70 0 obj endobj 157 0 obj 0000005765 00000 n endobj 0000247732 00000 n Your patients health and your ability to access their information is important to us. If you have questions about claims or benefits, were happy to help. xPpurb & endstream 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>> endstream Copyright 2023 Meritain Health. <>/Subtype/Form/Type/XObject>>stream endobj By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice. endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 436.56 579.6 458.76]/Subtype/Widget/T(Spouses Employers Address)/TU(Spouses Employers Address)/Type/Annot>> endobj Do you need a referral to see a specialist? "LR@PBPBLM, k 0000002739 00000 n endobj 0000221985 00000 n endstream 50 0 obj endstream <>/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>> 132 0 obj 0000001225 00000 n Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 endstream 12 0 obj endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. 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. xPpurb & endstream startxref Combined with our own in-house products and valued vendor partnerships, our . endobj endobj Purpose: why do you want the information released? No. Meritain Health Claim Mailing Address Health (9 days ago) Web (Just Now) WebHealth Claim Form Complete and send to: Meritain Health P.O. HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| <>/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>> But do you listen to your gut when it comes to your health? <>/Subtype/Form/Type/XObject>>stream hb``c``ja```01G30323Zq@ [s8cz^TV`8A X/@` u What are the hallmarks of a good provider network? endobj Meritain Health <>/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>> H23U0t.=s#0agf!R 0000001063 00000 n <>/Subtype/Form/Type/XObject>>stream For 24-hour access to your patients health information,log in to your account. If you need mental health, behavioral health, or substance abuse services .Summary of Benefits and Coverage - content.meritain.comwww.uslegalforms.com/form-library/314394-meritain-healDoes meritain cover telehealth?Telehealth visits are a useful way for Meridian members to get health services. endobj Contact Allstate Health Solutions with questions around your policy, claims or more. I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. xPpurb & <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=30agE\i\ gs xPpurb & 0000014276 00000 n 0000439614 00000 n endobj Claims can be submitted for any covered member. If you're a Client or Broker, please contact your Meritain Health Manager. endobj When on the portal, you can also download our free mobile app. %R 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>> <> endobj endobj 0000004995 00000 n x Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). xPpurb & Enter a name to find & verify an email >>> Rocketreach finds email, phone & social media for 450M+ professionals. 43 0 obj 72 0 obj endobj endobj endstream endobj <>/Subtype/Form/Type/XObject>>stream 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 endobj To reach us by email:service@meritain.com. 63 0 obj endobj endobj xPpurb & The amount paid. 0000002365 00000 n endobj endstream LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g endstream x3P0 t.C=3C=3=3 6P(JJ grs Aetna Claim Address|Aetna Provider Phone Number Updated (2023) Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . %PDF-1.7 56 0 obj 106 0 obj <>/Subtype/Form/Type/XObject>>stream 141 0 obj 0000244168 00000 n 112 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. Section 2. endobj 8 0 obj endobj 0000263474 00000 n xPpurb & <>/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>> For 24-hour access to your personal health information,log in to your account. xPpurb & PDF How to Submit a Claim - Larimer County, Colorado <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 143.52 401.52 153.6 411.48]/Subtype/Widget/T(No go to section 4)/TU(No \(go to section 4)/Type/Annot>> All sections of the form must be complete for the form to be considered. endobj <>/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>> xPpurb & 61 0 obj x endobj 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 0000091099 00000 n Are you doing all you can to keep it healthy? <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 281.52 238.2 291.6 248.16]/Subtype/Widget/T(undefined_4)/TU(undefined)/Type/Annot>> 120 0 obj 0000075777 00000 n 0000244435 00000 n endobj 113 0 obj endobj endstream <>/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>> 108 0 obj 26 0 obj endobj endstream <> 0000071487 00000 n Below is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. endobj LA[@:Ty6jI ]( Aetna HMO Plans (California) 888-702-3862 (Benefit Questions or Claim Inquiries) endobj Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. 0000195637 00000 n Customer service representatives are available to help you Monday through Fridayjust call 1.800.925.2272. . For language services, please call the number on your member ID card and request an operator.Is meritain the same as Aetna?psichologyanswers.com/library/lecture/read/489793-is-meIs meritain part of Aetna?Meritain Health will become part of the Aetna family, part of a $600 million acquisition of Meritains parent company announced Thursday at Aetnas quarterly shareholders meeting. xPpurb & 0000009558 00000 n endstream %%EOF 0 0000222040 00000 n PDF Claim Submission and Payment Addresses - mbh-eap.com 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. endstream endobj 25 0 obj <> endobj endobj 0000047241 00000 n 25 0 obj 95 0 obj Meritain Health Claim Mailing Address endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream endstream endobj 142 0 obj 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 <>/Subtype/Form/Type/XObject>>stream 22 0 obj endobj 144 0 obj endstream Select Dental and DVH (Dental Only) ** Network by Aetna. endstream Doctor Lookup. endstream 102 0 obj 0000261367 00000 n As a member, you can log into your member portal for a more personalized experience. endstream PDF Claims Submission and Payment - mbh-eap.com Allow time for your claim to be processed and your reimbursement check to be mailed to you. 17 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 134.04 506.76 260.16 528.96]/Subtype/Widget/T(Spouses Name last first initial)/TU(Spouses Name \(last, first, initial\))/Type/Annot>> <>/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>> 9 0 obj Member. Vgmf9q0ATr@ XaFr ` ! 52 0 obj 55 0 obj 0000000934 00000 n HMO Based Plans (California) 800-624-0756. endobj 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 endobj 107 0 obj For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 142.44 254.76 219.48 279]/Subtype/Widget/T(Injury Illness Date and time of accident)/TU(Injury Illness Date and time of accident:)/Type/Annot>> <>/Subtype/Form/Type/XObject>>stream Aetna address and Aetna Provider Phone Number - Claims 94 0 obj To reach us by phone, dial the toll-free number on the back of the patient's ID card. If you have any questions about your benefits or claims, were happy to help. %%EOF endstream 60 0 obj Try for free at rocketreach.co . 114 0 obj Have your ID card with you so set-up is fast and easy. Were adding new tools and resources all the time. endobj x3P0 t.C=63E\i\ g3s 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. "LR specific needs. Your heart is a hard worker. <>/Subtype/Form/Type/XObject>>stream Visit our Meritain Health YouTube channelOpens in new window to learn more. 4 0 obj <>/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>> ]W9n9. <>/Subtype/Form/Type/XObject>>stream 0000047749 00000 n 0000002399 00000 n 0000007254 00000 n 566.9311. <>/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>> x3P0 t.C=63E\i\ g3s <>/Subtype/Form/Type/XObject>>stream 0000263210 00000 n }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp xPpurb & H|VYOF~G[Z7} X#`) 4cb{X_5 Resources. 0000243461 00000 n endobj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. 5 0 obj <>/Subtype/Form/Type/XObject>>stream Box 30111 Health (3 days ago) WebAddress: Telephone #: City: State: Zip: Is this a change of address? 51 0 obj 0000070600 00000 n 122 0 obj 0000124348 00000 n 116 0 obj endstream x endobj endobj 0000075478 00000 n <>/Subtype/Form/Type/XObject>>stream endobj endobj endstream 20 0 obj 0000020823 00000 n <>/Subtype/Form/Type/XObject>>stream <<3E4E844C759D00498F9F96196CE1CA18>]>> 0000018717 00000 n x endobj H23U0t.=s#0agf$LR@PBPBLDA k H23U0t.=s#0agf!R@PBLX n You can get answers to what you need, around the clock. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 295.68 51.72 476.04 74.28]/Subtype/Widget/T(NPI Number)/TU(NPI Number)/Type/Annot>> endobj endobj endobj the cost of care for our plan sponsors and members. 2. endstream 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. 139 0 obj endobj endobj You can also click here for our Member User Guide. endobj 59 0 obj 26 0 obj endstream <>/Subtype/Form/Type/XObject>>stream endobj xPpurb & Contact Information 400 Highway 169 S Ste 800 Minneapolis, MN 55426-1141 Visit Website Email this Business (952) 546-0062 Customer Complaints 13 complaints closed in last 3 years 4 complaints. endobj endstream With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endstream 0000263019 00000 n If you have questions about claims or benefits, were happy to help. <>/Subtype/Form/Type/XObject>>stream 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. xref 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. H23U0t.=s#0agf!R Complete Meritain Vision Claim Form online with US Legal Forms. 174 0 obj <> endobj IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. 0000015983 00000 n All rights reserved. endstream 0000078515 00000 n xPpurb & <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0agf!R xPpurb & 0000026596 00000 n 66 0 obj xPpurb & 0000047819 00000 n 69 0 obj Meritain Health - health insurance for employees - self-funding - TPA H23U0t.=s#0ag 6 0 obj You can accommodate anything, and you build it into the process.
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