Although Meritain Health is an Aetna-owned company, Aetna does not administer benefits for their members and cannot process claims or confirm eligibility. Instead, Meritain Health does this.
Member ID cards will show the Meritain Health logo (the health care benefits administrator) and the logo of the network the member can use.
2 ways to submit claims
Claims can be submitted in one of two ways.
You can submit the claim electronically using the Meritain Health EDI information.
The member can mail the claim to Meritain Health’s claims address listed on the member’s ID card.
Claims should not be submitted to Aetna.
3 ways to verify eligibility and benefits for Meritain Health members:
Use Change Healthcare/Emdeon EDI number 41124.
Visit meritain.com. First-time registration requires your NPI and TIN. There, you can get information about claims, benefits, eligibility and preapprovals. Call Meritain Health customer service at the number on the back of the member’s ID card for help logging in.
Call Meritain Health’s Provider Relations team at the number on the back of the member’s ID card.
Meritain Health is a subsidiary of Aetna and is one of the nation’s largest administrators of health benefits.