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Meritain form 2025

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The document from Meritain Health requests information about any additional healthcare coverage that the recipient or their dependents may have. It provides instructions for submitting this information online or via a printed form, emphasizing the importance of this data for processing future claims. The form includes sections to detail other insurance coverage types, including group plans, individual policies, Medicare, and court-ordered responsibilities.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (160 Votes)
2017	3.8 Satisfied (37 Votes)
2016	4.4 Satisfied (43 Votes)

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What is the payer ID 41124?

Payer Name: WellNet|Payer ID: 41124|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Where is Meritain Health Insurance located?

Meritain Health Inc, 300 Corporate Pkwy, Suite 100S, Buffalo, NY, Insurance - MapQuest.

What is the phone number for Meritain Health PA provider?

If you have questions about claims or benefits, were happy to help. For 24-hour automated phone benefits and claims information, call us at 1.800. 566.9311. To docHub us by phone, dial the toll-free number on the back of the patients ID card.

What is the insurance claim form?

noun. (Insurance: Claims) A claim form is a standard printed document used for submitting a claim. Under normal circumstances, reimbursement will take place within ten days of receipt and approval of claim form and all required documents.

Where is Meritain Health Insurance located?

Meritain Health Inc, 300 Corporate Pkwy, Suite 100S, Buffalo, NY, Insurance - MapQuest. Meritain Health Inc - MapQuest mapquest.com new-york meritain-health mapquest.com new-york meritain-health

Meritain form 2025

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