meritain claims address

endstream H23U0t.=s#0agf!R endstream 104 0 obj endobj endobj If you have questions about claims or benefits, were happy to help. 123 0 obj 143 0 obj You might occasionally. 0000244743 00000 n xPpurb & <>/Subtype/Form/Type/XObject>>stream 1-866-221-4988. xPpurb & <>/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>> 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. x <>/Subtype/Form/Type/XObject>>stream Short term medical; . <>/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>> 0000003072 00000 n endobj hmo6 0000244550 00000 n 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 x3P0 t.C=C=33=aP gos 76 0 obj Mail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. endobj 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>> 25 0 obj <> endobj endstream 80 0 obj xPpurb & endstream /I|;5iqOb: 8]m 139 0 obj endstream 1 0 obj 35 0 obj 25 0 obj endstream endobj H23U0t.=s#0agf$LR@PBPBLDA k endobj the cost of care for our plan sponsors and members. endstream 30 0 obj endstream 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. <>/Subtype/Form/Type/XObject>>stream endobj x 144 0 obj xPpurb & The following is a description of how to complete the form. 53 0 obj 0000020823 00000 n 0000153847 00000 n Sure, youve probably trusted a gut feeling when deciding something. <>/Subtype/Form/Type/XObject>>stream endstream <>/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>> Signature of member or members guardian. endstream endobj 178 0 obj <>stream endobj endobj <>/Subtype/Form/Type/XObject>>stream 124 0 obj endstream Box 7796 London, KY 40742 (877) 232 . 128 0 obj 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>> <>/Subtype/Form/Type/XObject>>stream 0000262626 00000 n endobj <>/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>> endobj <>/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>> If the patient is the employee, go directly to the area below the shaded box. endobj <>/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>> 0000016302 00000 n endobj <>/Subtype/Form/Type/XObject>>stream :Y iy}3q:tGp#bI4jH"KAmME#LVAdE!Q(?PS-uxqGkF&oeNwuS%uARm3E|wpy % <>/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>> endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. <>/Subtype/Form/Type/XObject>>stream 0000124097 00000 n 0000007217 00000 n Email Members: [email protected] Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone 93 0 obj 0000047567 00000 n 75 0 obj 0000001225 00000 n Your network, benefit plans, programs and member communications will be tailored to you. 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. endstream endobj H23U0t.=s#0ag endstream Select Dental and DVH (Dental Only) ** Network by Aetna. Health (3 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. [ 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[ 397.92 348.36 453.6 370.56]/Subtype/Widget/T(Group Number_2)/TU(Group Number)/Type/Annot>> Have you checked out your personalized web site? 114 0 obj 0000263210 00000 n Section 4. 0000243461 00000 n endobj endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream 0000026709 00000 n 0000006809 00000 n Please forward this completed form to the privacy officer of the employer or to: Meritain Health 21 0 obj 98 0 obj Patient Information endobj endobj 0000124348 00000 n H23U0t.=s#0agf!R xPpurb & <>/Subtype/Form/Type/XObject>>stream 2 0 obj endstream endstream H23U0t.=s#0agf!R endobj endobj %R endstream 0000077747 00000 n 152 0 obj Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. Your heart is a hard worker. Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. endstream H23U0t.=s#0agf!R@PBLX n <>/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>> We're making access just a click away. 174 0 obj <> endobj 86 0 obj <>/Subtype/Form/Type/XObject>>stream 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. To reach us by phone, dial the toll-free number on the back of the patient . endobj 0000030938 00000 n endstream <<786CC871D6E58841AFFFF22908309F57>]/Prev 447040/XRefStm 2739>> 0000244168 00000 n endstream Have your ID card with you so set-up is fast and easy. 0000000934 00000 n A description of the services provided. Doctor Lookup. 0000153590 00000 n 43 0 obj 63 0 obj <>/Subtype/Form/Type/XObject>>stream Section 6. endstream x H23U0t.=s#0agf!R endobj 0000006310 00000 n <>/Subtype/Form/Type/XObject>>stream <>/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>> 0000047749 00000 n endobj 223 0 obj <>stream <>/Subtype/Form/Type/XObject>>stream <>/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 endobj endobj H23U0t.=s#0agf!R@PBLX n 131 0 obj endobj endobj endobj endstream Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 H23U0t.=s#0agf!R@PBLX n If you havent created an account, click Register at the top right of this page and follow the prompts. 109 0 obj 0000002916 00000 n xPpurb & 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>> endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream Copyright 2023 Meritain Health. Employee information: if you are NOT the employee of the plan endstream 31 0 obj 0000221112 00000 n 0000263097 00000 n All other Plans (California) 888-632-3862. <>/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>> 0000222259 00000 n 129 0 obj You can accommodate anything, and you build it into the process. For 24-hour access to your personal health information,log in to your account. endobj 60 0 obj xPpurb & 19 0 obj endobj xPpurb & endobj 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 We're a proud subsidiary of Aetna and CVS Health . endobj Looking to build a benefits plan? 58 0 obj If you have questions about claims or benefits, were happy to help. Well share all our advice endstream endstream 0000075451 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. If youve already registered, we hope youll visit again. <>/Subtype/Form/Type/XObject>>stream <>/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>> This content is being provided as an informational tool. <>/Subtype/Form/Type/XObject>>stream 0000026482 00000 n endobj endobj <>/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>> I am very impressed with Meritain Health. endobj endobj Meritain Health Claim Mailing Address Health (9 days ago) Web (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. endobj No. Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. How do I contact meritain health? <>/Subtype/Form/Type/XObject>>stream endobj 0000000016 00000 n 54 0 obj endstream 0000047819 00000 n xPpurb & Your patients health and your ability to access their information is important to us. Claims can be submitted for any covered member. xPpurb & H23U0t.=s#0ag At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. <>/Subtype/Form/Type/XObject>>stream endobj xPpurb & endobj With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. x Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number H23U0t.=s#0ag <>/Subtype/Form/Type/XObject>>stream endstream %R@PBL1X Kh endobj <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=C=33=aP gos 103 0 obj endstream [ 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 & <>/Subtype/Form/Type/XObject>>stream endstream endobj IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. 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>> xHMef2'oj,Fm'6bCL{@4t./~I2_d>\@+h?Mu(\bu 7FY,Q$jJ We understand. 67 0 obj Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. endobj endobj Section 2. 48 0 obj endobj 121 0 obj xPpurb & Provider. endstream 0000002847 00000 n 89 0 obj endstream endobj 157 0 obj 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. 0000078515 00000 n endstream endobj 120 0 obj Listen to Your Gut to Improve Your Health March 13, 2023 Sure, you've probably trusted a gut feeling when deciding something. endobj xPpurb & 0000071487 00000 n

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