Access information quickly For 24-hour access to your patient's health information, log in to your <>/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>> endobj 0000220396 00000 n Resources for Members - Meritain Health insurance and provider search /j(0`P k o5pn*P j(H You can also click here for our Member User Guide. Try for free at rocketreach.co . 0000030202 00000 n 0000047241 00000 n 9 0 obj We're making access just a click away. Aetna Open Choice PPO Network. endobj Health (3 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream <>/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>> endstream 80 0 obj 0000262626 00000 n 64 0 obj 174 0 obj <> endobj <>/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>> endobj endstream 0000070600 00000 n 71 0 obj Business Profile for CBSA Performax, A Meritain Health Company endstream Contact us at 1.800.925.2272 if you have . trailer Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. endstream 0000007254 00000 n endobj Your network, benefit plans, programs and member communications will be tailored to you. Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. Copyright 2023 Meritain Health. Combined with our own in-house products and valued vendor partnerships, our . Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. 131 0 obj Well share all our advice For tips on taking care of your heart, we asked our friends at Meritain Health Pharmacy Solutions (MPS). endstream endobj 175 0 obj <>/Metadata 3 0 R/Pages 172 0 R/StructTreeRoot 7 0 R/Type/Catalog>> endobj 176 0 obj <>/MediaBox[0 0 612 792]/Parent 172 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 177 0 obj <>stream 124 0 obj endobj 31 0 obj 0000222146 00000 n If the patient is the employee, go directly to the area below the shaded box. 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. Get contact details including emails and phone numbers (business & personal). endobj Your patient's health and your ability to access their information is important to us. What are the hallmarks of a good provider network? 154 0 obj The member whose information is to be released is required to sign the authorization form. Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. Provider services - Meritain Health endstream <>/Subtype/Form/Type/XObject>>stream endstream 0000222040 00000 n <>/Subtype/Form/Type/XObject>>stream 4 0 obj 0000011755 00000 n 0000071642 00000 n endobj endobj <>/Subtype/Form/Type/XObject>>stream 9fK3J*9zl3$6)6}t+d=u+iTv5G(. h|]1Lf2wO^%L[^'t7o1/ V5?? 139 101 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. 0000243858 00000 n 49 0 obj 0 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 endobj Claims Information | UFCW Local 655 Welfare Fund H23U0t.=s#0ag <>/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>> endobj H23U0t.=s#0ag After logging in to your Meritain Health account, click on the Submit a Claim link at the top of the page. 156 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. 14 0 obj 0000263097 00000 n Below is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. 35 0 obj <>/Subtype/Form/Type/XObject>>stream 0 76 0 obj endobj 0000263019 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. 40 0 obj<>stream endstream endstream Get Meritain Vision Claim Form - US Legal Forms The formal written appeal and these forms would then be sent to the address of the Meritain Health Appeals Department (listed on form) by the provider. 40 0 obj 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. 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 endstream xPpurb & 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. 0000002399 00000 n x <>/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>> <> <> endobj 126 0 obj 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 Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) 0000078515 00000 n endstream Meritain Health. 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. H23U0t.=s#0agf!R@PBLX n Questions? x N.-BE+!W9wX4]c&OGQ 101 0 obj endstream 153 0 obj endstream Doctor Lookup. 55 0 obj 0000075478 00000 n You can accommodate anything, and you build it into the process. <>/Subtype/Form/Type/XObject>>stream endstream <>/Subtype/Form/Type/XObject>>stream 0000026709 00000 n <>/Subtype/Form/Type/XObject>>stream endstream 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. MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis - Yelp 98 0 obj Allow time for your claim to be processed and your reimbursement check to be mailed to you. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream 2. xPpurb & Mail completed Meritain Health form to: P.O. endobj endobj Your patients health and your ability to access their information is important to us. <>/Subtype/Form/Type/XObject>>stream endobj <>/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>> 0000124348 00000 n 0000002365 00000 n endobj Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend <>/Subtype/Form/Type/XObject>>stream 0000070996 00000 n endobj xPpurb & endobj Todays employees crave support for their emotional and mental well-being. 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. Mail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. 0000005765 00000 n To reach us by phone, dial the toll-free number on the back of the patients ID card. H23U0t.=s#0agf!R@PBLX n 45 0 obj 113 0 obj 0000439614 00000 n {1O endstream 32 0 obj endstream 43 0 obj endobj 95 0 obj endobj 2JSt}Np~}y7i6i~..jnfE6zS\0 u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E 125 0 obj 132 0 obj Access information quickly , https://www.meritain.com/wp-content/uploads/2021/02/Microsoft-Word-Vision-Claim-Form_TX-853921.pdf, Health (1 days ago) WebRepresentatives are available on the general line from 7:00 AM8:00 PM CT. To reach us by email: [emailprotected] Access your information quickly For 24-hour access to , https://www.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-member-services/, Health (3 days ago) WebElectronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS APPLICABLE STATE Carpenters Health & Welfare Trust Fund Meritain Health PO Box 853921 , https://www.mbh-eap.com/wp-content/uploads/Claim-Submission-and-Payment-Addresses-2020-r2.pdf, Health (5 days ago) WebThe name, address and telephone number of the provider. endstream endobj 178 0 obj <>stream 25 0 obj <> endobj Were making access just a click away. Note: Incomplete Claims Forms will be returned to you for missing information. All sections of the form must be complete for the form to be considered. You might occasionally. All rights reserved. 75 0 obj A description of the services provided. 25 0 obj 20 0 obj startxref 139 0 obj <> endobj endobj endobj endobj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Member. 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. 4. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endstream 0000002739 00000 n 63 0 obj 34 0 obj endobj <>/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>> 0000002923 00000 n endobj <>/Subtype/Form/Type/XObject>>stream &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V Richardson, TX 75085. 41 0 obj 106 0 obj If you have any questions about your benefits or claims, were happy to help. 135 0 obj 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. If you're a Client or Broker, please contact your Meritain Health Manager. endobj x hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r endstream 138 0 obj PDF Important Information for Healthcare Providers Provider Quick Reference Guide - MultiPlan 128 0 obj <>/Subtype/Form/Type/XObject>>stream Claims can be submitted for any covered member. endobj endobj 90 0 obj 33 0 obj HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. endobj endobj x <>/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>> 123 0 obj %R@PBL1X Kh endobj endstream 0000001905 00000 n 133 0 obj <>/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>> H23U0t.=s#0ag <>/Subtype/Form/Type/XObject>>stream 150 0 obj endobj For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Welcome to Meritain Health - Meritain Health endobj endobj endstream 0000124097 00000 n endobj endobj You can locate the number on the back of your ID Card. 42 0 obj . <<786CC871D6E58841AFFFF22908309F57>]/Prev 447040/XRefStm 2739>> <>/Subtype/Form/Type/XObject>>stream 0000002620 00000 n ,L"\H4~Zzyv4vet{&+8*BYOl+:;C ks#6i}$9wNB;I@~d hop^F. <>/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>> 0000047633 00000 n endstream 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 116 0 obj endobj 300K . xref endstream xPpurb & 0000153590 00000 n endobj To reach us by phone, dial the toll-free number on the back of the patient's ID card. For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. 84 0 obj Purpose: why do you want the information released? endstream 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. Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. 77 0 obj <>/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>> 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>> <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 43.2 575.64 183.6 597.84]/Subtype/Widget/T(City)/TU(City)/Type/Annot>> endobj Individuals & Families. "LR hmo6 %%EOF endobj Click the Register button to get started. Call Meritain (866) 209-3061 to obtain claim #; then call IBEW-IL (618) -2002 to get claim status. But do you listen to your gut when it comes to your health? endobj endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream 96 0 obj <>/Subtype/Form/Type/XObject>>stream 88 0 obj endobj endstream 114 0 obj endobj 102 0 obj endobj <>/Subtype/Form/Type/XObject>>stream Section 5. Meritain Health endstream 0000002362 00000 n 0 endobj 0000009416 00000 n endstream endobj endobj 146 0 obj Section 2. <>/Subtype/Form/Type/XObject>>stream Or fax to (763)-852-5057. 0000000616 00000 n 0000001388 00000 n 0000244168 00000 n endobj endobj H23U0t.=s#0agf!R@PBLX n 0000221498 00000 n <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0agf$LR@PBPBLDA k <>/Subtype/Form/Type/XObject>>stream %R@PBL1X Kh Meritain Health 30 0 obj 5 0 obj 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 At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. endstream The following is a description of how to complete the form. endstream x endstream endobj 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. The form linked below should be completed by a member who needs togrant access to their PHIto another individual in connection with an appeal. Signature of member or members guardian. For more information, please call Meridian Member Services at 888-437-0606 (Michigan) or 866-606-3700 (Illinois). endobj 111 0 obj endobj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xPpurb & %PDF-1.7 0000030713 00000 n endobj 0000047819 00000 n Shop Insurance. You can get answers to what you need, around the clock. To reach us by phone, dial the toll-free number on the back of the patient's ID card. 65 0 obj 0000077747 00000 n endobj <>/Subtype/Form/Type/XObject>>stream Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Coventry Health Care P.O. Meritain Health Provider Services - Meritain Health For 24-hour access to your patients health information,log in to your account. <>/Subtype/Form/Type/XObject>>stream <>stream 51 0 obj xPpurb & 74 0 obj <>/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>> 0000026121 00000 n !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K endobj endobj endstream Or fax to (763)-852-5057. 7 0 obj If you have questions about claims or benefits, were happy to help. 91 0 obj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Have you checked out your personalized web site? Our navigation partnerships and holistic approach to plan design helps support member health journeys. 0000222259 00000 n <>/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>> %PDF-1.4 % <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 384.12 541.08 394.08 551.16]/Subtype/Widget/T(Employees Child)/TU(Employees Child)/Type/Annot>> x EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health 0000047749 00000 n <>/Subtype/Form/Type/XObject>>stream When on the portal, you can also download our free mobile app. endobj 73 0 obj endstream %PDF-1.4 % endobj 59 0 obj endstream xPpurb & endstream trailer H23U0t.=s#0agf!R@PBLX n endstream endobj endobj 137 0 obj endobj 140 0 obj <>/Subtype/Form/Type/XObject>>stream 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 <>/Subtype/Form/Type/XObject>>stream x <>/Subtype/Form/Type/XObject>>stream 0000075278 00000 n 0000000854 00000 n endobj Section 1. Select Dental and DVH (Dental Only) ** Network by Aetna. PDF Vision Complete and send to: Claim Form P.O. Box 853921 - Meritain 0000090829 00000 n xPpurb & endobj 0000154272 00000 n endobj 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. endstream 82 0 obj {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. Meritain Health Claims Mailing Address H23U0t.=s#0agf!R endobj xPpurb & endstream Sure, youve probably trusted a gut feeling when deciding something. For 24-hour access to your personal health information,log in to your account. 0000244743 00000 n endobj <>/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>>
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meritain claims address