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We’re here to connect you and your family to the care you need, right when you need it.
We encourage you to check out your personalized member site. Here, you can get many answers to what you need, around the clock. Plus, new tools and resources are being added all the time. Click Register above to get started.
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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
Aetna’s 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
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As a member, you can log into your member portal for a more personalized experience.
The Authorization for Release of Information form is required according to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), specifically 45 CFR § 164.508 of the HIPAA Regulations.
The following is a description of how to complete the form.
Section 1. Plan and member information
Section 2. Employee information: if you are NOT the employee of the plan
Section 3. Who you authorize to receive your PHI information; for example, spouse, child or friend
Section 4. Purpose: why do you want the information released?
Section 5. Your signature and your understanding of what it means
Section 6. Signature of member or member’s guardian
The member whose information is to be released is required to sign the authorization form.
All sections of the form must be complete for the form to be considered. Please forward this completed form to the privacy officer of the employer or to:
Meritain Health
Attn: HIPAA Compliance Officer
PO Box 853921
Richardson, TX 75085
About Meritain Health’s Claims Appeal
Meritain Health’s 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. 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. Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed.
Please note, the claims appeal procedure is explained at length within each group’s Summary Plan Description (SPD).
The form linked below should used by a member who would like to grant permission to another individual to act on their behalf in connection with an appeal.
The form linked below should be completed by a member who needs to grant access to their PHI to another individual in connection with an appeal.
This content is being provided as an informational tool. It is believed to be accurate at the time of posting and is subject to change. 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. By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice.