We are your Advocates for Healthier Living, and we're here to connect you and your family to the care you need, right when you need it. <>
You might occasionally. endobj
xref
endobj
endstream
<>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 402.96 506.76 534.6 528.96]/Subtype/Widget/T(Childs Name first last initial)/TU(Childs Name \(first, last, initial\))/Type/Annot>>
endstream
Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 If the patient is a dependent, please complete ALL of the following. Address, phone number, and practice changes Contact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation endobj
endobj
0000244435 00000 n
H23U0t.=s#0agf$LR@PBPBLDA k
For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. <>/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>>
Customer Service for answers to questions you might have about your benefits, eligibility, claims and more. 0000016302 00000 n
<>/Subtype/Form/Type/XObject>>stream
0000071642 00000 n
43 0 obj
endstream
startxref
Contact Allstate Health Solutions with questions around your policy, claims or more. the cost of care for our plan sponsors and members. endstream
0000243974 00000 n
11 0 obj
Note: Incomplete Claims Forms will be returned to you for missing information. endobj
0000030531 00000 n
,L"\H4~Zzyv4vet{&+8*BYOl+:;C
ks#6i}$9wNB;I@~d hop^F. Get contact details including emails and phone numbers (business & personal). endstream
0000002362 00000 n
Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. bmV= 2)2`mXYg lUR(4uI?6"kwvdQBf-0d\+;#OA':(+ endobj
endobj
Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Coventry Health Care P.O. endobj
0000221498 00000 n
endstream
endstream
x
Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend All rights reserved. If youve already registered, we hope youll visit again. endstream
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. 0000047241 00000 n
endstream
<>/Subtype/Form/Type/XObject>>stream
Complete Meritain Vision Claim Form online with US Legal Forms. endobj
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. 14 0 obj
<>/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>>
If you have questions about claims or benefits, we're happy to help. <>/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>>
%R@PBL1X Kh
endstream
0000002620 00000 n
Welcome to Meritain Health. If you have questions about claims or benefits, were happy to help. %%EOF
endstream
endobj
0000026709 00000 n
Your patients health and your ability to access their information is important to us. %PDF-1.4
%
(5 days ago) WebClaims Mailing Address: Meritain Health PO Box 853921 Richardson, TX 75085-3921. For the fastest service, dial the toll-free number on the back of your ID card. Sure, youve probably trusted a gut feeling when deciding something. 78 0 obj
Mississippi Physicians Care Network (MPCN), Presbyterian Select Provider Network (SPN). <>/Subtype/Form/Type/XObject>>stream
<>/Subtype/Form/Type/XObject>>stream
<>/Subtype/Form/Type/XObject>>stream
x3P0 t.C=30agE\i\ gs
0000222259 00000 n
Sign Up For Free G2Crowd Trusted. x
endobj
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. Or fax to (763)-852-5057. 143 0 obj
Shop Insurance. endstream
endstream
H23U0t.=s#0ag To reach us by phone, dial the toll-free number on the back of the patients ID card. If you're a Member or Provider please call 888-509-6420. endobj
endobj
0000026631 00000 n
Todays employees crave support for their emotional and mental well-being. endobj
If you're a Client or Broker, please contact your Meritain Health Manager. 54 0 obj
131 0 obj
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
<>/Subtype/Form/Type/XObject>>stream
139 0 obj
0000247732 00000 n
21 0 obj
endobj
The member whose information is to be released is required to sign the authorization form. 0
0000243792 00000 n
Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. <>/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>>
0000002847 00000 n
endobj
<>/Subtype/Form/Type/XObject>>stream
2 0 obj
0000262751 00000 n
<>/Subtype/Form/Type/XObject>>stream
51 0 obj
46 0 obj
You can accommodate anything, and you build it into the process. Your health and your ability to access your information is important to us. endstream
<>/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. <>/Subtype/Form/Type/XObject>>stream
30 0 obj
Please note, the claims appeal procedure is explained at length within each groups Summary Plan Description (SPD). 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>>
0000263097 00000 n
0000244069 00000 n
0
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. <>/Subtype/Form/Type/XObject>>stream
Section 5. 0000002399 00000 n
<>/Subtype/Form/Type/XObject>>stream
Meritain Health builds connections and solutions that drive down endobj
)wA
Or fax to (763)-852-5057. 91 0 obj
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
endstream
%PDF-1.5
%
Provider services - Meritain Health. 125 0 obj
149 0 obj
endobj
0000153847 00000 n
124 0 obj
H23U0t.=s#0agf!R@PBLX n
0000222118 00000 n
For 24-hour access to your personal health information,log in to your account. Have your ID card with you so set-up is fast and easy. 116 0 obj
121 0 obj
<>/Subtype/Form/Type/XObject>>stream
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. endobj
84 0 obj
120 0 obj
xPpurb &
34 0 obj
<>
0000001905 00000 n
endobj
xPpurb &
How do I contact meritain health? endstream
If your ID card is available, please use the number on the back for faster service. 96 0 obj
endstream
%PDF-1.7
<>/Subtype/Form/Type/XObject>>stream
endstream
endstream
0000263210 00000 n
For 24-hour , https://qa.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/, Health (8 days ago) WebMailing Address. 109 0 obj
endobj
Learn how to partner with us. If you have any questions about your benefits or claims, were happy to help. <>/Subtype/Form/Type/XObject>>stream
endobj
<>/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>>
0000221902 00000 n
Toll free number 800.877.1444 Clients/Payers: For claims and other inquiries, you can request service online here or call 800.877.1444 Healthcare Providers: For the fastest service, please contact us online here or use the contact information provided here. <>
For 24-hour access to your patients health information,log in to your account. You can submit . %R@PBL1X Kh
Meritain Health PO Box 853921 Richardson, TX 75085-3921 WEBMD/Emdeon #41124, Mckesson/Relay Health #1761 (618) 344-2002 IBEW Local No. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 83 0 obj
0000262548 00000 n
82 0 obj
endobj
xPpurb &
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. endobj
<>/Subtype/Form/Type/XObject>>stream
68 0 obj
<>/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>>
Your heart is a hard worker. endobj
trailer
endstream
Employee information: if you are NOT the employee of the plan 0000006310 00000 n
0000195637 00000 n
x
H23U0t.=s#0agf!R
<>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 483.12 599.04 512.16 621.24]/Subtype/Widget/T(Birthdate)/TU(Birthdate)/Type/Annot>>
Section 6. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 542.04 371.76 579.6 393.96]/Subtype/Widget/T(Zip Code_2)/TU(Zip Code)/Type/Annot>>
endobj
0000071557 00000 n
We're making access just a click away. endobj
endobj
<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>>
%PDF-1.4
%
<>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 95.16 267.36 105.24 277.44]/Subtype/Widget/T(undefined_2)/TU(undefined)/Type/Annot>>
<>/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>>
[ 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 ]
Meritain Health. <>/Subtype/Form/Type/XObject>>stream
xHMef2'oj,Fm'6bCL{@4t./~I2_d>\@+h?Mu(\bu 7FY,Q$jJ <>/Subtype/Form/Type/XObject>>stream
0000244743 00000 n
hmo6 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. 108 0 obj
<>/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>>
89 0 obj
<>/Subtype/Form/Type/XObject>>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>>
<>/Subtype/Form/Type/XObject>>stream
xPpurb &
<>/Subtype/Form/Type/XObject>>stream
0000124097 00000 n
endobj
0000071023 00000 n
endobj
22 0 obj
<>/Subtype/Form/Type/XObject>>stream
H23U0t.=s#0agf!R
endobj
4 0 obj
Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. xPpurb &
endobj
0000000934 00000 n
endstream
9fK3J*9zl3$6)6}t+d=u+iTv5G(.
h|]1Lf2wO^%L[^'t7o1/
V5?? 48 0 obj
0000077747 00000 n
xPpurb &
xPpurb &
endobj
endstream
<>/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>>
1 Health and . xPpurb &
0000000854 00000 n
Copyright 2023 Meritain Health. 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. endstream
105 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. 80 0 obj
Box 853921 Richardson, TX 75085-3921 Fax: 1.763.852.5057 , https://www.health-improve.org/meritain-health-claim-mailing-address/, Health (9 days ago) Web(9 days ago) WebMeritain Health Claims Mailing Address Health (9 days ago) Web (1 days ago) WebHealth Claim Form Complete and send to: Meritain Health P.O. endobj
0000026482 00000 n
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. I have never dealt with a large company who answers their phone right away and always gives good service. With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips. 0000015983 00000 n
endobj
<>/Subtype/Form/Type/XObject>>stream
endobj
endstream
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. 0000018717 00000 n
endobj
endobj
Richardson, TX 75085. Resources. H23U0t.=s#0ag xPpurb &
endobj
114 0 obj
135 0 obj
138 0 obj
127 0 obj
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. Please forward this completed form to the privacy officer of the employer or to: Meritain Health 0000047633 00000 n
Mail the Claims Form and supporting documents to the address on the Claim Form or on the back of your Member ID Card. endstream
174 0 obj
<>
endobj
and helpful tips for boosting good healthfor you, and your family. endstream
<>/Subtype/Form/Type/XObject>>stream
0000075278 00000 n
0000075005 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>>
94 0 obj
endobj
117 0 obj
endstream
H23U0t.=s#0ag endstream
160 0 obj
Together, well explore your ideal plan to meet your Copyright 2023 Meritain Health. endobj
Aetna Open Choice PPO Network. x3P0 t.C=3C=3=3 6P(JJ grs
136 0 obj
endobj
endstream
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. <>/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>>
x3P0 t.C=63E\i\ g3s
<>/Subtype/Form/Type/XObject>>stream
Section 4. endobj
122 0 obj
Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . x3P0 t.C=63E\i\ g3s
endobj
PO Box 853921 You can get medical advice, a diagnosis or a prescription by video or phone. <>/Subtype/Form/Type/XObject>>stream
<>/Subtype/Form/Type/XObject>>stream
9 0 obj
0000047567 00000 n
Contact us If you have questions about claims or benefits, we're happy to help. endobj
<>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 513.84 599.04 579.72 615.24]/Subtype/Widget/T(Group Number)/TU(Group Number)/Type/Annot>>
25 16
0000010062 00000 n
We understand. endobj
endobj
endobj
endobj
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. endobj
If you havent created an account, click Register at the top right of this page and follow the prompts. <>/Subtype/Form/Type/XObject>>stream
endobj
endstream
<>/Subtype/Form/Type/XObject>>stream
<>/Subtype/Form/Type/XObject>>stream
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
33 0 obj
Meritain Health uses 6 email formats: 1. first '.' last@meritain.com (82.5%). endobj
Mail completed Meritain Health form to: P.O. endobj
If you havent created an account, click Register at the top right of this page and follow the prompts. 35 0 obj
endstream
1 Health and Welfare IBEW Local 1 Health & Welfare Fund xPpurb &
102 0 obj
<>/Subtype/Form/Type/XObject>>stream
Select Dental and DVH (Dental Only) ** Network by Aetna. Our Meritain Health client management team is by far the best weve ever worked with. <>/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>>
At Meritain Health, our jobs are simple: we're here to help take care of you. Your patients health and your ability to access their information is important to us. 49 0 obj
xPpurb &
<>/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>>
xPpurb &
endstream
endobj
For privacy purposes, the member's spouse and adult dependents, covered by the plan, must each establish logins to access their individual information. 0000002365 00000 n
Have you checked out your personalized web site? endobj
0000263019 00000 n
x33U0t.=s#0agf$LR
7 0 obj
<<3E4E844C759D00498F9F96196CE1CA18>]>>
<>/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>>
. 0000071487 00000 n
<>/Subtype/Form/Type/XObject>>stream
endstream
<>/Subtype/Form/Type/XObject>>stream
endstream
Short term medical; . endobj
endobj
xPpurb &
3 0 obj
107 0 obj
0000007217 00000 n
H23U0t.=s#0agf!R@PBLX n
151 0 obj
76 0 obj
0000011755 00000 n
<>/Subtype/Form/Type/XObject>>stream
x3P0 t.C=30agE\i\ gs
endstream
After logging in to your Meritain Health account, click on the Submit a Claim link at the top of the page. Hours are 5 am - 6 pm PST. 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. Questions? endobj
<>/Subtype/Form/Type/XObject>>stream
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. <>
57 0 obj
0000220396 00000 n
<>/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>>
H23U0t.=s#0ag xPpurb &
endstream
x3P0 t.C=63E\i\ g3s
111 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 xPpurb &
0000005626 00000 n
Purpose: why do you want the information released? <>/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>>
endstream
104 0 obj
Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ
yuU`&ZfwZ1)`YO>E+*w* 123 0 obj
xPpurb &
endobj
0000030938 00000 n
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. <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 266.76 352.32 276.84 362.4]/Subtype/Widget/T(Individual)/TU(Individual)/Type/Annot>>
0000244628 00000 n
To reach us by phone, dial the toll-free number on the back of the patients ID card. endobj
0000244550 00000 n
Mail completed Meritain Health form to: P.O. You can get answers to what you need, around the clock. endstream
<>/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>>
xPpurb &
15 0 obj
hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N
r
0000243858 00000 n
endstream
0000047941 00000 n
0000124348 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. 73 0 obj
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. 27 0 obj
<>/Subtype/Form/Type/XObject>>stream
50 0 obj
8 0 obj
58 0 obj
When on the portal, you can also download our free mobile app. Skip to content. 2JSt}Np~}y7i6i~..jnfE6zS\0
u}&p[ @68_=emL&Zqk$AT1KY$C#}Ra|h0{81[Gd8mdmmS4i\&;E <>/Subtype/Form/Type/XObject>>stream
Our navigation partnerships and holistic approach to plan design helps support member health journeys. endstream
0000091570 00000 n
x3P0 t.C=63E\i\ g3s
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
endobj
<>/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>>
H23U0t.=s#0agf!R
endstream
28 0 obj
<>/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>>
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
95 0 obj
endstream
53 0 obj
%R
Combined with our own in-house products and valued vendor partnerships, our . H|VYOF~G[Z7}
X#`) 4cb{X_5 endobj
<>/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>>
endstream
<>/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>>
H23U0t.=s#0agf!R
endobj
139 0 obj
<>
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
<. Try for free at rocketreach.co . At Meritain Health, we create unrivaled connections. 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. 0000222181 00000 n
<>/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
Vgmf9q0ATr@ XaFr ` !
129 0 obj
85 0 obj
32 0 obj
<>/Subtype/Form/Type/XObject>>stream
endobj
0000047819 00000 n
xref
Each member may setup a Login for themselves as well as any minor children covered by the plan. All rights reserved. xPpurb &
endstream
endstream
endobj
178 0 obj
<>stream
endobj
Tornado Warning Greensboro Nc Today,
Golf N Stuff Water Slide Death,
Coleman's Mortuary Obituaries,
Jb Rader Obituary,
Articles M