IMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. For 24-hour access to your patients health information,log in to your account. <>/Subtype/Form/Type/XObject>>stream endstream Mail completed Meritain Health form to: P.O. <>/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>> 0 %R@PBL1X Kh endobj 145 0 obj 139 0 obj endstream 141 0 obj endstream 2 0 obj 113 0 obj MERITAIN HEALTH - 117 Reviews - 1405 Xenium Ln, Minneapolis, Minnesota - Insurance - Phone Number - Yelp Restaurants Home Services Auto Services Meritain Health 117 reviews Unclaimed Insurance Write a review Add photo Photos & videos See all 7 photos Add photo endobj 151 0 obj 0000026121 00000 n <>/Subtype/Form/Type/XObject>>stream Copyright 2023 Meritain Health. endstream startxref <>/Subtype/Form/Type/XObject>>stream endobj endstream <>/Subtype/Form/Type/XObject>>stream All rights reserved. %%EOF endstream endobj 91 0 obj 0000244550 00000 n endstream Your signature and your understanding of what it means 3 0 obj endobj endobj 118 0 obj endobj LA[@:Ty6jI ]( endobj endstream 4. <>/Subtype/Form/Type/XObject>>stream <>/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>> <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=63E\i\ g3s 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. 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. 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. For more information, please call Meridian Member Services at 888-437-0606 (Michigan) or 866-606-3700 (Illinois). 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H23U0t.=s#0agf!R@PBLX n 0000075777 00000 n endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream 0000220357 00000 n 0000030860 00000 n H23U0t.=s#0agf!R@PBLX n 0000244743 00000 n 40 0 obj<>stream endobj Complete Meritain Vision Claim Form online with US Legal Forms. 0000220396 00000 n Aetna HMO Plans (California) 888-702-3862 (Benefit Questions or Claim Inquiries) 7 0 obj endstream endstream xPpurb & endobj 126 0 obj 0000047941 00000 n trailer 0 I have never dealt with a large company who answers their phone right away and always gives good service. 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. x H23U0t.=s#0agf!R %%EOF 0000070325 00000 n Contact us at 1.800.925.2272 if you have . endobj endstream endstream 25 0 obj <> endobj endstream 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 <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream 0000030825 00000 n PDF Important Information for Healthcare Providers x Skip to content. 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 If the patient is the employee, go directly to the area below the shaded box. endstream HWr|WyOIT81+\{E ),X'5{q_~rv4McC}=er,LN| LWp|vMpf ouC;w$[II'r$j*RHV)[r-E_D9X[/'g <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 27.84 348.36 201.72 364.68]/Subtype/Widget/T(Other Insurance Carriers or Plans Telephone)/TU(Other Insurance Carriers or Plans Telephone #)/Type/Annot>> endobj % The amount paid. If you havent created an account, click Register at the top right of this page and follow the prompts. Section 2. <>/Subtype/Form/Type/XObject>>stream 239 0 obj <>stream x No. <>/Subtype/Form/Type/XObject>>stream endstream H23U0t.=s#0ag <>/Subtype/Form/Type/XObject>>stream <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 397.92 348.36 453.6 370.56]/Subtype/Widget/T(Group Number_2)/TU(Group Number)/Type/Annot>> <>/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. %R@PBL1X Kh Hl endobj 15 0 obj You can get answers to what you need, around the clock. <>/Subtype/Form/Type/XObject>>stream 0000221902 00000 n Provider. If you have questions about claims or benefits, were happy to help. ]W9n9. Contact Us | Meridian It is believed to be accurate at the time of posting and is subject to change. 90 0 obj Looking to build a benefits plan? <>/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>> For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. xPpurb & 0000030531 00000 n 0000195598 00000 n Provider Quick Reference Guide - MultiPlan <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 226.094 254.76 579.48 273.867]/Subtype/Widget/T(Describe injury when and how it happened or nature of illness)/TU(Describe injury, when and how it happened or nature of illness:)/Type/Annot>> If you have questions about claims or benefits, were happy to help. endstream 26 0 obj <>/Subtype/Form/Type/XObject>>stream 0000244289 00000 n <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 0000262751 00000 n 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. 93 0 obj endobj endstream 64 0 obj <>/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>> To reach us by phone, dial the toll-free number on the back of the patient . 0000006310 00000 n 0000000616 00000 n endstream H23U0t.=s#0agf!R@PBLX n For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K 59 0 obj Welcome to Meritain Health. As a Meritain Health member, per the Federal Government, you are eligible for insurance reimbursement under a qualified plan for FDA-authorized COVID-19 at-home tests purchased on or after January 15. 0000222146 00000 n 0000030202 00000 n endobj x3P0 t.C=C=33=aP gos 125 0 obj :Y iy}3q:tGp#bI4jH"KAmME#LVAdE!Q(?PS-uxqGkF&oeNwuS%uARm3E|wpy % 75 0 obj Shop Insurance. endstream 135 0 obj You can accommodate anything, and you build it into the process. endobj 41 0 obj 73 0 obj endobj Meritain Health H23U0t.=s#0agf!R endobj <<3E4E844C759D00498F9F96196CE1CA18>]>> <>/Subtype/Form/Type/XObject>>stream endobj endobj endobj 0000263474 00000 n endobj endstream endobj 60 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 442.92 483.36 579.72 499.68]/Subtype/Widget/T(Childs Social Security Number)/TU(Childs Social Security Number)/Type/Annot>> Employee information: if you are NOT the employee of the plan startxref <>/Subtype/Form/Type/XObject>>stream All sections of the form must be complete for the form to be considered. PDF Meritain Health Customer Service - EPC <>/Subtype/Form/Type/XObject>>stream x 0000269194 00000 n <>/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>> 0000124348 00000 n endstream The form linked below should used by a member who would like to grant permission to another individual to act on their behalfin connection with an appeal. 24 0 obj H23U0t.=s#0agf!R 98 0 obj 0000002362 00000 n 0000026482 00000 n xPpurb & endstream <>/Subtype/Form/Type/XObject>>stream <>/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>> endobj 58 0 obj endobj To reach us by phone, dial the toll-free number on the back of the patient's ID card. 108 0 obj 0000006809 00000 n endstream 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. Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. 67 0 obj 0000244069 00000 n xPpurb & Your patients health and your ability to access their information is important to us. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream endobj I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. xref 110 0 obj 0000262548 00000 n 152 0 obj Short term medical; . 0000018652 00000 n 133 0 obj endobj 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. /j(0`P k o5pn*P j(H Access information quickly For 24-hour access to your patient's health information, log in to your account. xref Your network, benefit plans, programs and member communications will be tailored to you. endobj <>/Subtype/Form/Type/XObject>>stream endstream 11 0 obj endobj [ 6 0 R 10 0 R 12 0 R 14 0 R 16 0 R 18 0 R 20 0 R 22 0 R 24 0 R 26 0 R 28 0 R 30 0 R 32 0 R 37 0 R 42 0 R 47 0 R 49 0 R 51 0 R 53 0 R 55 0 R 57 0 R 59 0 R 61 0 R 63 0 R 65 0 R 67 0 R 72 0 R 77 0 R 79 0 R 81 0 R 83 0 R 85 0 R 87 0 R 89 0 R 91 0 R 96 0 R 101 0 R 103 0 R 105 0 R 107 0 R 109 0 R 111 0 R 116 0 R 121 0 R 123 0 R 128 0 R 133 0 R 135 0 R 137 0 R 139 0 R 144 0 R 149 0 R 151 0 R 153 0 R 155 0 R 157 0 R ] 2JSt}Np~}y7i6i~..jnfE6zS\0 u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E specific needs. 76 0 obj Or fax to (763)-852-5057. endobj Copyright 2023 Meritain Health. x3P0 t.C=63E\i\ g3s endobj 130 0 obj 157 0 obj 0000030938 00000 n 66 0 obj endobj 23 0 obj endobj xPpurb & <>/Subtype/Form/Type/XObject>>stream 72 0 obj 127 0 obj 0000075451 00000 n 0000016302 00000 n To reach us by phone, dial the toll-free number on the back of the patient's ID card. <>/Subtype/Form/Type/XObject>>stream endstream endobj endobj 119 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb & Together, well explore your ideal plan to meet your 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. Customer Service Beech Street <>/Subtype/Form/Type/XObject>>stream 0000439614 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>> endobj endobj 50 0 obj endobj {For the status of submitted claims. 26 0 obj endobj xPpurb & 0000018717 00000 n For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 1 0 obj 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. Allow time for your claim to be processed and your reimbursement check to be mailed to you. endstream endstream endobj endobj 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 If youve already registered, we hope youll visit again. 120 0 obj What are the hallmarks of a good provider network? <>/Subtype/Form/Type/XObject>>stream endobj 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. 0000077747 00000 n All rights reserved. 0000220644 00000 n 116 0 obj 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. <>/Subtype/Form/Type/XObject>>stream endobj 43 0 obj %PDF-1.7 0000244628 00000 n endobj the cost of care for our plan sponsors and members. xPpurb & endobj 142 0 obj Resources for Members - Meritain Health insurance and provider search 62 0 obj 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 159 0 obj Mississippi Physicians Care Network (MPCN), Presbyterian Select Provider Network (SPN). 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. endobj <>/Subtype/Form/Type/XObject>>stream 27 0 obj 0000263210 00000 n %%EOF By prioritizing data for plan building and success to a variety of member tools, well support you every step of the way. 0000015983 00000 n <>/Subtype/Form/Type/XObject>>stream endobj 0000263097 00000 n endobj endobj 9 0 obj endobj endstream endstream If you have any questions about your benefits or claims, were happy to help. 0000002399 00000 n H|VYOF~G[Z7} X#`) 4cb{X_5 128 0 obj {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. 0000221985 00000 n For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 153 0 obj . endstream endobj xPpurb & <>/Subtype/Form/Type/XObject>>stream endobj 147 0 obj 85 0 obj endobj <>/Subtype/Form/Type/XObject>>stream With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. endobj 14 0 obj 88 0 obj 160 0 obj endobj All rights reserved. 70 0 obj Provider services - Meritain Health endobj 0000047633 00000 n x3P0 t.C=63E\i\ g3s Combined with our own in-house products and valued vendor partnerships, our . <>/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>> 33 0 obj If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. endstream endstream endstream Meritain Health Member Services - Meritain Health 0000000854 00000 n Not only can we customize your plan, we want to. endobj <>/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>> Producer. 0000262626 00000 n <> xPpurb & Via Meritain's Provider Relations Team: 866-761-3018 a. <>/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>> 81 0 obj Welcome to Meritain Health - Meritain Health %PDF-1.5 % endstream x3P0 t.C=63E\i\ g3s 82 0 obj <> endstream <>/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>> Do you need a referral to see a specialist? endstream 0000247732 00000 n H23U0t.=s#0agf!R@PBLX n 0000075478 00000 n <>/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>> <>/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>> Allstate Health Solutions P.O. Contact Allstate Health Solutions with questions around your policy, claims or more. <>/Subtype/Form/Type/XObject>>stream x xPpurb & 74 0 obj But do you listen to your gut when it comes to your health? <>/Subtype/Form/Type/XObject>>stream xPpurb & 4 0 obj "LR@PBPBLM, k 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. <>/Subtype/Form/Type/XObject>>stream x3P0 t.C=3C=3=3 6P(JJ grs 143 0 obj 16 0 obj 300K . xPpurb & endobj AZ Foundation for Medical CareOpens in new window, Baptist Health Plan (formerly Bluegrass)Opens in new window, California Foundation for Medical CareOpens in new window, Century Health SolutionsOpens in new window, Community Health Alliance (CHA)Opens in new window, Evolutions Healthcare SystemsOpens in new window, First Choice Health NetworkOpens in new window, First Choice of the MidwestOpens in new window, Freedom Networks (PHP)Opens in new window, Frontpath Health CoalitionOpens in new window, Gulf Coast Provider NetworkOpens in new window, Idaho Physicians Network (IPN)Opens in new window, Mississippi Physicians Care Network (MPCN)Opens in new window, Nevada Preferred(UHN)Opens in new window, North American Preferred (NAP)Opens in new window, Ohio Health Choice (OHC)Opens in new window, Parkview Signature CareOpens in new window, Preferred Community Choice (PCC OK)Opens in new window, Presbyterian Select Provider Network (SPN)Opens in new window, Private Health Care Systems (PHCS)Opens in new window, The Alliance of WisconsinOpens in new window, Virginia Health NetworkOpens in new window. For 24-hour access to your patients health information,log in to your account. endobj Meritain Health PO Box 853921 Richardson, TX 75085-3921 WEBMD/Emdeon #41124, Mckesson/Relay Health #1761 (618) 344-2002 IBEW Local No. 8 0 obj 53 0 obj Whether you're building an employee benefits program, researching your member benefits or offering support to your patients, we're ready to help you do more with your health plan. V>j>Or`DVGlM|v]%Yv+)mv>m{=umfofn]{H+T(T014p0fcO&qtkO^);nu|2@]T Gdd,LO~|4 ^'A{ @21xqW 1`6U endstream <>/Subtype/Form/Type/XObject>>stream Member. Section 6. %R Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. The form linked below should be completed by a member who needs togrant access to their PHIto another individual in connection with an appeal. PDF Claims Submission and Payment - mbh-eap.com Transition or Continuity of Care (in Spanish). PO Box 853921 Contact Aetna x H23U0t.=s#0ag endobj xPpurb & <>/Subtype/Form/Type/XObject>>stream 155 0 obj endobj 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>> Box 30111 Health (3 days ago) WebAddress: Telephone #: City: State: Zip: Is this a change of address? 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 address where services were provided and Tax Identification Number (TIN) z Detailed invoice including CPT code or description of services and diagnosis code How to submit a claim online 1. 104 0 obj 20 0 obj xPpurb & x 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. xPpurb & x33U0t.=s#0agf$LR 69 0 obj endobj Box , https://www.health-mental.org/meritain-health-claims-mailing-address/, Health (6 days ago) WebMail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. endstream <>/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>> 0000001388 00000 n All other Plans (California) 888-632-3862. xPpurb & IBEW Local No. Box 2070 Milwaukee, WI 53201-2070 Short Term Medical. Mail completed Meritain Health form to: P.O. PDF Submitting Your Claims to Meritain Health <>/Subtype/Form/Type/XObject>>stream endstream &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V All rights reserved. endstream endobj xPpurb & 0000001225 00000 n HWnF}G(W{_04A>ye $wfI@b3mltGgI4xmjwKfIah8`g4Bp0z'}$O2%. endstream 0000007254 00000 n endobj endstream <>/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>> <>/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 endstream 0000002847 00000 n Business Profile for CBSA Performax, A Meritain Health Company <>/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>> We understand. 57 0 obj endobj 99 0 obj endobj endobj H23U0t.=s#0ag x3P0 t.C=63E\i\ g3s Meritain Health Email Format | meritain.com Emails - RocketReach x 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. hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r x3P0 t.C=3C=3=3 6P(JJ grs 129 0 obj 47 0 obj 29 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>> Aetna Provider Phone Number List (California) Aetna Medicare Advantage Plans and. endstream s0G}JbfX^Z@0R ;]Vomm.mu:bq[0iiz=s7^weqE|ZV%%|-%9 xPpurb & endstream <>/Subtype/Form/Type/XObject>>stream xPpurb & endobj Meritain Health Attn: HIPAA Compliance Officer Signature of member or members guardian.
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