At Meritain Health, we create unrivaled connections. 126 0 obj endstream 139 0 obj x3P0 t.C=63E\i\ g3s endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. endstream Copyright 2023 Meritain Health. <>/Subtype/Form/Type/XObject>>stream endobj endobj endobj Meritain Health Claims Mailing Address endstream endstream 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 Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. 0000047633 00000 n %PDF-1.4 % xPpurb & x3P0 t.C=3C=3=3 6P(JJ grs endobj If the patient is the employee, go directly to the area below the shaded box. x endstream 79 0 obj endobj For 24-hour automated phone benefits and claims information, call us at 1.800. 49 0 obj Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. 131 0 obj {For the status of submitted claims. Customer Service Beech Street <>/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>> PDF Health Complete and send to: Meritain Health Claim Form - TPA Employee information: if you are NOT the employee of the plan 34 0 obj xPpurb & 0000070600 00000 n 82 0 obj Have you checked out your personalized web site? Note: Incomplete Claims Forms will be returned to you for missing information. endstream endstream 153 0 obj 91 0 obj 0000030713 00000 n <>/Subtype/Form/Type/XObject>>stream endobj x33U0t.=s#0agf$LR 0000030202 00000 n %PDF-1.7 135 0 obj <>/Subtype/Form/Type/XObject>>stream If you havent created an account, click Register at the top right of this page and follow the prompts. 40 0 obj endobj xPpurb & 123 0 obj endstream xPpurb & Box 27267 Minneapolis, MN 55472 , https://www.nwarctic.org/cms/lib/AK01001584/Centricity/Domain/37/Meritain-Info.pdf, Health (3 days ago) WebAetna 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 <>/Subtype/Form/Type/XObject>>stream xPpurb & endobj 0000002362 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. 0000047819 00000 n xPpurb & endobj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. 0 <>/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>> Patient Information 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. MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis - Yelp 0000269194 00000 n <>/Subtype/Form/Type/XObject>>stream Meritain Health Provider Services - Meritain Health If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. 0000244289 00000 n Hours are 5 am - 6 pm PST. endstream <>/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>> xPpurb & When on the portal, you can also download our free mobile app. 0000221647 00000 n . 0000047567 00000 n xPpurb & x3P0 t.C=63E\i\ g3s endobj Your heart is a hard worker. ]W9n9. Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). 0000009416 00000 n endobj 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. <>/Subtype/Form/Type/XObject>>stream <> H23U0t.=s#0agf!R endstream endstream xPpurb & <>/Subtype/Form/Type/XObject>>stream Allow time for your claim to be processed and your reimbursement check to be mailed to you. Contact Allstate Health Solutions with questions around your policy, claims or more. x On-demand services such as Teladoc, giving you access to qualified physicians 24/7/365 by phone, online or app, Convenient access to information and support via our online member portal, Meritain Health app, printed and digital resources, and customer service, Healthcare Bluebook, an online tool that allows you to compare health care services you need to find the best prices, Access to wellness programs like the Healthy Merits Wellness Program, letting you focus on your own wellness journey in areas like nutrition, fitness, financial wellness, and social and emotional health, Aetnas network of providers, connecting you to over 600,000 doctors and ancillary providers nationwide, Nurse Health Coaching and support services for your health care journey, including diabetes care and fertility care. 0000124348 00000 n <>/Subtype/Form/Type/XObject>>stream endobj ,L"\H4~Zzyv4vet{&+8*BYOl+:;C ks#6i}$9wNB;I@~d hop^F. xPpurb & For the fastest service, dial the toll-free number on the back of your ID card. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endobj What are the hallmarks of a good provider network? 94 0 obj endobj 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. For 24-hour access to your personal health information,log in to your account. endobj endstream Section 4. Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . 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. endstream 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 <>/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>> The amount paid. endobj endstream 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. H23U0t.=s#0ag I have never dealt with a large company who answers their phone right away and always gives good service. Section 6. 134 0 obj endobj <>/Subtype/Form/Type/XObject>>stream <> <>/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>> xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 LA[@:Ty6jI ]( As a member, you can log into your member portal for a more personalized experience. 132 0 obj 0000002739 00000 n endobj endstream endstream For 24-hour access to your patients health information,log in to your account. We understand. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 371.76 201.72 388.08]/Subtype/Widget/T(Name of Other Health Insurance Carrier or Plan)/TU(Name of Other Health Insurance Carrier or Plan)/Type/Annot>> 35 0 obj 26 0 obj Meritain Health <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 233.16 371.76 372.6 393.96]/Subtype/Widget/T(Address)/TU(Address)/Type/Annot>> 0000091099 00000 n startxref If you have any questions about your benefits or claims, were happy to help. 0000075278 00000 n endstream <>/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>> endstream H23U0t.=s#0agf!R@PBLX n <>/Subtype/Form/Type/XObject>>stream 12 0 obj 99 0 obj If you have questions about claims or benefits, were happy to help. 52 0 obj 0000221498 00000 n H23U0t.=s#0agf!R@PBLX n 38 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>> endobj 92 0 obj 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. 0000005626 00000 n Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. 72 0 obj You can submit . xPpurb & 105 0 obj Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. 101 0 obj 159 0 obj I absolutely love placing business with Meritain, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, Five Things to Know About Alzheimers Disease. To reach us by phone, dial the toll-free number on the back of the patient . Were making access just a click away. Member. <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 234.36 198.96 244.44 209.04]/Subtype/Widget/Type/Annot>> 0000222118 00000 n 73 0 obj 13 0 obj The member whose information is to be released is required to sign the authorization form. xPpurb & <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 77.52 599.04 341.16 621.24]/Subtype/Widget/T(Home Address)/TU(Home Address)/Type/Annot>> 66 0 obj H|VYOF~G[Z7} X#`) 4cb{X_5 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. 0000010062 00000 n <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Health (3 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. All rights reserved. 25 0 obj H23U0t.=s#0agf!R EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health To reach us by phone, dial the toll-free number on the back of the patients ID card. endstream 45 0 obj endstream endobj 0000090829 00000 n H23U0t.=s#0agf!R If you have questions about claims or benefits, were happy to help. 139 101 0000263019 00000 n <>/Subtype/Form/Type/XObject>>stream Or fax to (763)-852-5057. <>/Subtype/Form/Type/XObject>>stream Meritain Health uses 6 email formats: 1. first '.' last@meritain.com (82.5%). endobj 0000070325 00000 n endstream endobj <>/Subtype/Form/Type/XObject>>stream 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: Copyright 2023 Meritain Health. 0000091570 00000 n Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. 130 0 obj 60 0 obj endstream endstream 157 0 obj Hl 55 0 obj 0000153847 00000 n endstream endobj 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 <>/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>> Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Coventry Health Care P.O. xPpurb & 223 0 obj <>stream Contact Aetna With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips.