature of illness:)/Type/Annot>> Box , https://www.health-mental.org/meritain-health-claims-mailing-address/, Health (6 days ago) WebMail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. endobj 4 0 obj 0000001225 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 552.6 506.76 579.6 528.96]/Subtype/Widget/T(Sex_3)/TU(Sex)/Type/Annot>> x3P0 t.C=C=33=aP gos H23U0t.=s#0agf$LR@PBPBLDA k <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 190.56 198.96 200.64 209.04]/Subtype/Widget/Type/Annot>> %PDF-1.5 % endstream xPpurb & hb``c``ja```01G30323Zq@ [s8cz^TV`8A X/@` u For 24-hour automated phone benefits and claims information, call us at 1.800. <>/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>> <>/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>> 127 0 obj 0000047819 00000 n <>/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 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. Sign Up For Free G2Crowd Trusted. 0000244628 00000 n x3P0 t.C=63E\i\ g3s x 55 0 obj specific needs. <>/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>> 1 Health and Welfare IBEW Local 1 Health & Welfare Fund <>/Subtype/Form/Type/XObject>>stream 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 Complete and send to: Meritain Health P.O. Your health and your ability to access your information is important to us. All rights reserved. endstream 0000243974 00000 n 113 0 obj 123 0 obj 16 0 obj 25 0 obj endstream Your signature and your understanding of what it means 0000002362 00000 n xPpurb & x <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 266.76 352.32 276.84 362.4]/Subtype/Widget/T(Individual)/TU(Individual)/Type/Annot>> 0000091570 00000 n <>/Subtype/Form/Type/XObject>>stream endobj 0000004995 00000 n endobj xPpurb & endobj s0G}JbfX^Z@0R ;]Vomm.mu:bq[0iiz=s7^weqE|ZV%%|-%9 You can submit . 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. Get contact details including emails and phone numbers (business & personal). For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream 120 0 obj endstream endstream 121 0 obj Please forward this completed form to the privacy officer of the employer or to: Meritain Health xPpurb & 3 0 obj 91 0 obj )wA endobj endstream The amount paid. endobj 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. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream 7 0 obj 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. 0000030938 00000 n 25 0 obj <> endobj endobj 27 0 obj 0000026482 00000 n H23U0t.=s#0agf!R@PBLX n 75 0 obj 0000222259 00000 n 0000011755 00000 n endobj <>/Subtype/Form/Type/XObject>>stream 109 0 obj To reach us by phone, dial the toll-free number on the back of the patients ID card. xPpurb & You can get medical advice, a diagnosis or a prescription by video or phone. <>/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>> 0000244069 00000 n 9 0 obj <>/Subtype/Form/Type/XObject>>stream But do you listen to your gut when it comes to your health? I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional.

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