Section 6. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 94 0 obj 0000005765 00000 n endobj 160 0 obj endobj Your network, benefit plans, programs and member communications will be tailored to you. endobj endstream <>/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>> 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. <>/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>> With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. 38 0 obj endstream endobj 64 0 obj Richardson, TX 75085. 0000000616 00000 n 0000071557 00000 n 113 0 obj <>/Subtype/Form/Type/XObject>>stream 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. <>/Subtype/Form/Type/XObject>>stream 0000124097 00000 n <>/Subtype/Form/Type/XObject>>stream endobj endobj 0000243792 00000 n Meritain Health - health insurance for employees - self-funding - TPA 41 0 obj Our phone lines are open 24 hours a day, seven days a week. endobj <>/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>> xPpurb & 123 0 obj 54 0 obj <>/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>> <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>> endstream Copyright 2023 Meritain Health. You can accommodate anything, and you build it into the process. 126 0 obj Skip to content. <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=3C=3=3 6P(JJ grs 108 0 obj endstream Note: Incomplete Claims Forms will be returned to you for missing information. 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. LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g All rights reserved. 85 0 obj endstream H23U0t.=s#0agf$LR@PBPBLDA k <>/Subtype/Form/Type/XObject>>stream As a member, you can log into your member portal for a more personalized experience. xPpurb & endstream <>/Subtype/Form/Type/XObject>>stream Listen to Your Gut to Improve Your Health March 13, 2023 Sure, you've probably trusted a gut feeling when deciding something. endobj 103 0 obj xPpurb & xPpurb & 0000002399 00000 n endobj <>/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>> Contact Us | Meridian x 0000026596 00000 n <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endobj endstream Aetna Claim Address|Aetna Provider Phone Number Updated (2023) endobj 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. This content is being provided as an informational tool. 86 0 obj endobj 55 0 obj xPpurb & Meritain Health Member Services - Meritain Health <>/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>> At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. endobj <>/Subtype/Form/Type/XObject>>stream 0000026709 00000 n <>/Subtype/Form/Type/XObject>>stream endobj endobj Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. endstream x3P0 t.C=30agE\i\ gs <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 235.56 541.08 245.64 551.16]/Subtype/Widget/T(Employees Spouse)/TU(Employees Spouse)/Type/Annot>> endobj <>/Subtype/Form/Type/XObject>>stream 111 0 obj endobj Resources. <>/Subtype/Form/Type/XObject>>stream <>/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>> h\O(DaDHK%aai"bca3e1KN[2F7pt;==:D/dHie,C6nkd0l`r <>/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>> endobj endobj endobj endobj Get contact details including emails and phone numbers (business & personal). H23U0t.=s#0agf!R@PBLX n 25 16 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. If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. xPpurb & 136 0 obj Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number x3P0 t.C=3C=3=3 6P(JJ grs 0000071487 00000 n endobj %PDF-1.7 endobj endobj 0000153590 00000 n 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 /I|;5iqOb: 8]m If your ID card is available, please use the number on the back for faster service. endobj Patient Information endobj 6 0 obj xPpurb & 0000000016 00000 n 76 0 obj <<3E4E844C759D00498F9F96196CE1CA18>]>> IBEW Local No. <>/Subtype/Form/Type/XObject>>stream For 24-hour access to your patients health information,log in to your account. x3P0 t.C=30agE\i\ gs STATUS AND BENEFIT INFORMATION: 1.800.925.2272 Send to: Meritain Health P.O. 0000154272 00000 n For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 0000047749 00000 n endobj endstream 61 0 obj Section 1. 2JSt}Np~}y7i6i~..jnfE6zS\0 u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E 35 0 obj <>/Subtype/Form/Type/XObject>>stream <>/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>> Copyright 2023 Meritain Health. But do you listen to your gut when it comes to your health? 58 0 obj "LR@PBPBLM, k 0000153847 00000 n 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. endstream To reach us by phone, dial the toll-free number on the back of the patients ID card. 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. <> 0000262751 00000 n <>/Subtype/Form/Type/XObject>>stream 95 0 obj endobj endstream To reach us by phone, dial the toll-free number on the back of the patient . 109 0 obj All rights reserved | Email: [emailprotected], Unitedhealthcare medicare advantage claims address, Drexel behavioral health continuing education, Prohealth westwood health and fitness center, Shadow health gastrointestinal subjective. Or fax to (763)-852-5057. <>/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>> 97 0 obj xPpurb & Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. H23U0t.=s#0agf!R@PBLX n 0000002362 00000 n 60 0 obj 0000003072 00000 n 0000078102 00000 n 0000221647 00000 n 0000090829 00000 n The member whose information is to be released is required to sign the authorization form. Aetna address and Aetna Provider Phone Number - Claims <>/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>> endstream To reach us by phone, dial the toll-free number on the back of the patients ID card. endobj endobj 107 0 obj Allstate Health Solutions P.O. %PDF-1.5 % endobj H23U0t.=s#0agf!R <>/Subtype/Form/Type/XObject>>stream 16 0 obj endobj Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. 51 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[ 542.04 371.76 579.6 393.96]/Subtype/Widget/T(Zip Code_2)/TU(Zip Code)/Type/Annot>> 4. endobj You can locate the number on the back of your ID Card. Hours are 5 am - 6 pm PST. xPpurb & Not only can we customize your plan, we want to. 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. Short term medical; . <>/Subtype/Form/Type/XObject>>stream endstream 134 0 obj 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 endobj Provider. endobj endstream 140 0 obj endobj 0000014276 00000 n Meritain Health Claims Mailing Address x3P0 t.C=63E\i\ g3s endobj LA[@:Ty6jI ]( endobj endstream 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. xPpurb & endobj 0000070996 00000 n 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. endstream Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Coventry Health Care P.O. <>/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>> <>/Subtype/Form/Type/XObject>>stream I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. Each member may setup a Login for themselves as well as any minor children covered by the plan. 0000000854 00000 n endobj I have never dealt with a large company who answers their phone right away and always gives good service. 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. Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ yuU`&ZfwZ1)`YO>E+*w* <>/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>> 0000047941 00000 n 89 0 obj 0000047633 00000 n Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. endstream 98 0 obj 23 0 obj endobj endobj <>stream endobj Select Dental and DVH (Dental Only) ** Network by Aetna. 0000222181 00000 n 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. 158 0 obj If you're a Member or Provider please call 888-509-6420. endobj endstream 0000244168 00000 n 0000078515 00000 n 0000222118 00000 n Health (3 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 0000002847 00000 n PDF Claims Submission and Payment - mbh-eap.com endobj H23U0t.=s#0agf!R 44 0 obj 18 0 obj xPpurb & 71 0 obj endstream xPpurb & 9 0 obj Plan and member information 81 0 obj PDF Vision Complete and send to: Claim Form P.O. Box 853921 - Meritain <>/Subtype/Form/Type/XObject>>stream For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. endobj 121 0 obj 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. <>/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>> endobj 150 0 obj Contact Aetna endobj 119 0 obj endobj endstream We understand. 0000091099 00000 n With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. hbbbd`b``3h7 / 117 0 obj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. 29 0 obj 0000002739 00000 n endstream trailer <>/Subtype/Form/Type/XObject>>stream 0000001063 00000 n <>/Subtype/Form/Type/XObject>>stream 0000002365 00000 n N.-BE+!W9wX4]c&OGQ Well share all our advice 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: H23U0t.=s#0ag endobj 0000026482 00000 n 144 0 obj 0000262548 00000 n 153 0 obj Do you need a referral to see a specialist? endstream 0000030860 00000 n For 24-hour access to your patients health information,log in to your account. <>/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>> All rights reserved. Section 4. <> 0000009416 00000 n x <>/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>>

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