x3P0 t.C=C=33=aP gos xref <>/Subtype/Form/Type/XObject>>stream endobj x33U0t.=s#0agf$LR If you havent created an account, click Register at the top right of this page and follow the prompts. 61 0 obj endobj endstream <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>> endobj 0000078102 00000 n H23U0t.=s#0ag 71 0 obj 60 0 obj <>/Subtype/Form/Type/XObject>>stream To reach us by phone, dial the toll-free number on the back of the patient's ID card. endobj 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. xPpurb & PO Box 853921 <>/Subtype/Form/Type/XObject>>stream 117 0 obj 0000220644 00000 n 125 0 obj If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. endobj endobj endstream {To receive a copy of an Explanation of , https://epc.org/wp-content/uploads/Files/4-Resources/1-Benefits/6-2022/2022MeritainCustomerServiceInformation.pdf, Health (8 days ago) WebASA and Meritain - use phone number on member's ID card; BRCA genetic testing (precertification and information) - 1-877-794-8720 (TTY: 711) Claims - if you have , https://qawww.aetna.com/health-care-professionals/contact-aetna.html, Unitedhealthcare medicare advantage claims address, Drexel behavioral health continuing education, Prohealth westwood health and fitness center, Philippines one health pass registration, Devoted health plan of florida providers, Shadow health gastrointestinal subjective, 2021 health-improve.org. endobj <>/Subtype/Form/Type/XObject>>stream 0000220357 00000 n endstream Plan and member information 114 0 obj <>/Subtype/Form/Type/XObject>>stream Complete Meritain Vision Claim Form online with US Legal Forms. Meritain Health Provider Services - Meritain Health <> 0000000616 00000 n <>/Subtype/Form/Type/XObject>>stream All sections of the form must be complete for the form to be considered. All rights reserved. If you have questions about claims or benefits, were happy to help. endobj endobj 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. 2JSt}Np~}y7i6i~..jnfE6zS\0 u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E 76 0 obj 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. 73 0 obj 74 0 obj Addresses and accounts , https://www.mbh-eap.com/wp-content/uploads/Claim-Submission-and-Payment-Addresses-7-1-2017.pdf, Health (2 days ago) WebContact us. endobj endstream endobj 140 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 141 0 obj <. Claims can be submitted for any covered member. Contact Allstate Health Solutions with questions around your policy, claims or more. <>/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>> endobj endobj xPpurb & endstream For the fastest service, dial the toll-free number on the back of your ID card. Combined with our own in-house products and valued vendor partnerships, our . 142 0 obj endstream Aetna Claim Address|Aetna Provider Phone Number Updated (2023) x3P0 t.C=30agE\i\ gs Your patients health and your ability to access their information is important to us. <>/Subtype/Form/Type/XObject>>stream 121 0 obj <> Get Meritain Vision Claim Form - US Legal Forms endobj xPpurb & 0000075005 00000 n Or fax to (763)-852-5057. H23U0t.=s#0ag <>/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>> <>/Subtype/Form/Type/XObject>>stream <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream To reach us by phone, dial the toll-free number on the back of the patient's ID card. endobj 0000244289 00000 n 35 0 obj endobj endobj <>/Subtype/Form/Type/XObject>>stream Box 2070 Milwaukee, WI 53201-2070 Short Term Medical. endstream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 124.92 301.56 579.6 323.76]/Subtype/Widget/T(Spouses Employers Address_2)/TU(Spouses Employers Address)/Type/Annot>> H23U0t.=s#0agf!R@PBLX n 1 Health and . endobj hmo6 Section 2. x 79 0 obj endobj Sure, youve probably trusted a gut feeling when deciding something. <>/Subtype/Form/Type/XObject>>stream 0000014276 00000 n xPpurb & Customer Service Beech Street Todays employees crave support for their emotional and mental well-being. x endstream endobj 84 0 obj 0 endstream If you have questions about claims or benefits, were happy to help. endobj endobj 86 0 obj }i&;nHf%l#%YYN:,#OY%, O$S-]2!Q` [Bp 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. endobj 42 0 obj endobj endobj Provider Quick Reference Guide - MultiPlan Your patients health and your ability to access their information is important to us. For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual 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. 56 0 obj <>/Subtype/Form/Type/XObject>>stream 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. endobj endobj 145 0 obj STATUS AND BENEFIT INFORMATION: 1.800.925.2272 Send to: Meritain Health P.O. 131 0 obj <>/Subtype/Form/Type/XObject>>stream endobj 0000071023 00000 n %PDF-1.4 % <>/Subtype/Form/Type/XObject>>stream <>/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>> H23U0t.=s#0agf!R 26 0 obj xPpurb & 4 0 obj 0000002620 00000 n x3P0 t.C=63E\i\ g3s "LR 99 0 obj endobj PDF Claims Submission and Payment - mbh-eap.com 22 0 obj All other Plans (California) 888-632-3862. 0000020823 00000 n 160 0 obj 0000000854 00000 n 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 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. Have you checked out your personalized web site? All rights reserved. endobj 0000247732 00000 n "LR@PBPBLM, k Meritain Health 19 0 obj endobj To reach us by phone, dial the toll-free number on the back of the patient . 82 0 obj 0000195598 00000 n endstream endstream If you havent created an account, click Register at the top right of this page and follow the prompts. <>/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 81 0 obj If you have any questions about your benefits or claims, were happy to help. 39 0 obj xPpurb & 0000124348 00000 n 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 Your patients health and your ability to access their information is important to us. 0 endobj endobj Transition or Continuity of Care (in Spanish). 300K . <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 33.12 401.52 43.08 411.48]/Subtype/Widget/T(Yes then complete)/TU(Yes \(then complete)/Type/Annot>> The member whose information is to be released is required to sign the authorization form. endobj <>/Subtype/Form/Type/XObject>>stream "LR@PBPBLM, k 63 0 obj Claims Processing and Payment: When you see patients who are Meritain Health members, please submit claims to Meritain Health for processing. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endobj 92 0 obj PDF Vision Complete and send to: Claim Form P.O. Box 853921 - Meritain endstream Section 6. Learn how to partner with us. 0000047567 00000 n <>/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>> 0000000016 00000 n <>/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>> It is believed to be accurate at the time of posting and is subject to change. <>/Subtype/Form/Type/XObject>>stream <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 128 0 R /Rect[ 190.56 198.96 200.64 209.04]/Subtype/Widget/Type/Annot>> endstream <>/Subtype/Form/Type/XObject>>stream endobj Your patient's health and your ability to access their information is important to us. startxref endstream Allow time for your claim to be processed and your reimbursement check to be mailed to you. xPpurb & <>/Subtype/Form/Type/XObject>>stream 132 0 obj 0000221647 00000 n <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream x33U0t.=s#0agf$LR x Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. endstream 0000220396 00000 n For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream 0000010062 00000 n endobj x endobj 0000002923 00000 n endstream 9 0 obj <>/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>> <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s endstream 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 endobj endobj To reach us by email:service@meritain.com. endstream Copyright 2023 Meritain Health. x3P0 t.C=C=33=aP gos <>/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>> <>/Subtype/Form/Type/XObject>>stream 9fK3J*9zl3$6)6}t+d=u+iTv5G(. h|]1Lf2wO^%L[^'t7o1/ V5?? 85 0 obj x <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s xPpurb & 1 Health and Welfare IBEW Local 1 Health & Welfare Fund 2. 0000002365 00000 n x endobj PDF Meritain Health Customer Service - EPC 0000090829 00000 n endobj 53 0 obj 0000091570 00000 n endobj xPpurb & 0000001225 00000 n endstream endobj xPpurb & Your network, benefit plans, programs and member communications will be tailored to you.
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