How to verify eligibility and benefits for Meritain Health members |
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| Meritain Health is a subsidiary of Aetna and is one of the nation’s largest administrators of health benefits. When you see a member’s ID card, it will show the Meritain Health logo (their health care benefits administrator) and the logo of the network the member can use. |
| This means their claims should be submitted electronically using the Meritain EDI information. Claims can also be mailed to the Meritain claims address on the member's ID card. Claims should not be submitted to Aetna. |
| Although Meritain Health is an Aetna-owned company, we do not administer benefits for these members. We cannot process claims or confirm eligibility. These are done directly by Meritain Health. |
Three ways to verify eligibility and benefits: |
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| Use Change Healthcare/Emdeon: EDI# 41124. |
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| Go to meritain.com. You’ll need your NPI and TIN to register the first time. There, you can get information about claims, benefits, eligibility and preapprovals. Call Meritain customer service at the number on the back of the member's ID card if you need help logging in. |
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| Call Meritain’s Provider Relations team at the number on the back of the member's ID card. |
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Claims processing and payment |
| When you see Meritain Health members, be sure to follow the instructions on the back of the ID card. |
| We appreciate your support and look forward to working together! |
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| Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). |
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| This message is for informational purposes only, is not medical advice and is not intended to be a substitute for proper medical care provided by a physician. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna® plans, refer to aetna.com. |
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| Help/contact us: If you have any questions, please contact us. |
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| You are receiving this because you have elected to communicate with Aetna through email. If you no longer wish to receive these particular messages via email, you may unsubscribe at any time. |
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| We are located at 151 Farmington Avenue, Hartford, CT 06156. |
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| ©2019 Aetna Inc. 95.36.800.1 (1/19) |
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