endstream 40 0 obj endobj Have you checked out your personalized web site? endstream <>/Subtype/Form/Type/XObject>>stream Mail completed Meritain Health form to: P.O. endstream xPpurb & 91 0 obj For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. endstream x3P0 t.C=30agE\i\ gs <>/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>> 0000026709 00000 n To reach us by phone, dial the toll-free number on the back of the patient . endstream <>/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>> <> 12 0 obj 0000002365 00000 n specific needs. 128 0 obj The form linked below should be completed by a member who needs togrant access to their PHIto another individual in connection with an appeal. xPpurb & The amount paid. endobj <>/Subtype/Form/Type/XObject>>stream 87 0 obj %PDF-1.4 % 20 0 obj Comprehensive cost management helps eliminate waste and generates an additional 4 percent savings from billed charges. endobj If your ID card is available, please use the number on the back for faster service. endobj <>/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>> xb```f`` |@1V Xpc>'Y&y7PhKZVQH0XDA1 0000000616 00000 n <>/Subtype/Form/Type/XObject>>stream ]W9n9. endstream <>/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>> Richardson, TX 75085. endobj 0000047819 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>> <> endobj 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. endobj <>/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>> 147 0 obj endstream HMO Based Plans (California) 800-624-0756. 0000020823 00000 n xPpurb & <>/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>> As a member, you can log into your member portal for a more personalized experience. endobj xref <>/Subtype/Form/Type/XObject>>stream endobj Its important to recognize not all networks are equal, Today, were proud to announce an important update for our brand. endstream If you need help registering or logging in, contact Meritain customer service at 866.761.3018 3. endobj You can submit . 134 0 obj <>/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. 99 0 obj x Complete and send to: Meritain Health P.O. 0000075478 00000 n 151 0 obj At Meritain Health, we create unrivaled connections. 1-866-221-4988. <>/Subtype/Form/Type/XObject>>stream 0000016302 00000 n To reach us by phone, dial the toll-free number on the back of the patient's ID card. endobj 28 0 obj 0000001225 00000 n 0000090829 00000 n endobj 47 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 127 0 obj 0000154272 00000 n endobj endstream endobj 238 0 obj <>/Filter/FlateDecode/Index[6 133]/Length 27/Size 139/Type/XRef/W[1 1 1]>>stream endstream 0000222118 00000 n 159 0 obj %R@PBL1X Kh To reach us by email:service@meritain.com. 0000075451 00000 n x3P0 t.C=63E\i\ g3s 0000222259 00000 n x endobj endobj xPpurb & 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. 0 endstream 152 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 4 0 R /Rect[ 237.84 238.2 247.8 248.16]/Subtype/Widget/T(undefined_3)/TU(undefined)/Type/Annot>> Hl 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. 0000245015 00000 n [ 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 ] 58 0 obj H23U0t.=s#0agf$LR@PBPBLDA k 110 0 obj endobj endobj 0000011755 00000 n <>/Subtype/Form/Type/XObject>>stream endobj H23U0t.=s#0agf!R@PBLX n 0000009416 00000 n 45 0 obj hmo6 Welcome to Meritain Health. How do I contact meritain health? 140 0 obj hb``c``ja```01G30323Zq@ [s8cz^TV`8A X/@` u 0000221112 00000 n endobj x Patient Information xPpurb & endstream x 89 0 obj 103 0 obj <>/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>> <>/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 Contact us If you have questions about claims or benefits, we're happy to help. endobj 0000244628 00000 n Section 4. <>/Subtype/Form/Type/XObject>>stream If you're a Client or Broker, please contact your Meritain Health Manager. 137 0 obj x3P0 t.C=63E\i\ g3s 0000071487 00000 n endobj To reach us by phone, dial the toll-free number on the back of the patient's ID card. 16 0 obj 100 0 obj <>/Subtype/Form/Type/XObject>>stream startxref endobj xref <>/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>> H23U0t.=s#0agf!R For 24-hour access to your patients health information,log in to your account. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. If you're a Member or Provider please call 888-509-6420. endobj Q(e-26ChrQm~*o5+f9L;?5"+wg3^.N?&18/5Nww8,,%j&`f)%i,cdeGZZ yuU`&ZfwZ1)`YO>E+*w* 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[ 102.24 622.44 341.16 644.52]/Subtype/Widget/T(Name last first initial)/TU(Name \(last, first, initial\))/Type/Annot>> )wA 101 0 obj Signature of member or members guardian. <>/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>> All rights reserved. endobj endobj endstream endobj 77 0 obj endobj %%EOF endobj Electronic Claims Address CLAIM STATUS/ PROVIDER RELATIONS Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 . <>/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>> 0000263097 00000 n 0000221498 00000 n 123 0 obj <>/Subtype/Form/Type/XObject>>stream Select Dental and DVH (Dental Only) ** Network by Aetna. <>/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>> 0000220644 00000 n endobj 0000263474 00000 n endobj Your signature and your understanding of what it means <>/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>> 1 Health and . 114 0 obj Purpose: why do you want the information released? 0000262548 00000 n <>/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>> x3P0 t.C=3C=3=3 6P(JJ grs All rights reserved. endstream 300K . <>/Subtype/Form/Type/XObject>>stream To reach us by phone, dial the toll-free number on the back of the patients ID card. 121 0 obj endstream <>/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>> <>/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>> endstream xPpurb & %R <>/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>> The following is a description of how to complete the form. Employee information: if you are NOT the employee of the plan Provider. endstream endstream <>/Subtype/Form/Type/XObject>>stream endobj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream Section 6. endobj 144 0 obj 566.9311. endobj 0000075278 00000 n Box 7796 London, KY 40742 (877) 232 . x3P0 t.C=63E\i\ g3s xPpuVru <>/Subtype/Form/Type/XObject>>stream Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number 24 0 obj Our Meritain Health client management team is by far the best weve ever worked with. 97 0 obj 0000243792 00000 n <>/Subtype/Form/Type/XObject>>stream {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. 156 0 obj IBEW Local No. endstream Transition or Continuity of Care (in Spanish). 2 0 obj 120 0 obj H23U0t.=s#0ag Get contact details including emails and phone numbers (business & personal). 0000221360 00000 n 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. endstream For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 0 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. endstream %%EOF Your health and your ability to access your information is important to us. <>/Subtype/Form/Type/XObject>>stream 71 0 obj 0000004995 00000 n Producer. endobj <>/Subtype/Form/Type/XObject>>stream This will delay the processing of the claim. 54 0 obj endstream endobj Individuals & Families. xPpurb & 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 EDI: https://www.health-mental.org/meritain-health-claims-mailing-address/ Category: Health Show Health x3P0 t.C=30agE\i\ gs <>stream endstream At Meritain Health, our jobs are simple: we're here to help take care of you. endobj 0000222146 00000 n Section 1. 0000030860 00000 n 98 0 obj endstream <>/Subtype/Form/Type/XObject>>stream Meritain Health. 0000002399 00000 n <>/Subtype/Form/Type/XObject>>stream 0000001905 00000 n <>/Subtype/Form/Type/XObject>>stream endstream xPpurb & <>/Subtype/Form/Type/XObject>>stream 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 0000071557 00000 n Your network, benefit plans, programs and member communications will be tailored to you. x 0000439614 00000 n Meritain Health Claims Mailing Address Health (9 days ago) WebClaims Information UFCW Local 655 Welfare Fund. xPpurb & We're a proud subsidiary of Aetna and CVS Health . endstream Are you doing all you can to keep it healthy? H23U0t.=s#0agf!R@PBLX n {1O For 24-hour access to your personal health information,log in to your account. For 24-hour , https://qa.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/, Health (8 days ago) WebMailing Address. <>/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>> I absolutely love placing business with MeritainHealthfrom sales support to serviceexceptional. 0000070325 00000 n H23U0t.=s#0agf!R xPpurb & 83 0 obj Visit our Meritain Health YouTube channelOpens in new window to learn more. 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. /I|;5iqOb: 8]m and helpful tips for boosting good healthfor you, and your family. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. endobj Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. endstream endobj . <>/Subtype/Form/Type/XObject>>stream Provider services - Meritain Health. 0000030938 00000 n <>/Subtype/Form/Type/XObject>>stream endobj 0000000854 00000 n endobj xPpurb & 0y\Eo^M dT<4 _i ihU;qrxR4RN7gjbLnIiW/{VPnhhu. 141 0 obj You can get answers to what you need, around the clock. 84 0 obj 70 0 obj PO Box 853921 80 0 obj Complete Meritain Vision Claim Form online with US Legal Forms. H23U0t.=s#0agf!R@PBLX n 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>> 74 0 obj <>/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>> <>/Subtype/Form/Type/XObject>>stream 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 0 119 0 obj <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream <> hbbd```b`` "A"BA$0"Y)0 * dP=&m$ N r endstream <<786CC871D6E58841AFFFF22908309F57>]/Prev 447040/XRefStm 2739>> H23U0t.=s#0agf!R@PBLX n <>/Subtype/Form/Type/XObject>>stream Our innovative solutions identify emerging products and trends for better member engagement, improved outcomes and lower costs. <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream H23U0t.=s#0agf!R@PBLX n 131 0 obj endstream You can locate the number on the back of your ID Card. endstream 0000000016 00000 n endobj 0000222040 00000 n Mississippi Physicians Care Network (MPCN), Presbyterian Select Provider Network (SPN). Copyright 2023 Meritain Health. endobj <>/Subtype/Form/Type/XObject>>stream /j(0`P k o5pn*P j(H <>/Subtype/Form/Type/XObject>>stream endobj endstream <>/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 <. xPpurb & A description of the services provided. 0000007217 00000 n endstream endstream endstream <>/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>> Were adding new tools and resources all the time. xPpurb & <>/Subtype/Form/Type/XObject>>stream endobj 0000047941 00000 n 78 0 obj endobj x3P0 t.C=3C=3=3 6P(JJ grs 0000261367 00000 n <>/Subtype/Form/Type/XObject>>stream 0000222181 00000 n endobj 3 0 obj endobj <>/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>> endobj 0000262751 00000 n endobj 0000091099 00000 n Or fax to (763)-852-5057. 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 For 24-hour automated phone benefits and claims information, call us at 1.800. If you havent created an account, click Register at the top right of this page and follow the prompts. endstream xPpurb & 42 0 obj endstream 6 0 obj endstream Copyright 2023 Meritain Health. xPpurb & endstream endobj 178 0 obj <>stream Well share all our advice x But do you listen to your gut when it comes to your health? endobj 29 0 obj endstream When on the portal, you can also download our free mobile app. Combined with our own in-house products and valued vendor partnerships, our . Looking to build a benefits plan? 0000077747 00000 n endobj <>/Subtype/Form/Type/XObject>>stream endstream endobj Administered by Meritain , Health (3 days ago) WebYou can call Meritain Health Customer Service: {For verification of eligibility and benefit information. 79 0 obj endstream Enter a name to find & verify an email >>> Rocketreach finds email, phone & social media for 450M+ professionals. <>/Subtype/Form/Type/XObject>>stream Not only can we customize your plan, we want to. endobj 0000244435 00000 n <>/Subtype/Form/Type/XObject>>stream Access information quickly For 24-hour access to your patient's health information, log in to your account. 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. endobj <>/Subtype/Form/Type/XObject>>stream All rights reserved. 109 0 obj 0000000934 00000 n 146 0 obj Do you need a referral to see a specialist? xPpurb & <> <>/Subtype/Form/Type/XObject>>stream xPpurb & 154 0 obj endstream <>/Subtype/Form/Type/XObject>>stream Vgmf9q0ATr@ XaFr ` ! Below is the claims submission information: All Providers Send Claims to: Preferred Provider Network: Meritain Health P.O. endstream 0000124097 00000 n If you have questions about claims or benefits, we're happy to help. 0000009558 00000 n <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Tabs/W/Type/Page>> H23U0t.=s#0agf!R H23U0t.=s#0agf!R 0000071023 00000 n 129 0 obj The member whose information is to be released is required to sign the authorization form. "LR 132 0 obj 86 0 obj endobj 118 0 obj 55 0 obj <>/Subtype/Form/Type/XObject>>stream endobj 0000091570 00000 n xPpurb & 104 0 obj 93 0 obj You can see the specialist you choose without a referral.. 0000000016 00000 n 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. For 24-hour access to your patients health information,log in to your account. 94 0 obj 135 0 obj For tips on taking care of your heart, we asked our friends at Meritain Health Pharmacy Solutions (MPS). <>/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>> x3P0 t.C=C=33=aP gos <>/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>> 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. H23U0t.=s#0ag 0000014276 00000 n endobj Plan and member information endobj Try for free at rocketreach.co . You can also click here for our Member User Guide. h\O(DaDHK%aai"bca3e1KN[2F7pt;==:D/dHie,C6nkd0l`r 0000002923 00000 n <>/Subtype/Form/Type/XObject>>stream endobj "LR endobj endobj 139 0 obj All rights reserved. <>/Subtype/Form/Type/XObject>>stream &'ch&^ f:8_k"xpgq#:P641u"A7j|0'gg~Ky%) .x&"!4F">8Y~"ZV2/?+0jmZ{{4|'uF!V 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. <>/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>> Your patient's health and your ability to access their information is important to us. endobj If you havent created an account, click Register at the top right of this page and follow the prompts. 2. 64 0 obj Copyright 2023 Meritain Health. <>/Subtype/Form/Type/XObject>>stream <>/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>> Todays employees crave support for their emotional and mental well-being. endobj endobj endstream !@;P`C&Nu:cHe,S Ms WqY+oApg]DLz948=j\#.$,^`#s%/"8@GIL3K 153 0 obj endstream Meritain is a division of Prodigy Health Group, the nations largest independent third-party administrator of self-funded health plans.Meritain part of $600M Aetna purchase - Buffalo Business Firstwww.bizjournals.com/buffalo/news/2011/04/28/meritain-Does meritain health require referrals?meritain or call 1-800-847-8361 for a list of network providers. ,L"\H4~Zzyv4vet{&+8*BYOl+:;C ks#6i}$9wNB;I@~d hop^F. Allstate Health Solutions P.O. 0000010062 00000 n <>/Subtype/Form/Type/XObject>>stream <>/Subtype/Form/Type/XObject>>stream startxref <>/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>>

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