If you havent created an account, click Register at the top right of this page and follow the prompts. 19 0 obj We understand. 65 0 obj Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 Email: Health-improve.org Category: Health Detail Health Meritain Health Benefit/Claim Customer Service 1 Health {1O endstream 0000030825 00000 n 135 0 obj 0000014276 00000 n If you have questions about claims or benefits, were happy to help. 0000026482 00000 n 0000026631 00000 n endobj 0000002399 00000 n 43 0 obj Or fax to (763)-852-5057. endobj 153 0 obj IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. endstream endstream 66 0 obj endobj 71 0 obj endobj endstream endobj <>/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 Copyright 2023 Meritain Health. 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 <>/Subtype/Form/Type/XObject>>stream endstream For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. 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. 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. xHMef2'oj,Fm'6bCL{@4t./~I2_d>\@+h?Mu(\bu 7FY,Q$jJ <>stream <>/Subtype/Form/Type/XObject>>stream endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. 0000124845 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 390.6 371.76 471.6 393.96]/Subtype/Widget/T(City_2)/TU(City)/Type/Annot>> 99 0 obj 0000001905 00000 n <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 356.16 213.36 462.84 225.24]/Subtype/Widget/T(Name of insurance company)/TU(Name of insurance company)/Type/Annot>> 0000221985 00000 n }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp 93 0 obj endobj <>/Subtype/Form/Type/XObject>>stream endstream ]W9n9. 128 0 obj 7 0 obj 101 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. <>/Subtype/Form/Type/XObject>>stream 113 0 obj 40 0 obj<>stream endobj x3P0 t.C=63E\i\ g3s A description of the services provided. endobj endobj 106 0 obj <>/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>> Provider. 0000124097 00000 n 148 0 obj Together, well explore your ideal plan to meet your 0000002620 00000 n Section 4. If you're a Member or Provider please call 888-509-6420. 70 0 obj <>/Subtype/Form/Type/XObject>>stream Are you doing all you can to keep it healthy? endobj <>/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>> endstream 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. 150 0 obj 0000047241 00000 n endobj endstream 38 0 obj 48 0 obj endobj <>/Subtype/Form/Type/XObject>>stream For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream 119 0 obj Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend endstream 39 0 obj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endobj specific needs. endstream endobj 178 0 obj <>stream <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream 0000153847 00000 n xPpurb & To reach us by phone, dial the toll-free number on the back of the patients ID card. 154 0 obj endstream 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. %R endobj <>/Subtype/Form/Type/XObject>>stream 0000244435 00000 n xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 %PDF-1.4 % endobj 0000001225 00000 n endobj endstream 0000000934 00000 n 110 0 obj <>/Subtype/Form/Type/XObject>>stream endobj 0000222181 00000 n 0000245015 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. <>/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>> 0000018652 00000 n To reach us by phone, dial the toll-free number on the back of the patients ID card. To reach us by phone, dial the toll-free number on the back of the patients ID card. endstream 0000030860 00000 n H23U0t.=s#0ag 27 0 obj I have never dealt with a large company who answers their phone right away and always gives good service. 0000011755 00000 n Section 5. <>/Subtype/Form/Type/XObject>>stream 0000090829 00000 n 6 0 obj endstream I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. endstream H23U0t.=s#0agf!R@PBLX n <>/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>> 0000439614 00000 n To reach us by phone, dial the toll-free number on the back of the patient's ID card. 0000221498 00000 n endstream hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r <>/Subtype/Form/Type/XObject>>stream 82 0 obj endstream endobj endobj 104 0 obj endobj Aetna Open Choice PPO Network. If you have any questions about your benefits or claims, were happy to help. endobj 103 0 obj <>/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 141 0 obj endobj xPpurb & endstream 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. <>/Subtype/Form/Type/XObject>>stream <>/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>> What are the hallmarks of a good provider network? <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 491.689 575.64 579.6 597.84]/Subtype/Widget/T(Home Telephone)/TU(Home Telephone \( \))/Type/Annot>> Looking to build a benefits plan? 0000005626 00000 n <>/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>> 0000263097 00000 n endobj x3P0 t.C=3C=3=3 6P(JJ grs . endstream Hours are 5 am - 6 pm PST. Select Dental and DVH (Dental Only) ** Network by Aetna. 0000091099 00000 n <>/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>> 145 0 obj endobj 0000002916 00000 n By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice. You might occasionally. 97 0 obj 107 0 obj Copyright 2023 Meritain Health. 0000244289 00000 n endobj PO Box 853921 83 0 obj endobj Resources. 0000009416 00000 n Learn how to partner with us. . <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream "LR@PBPBLM, k Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=30agE\i\ gs 60 0 obj xPpurb & endobj endobj At Meritain Health, our jobs are simple: we're here to help take care of you. <>/Subtype/Form/Type/XObject>>stream endstream Your patient's health and your ability to access their information is important to us. "LR endobj Box 7796 London, KY 40742 (877) 232 . 151 0 obj xPpurb & <>/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>> endobj The following is a description of how to complete the form. 86 0 obj V>j>Or`DVGlM|v]%Yv+)mv>m{=umfofn]{H+T(T014p0fcO&qtkO^);nu|2@]T Gdd,LO~|4 ^'A{ @21xqW 1`6U xPpurb & 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. %%EOF All rights reserved. 0000071557 00000 n 0 H|VYOF~G[Z7} X#`) 4cb{X_5 HMO Based Plans (California) 800-624-0756. 0000220644 00000 n 124 0 obj Contact Allstate Health Solutions with questions around your policy, claims or more. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Access information quickly For 24-hour access to your patient's health information, log in to your account. This content is being provided as an informational tool. 2 0 obj xPpurb & 0000261367 00000 n endobj 0000030713 00000 n 0000220396 00000 n endstream Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 /I|;5iqOb: 8]m By prioritizing data for plan building and success to a variety of member tools, well support you every step of the way. endobj 36 0 obj endstream All rights reserved. %%EOF <>/Subtype/Form/Type/XObject>>stream All sections of the form must be complete for the form to be considered. Enter a name to find & verify an email >>> Rocketreach finds email, phone & social media for 450M+ professionals. At Meritain Health, we create unrivaled connections. xPpurb & 1 0 obj endstream endstream After logging in to your Meritain Health account, click on the Submit a Claim link at the top of the page. xPpurb & LA[@:Ty6jI ]( endobj h\O(DaDHK%aai"bca3e1KN[2F7pt;==:D/dHie,C6nkd0l`r 0000220357 00000 n We're a proud subsidiary of Aetna and CVS Health . <>/Subtype/Form/Type/XObject>>stream 0000070600 00000 n xref %R endobj Visit our Meritain Health YouTube channelOpens in new window to learn more. <>/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. 0000000854 00000 n 1-866-221-4988. endstream LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g xPpurb & EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health endstream 22 0 obj Shop Insurance. endobj 123 0 obj endobj 18 0 obj 0000018717 00000 n <>/Subtype/Form/Type/XObject>>stream 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. 87 0 obj endobj endobj Contact us If you have questions about claims or benefits, we're happy to help. <<3E4E844C759D00498F9F96196CE1CA18>]>> )wA HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| 139 0 obj <> endobj 0000026596 00000 n 566.9311. H23U0t.=s#0ag H23U0t.=s#0agf$LR@PBPBLDA k endobj <>/Subtype/Form/Type/XObject>>stream Mail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. endstream Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ yuU`&ZfwZ1)`YO>E+*w* endobj For more information, please call Meridian Member Services at 888-437-0606 (Michigan) or 866-606-3700 (Illinois). <>/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 Meritain Health. 0000247732 00000 n 52 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>> endstream 0000075478 00000 n endobj x endstream endobj endobj 37 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. endobj 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>> xPpurb & endstream endobj Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. 62 0 obj endobj endobj When on the portal, you can also download our free mobile app. 116 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb & xPpurb & xPpurb & endobj Richardson, TX 75085. 24 0 obj x3P0 t.C=63E\i\ g3s 140 0 obj 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.

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