and caring support
for living your best life
When your benefits are convenient and easy-to-use,
you’ll get the most from them
We understand. With wellness programs, on-demand tools, resources and caring support, Meritain Health puts easy-to-use health care at your fingertips.
We are your Advocates for Healthier Living, and we’re here to connect you and your family to the care you need, right when you need it.
We’ve got more than a few tricks up our sleeves to help you live your best life, and keep your cost of care budget-friendly. We’ll share all our advice
and helpful tips for boosting good health—for you, and your family.
Your benefits may include
Provider network finder
Select a letter to filter by alphabet.
As a member, you can log into your member portal for a more personalized experience.
America’s PPOOpens in new window
Arkansas Managed CareOpens in new window
AZ Foundation for Medical CareOpens in new window
Baptist Health Plan (formerly Bluegrass)Opens in new window
BCBS of ArizonaOpens in new window
Beech StreetOpens in new window
California Foundation for Medical CareOpens in new window
Center Care PPOOpens in new window
Century Health SolutionsOpens in new window
Community Health Alliance (CHA)Opens in new window
Devon HealthOpens in new window
Evolutions Healthcare SystemsOpens in new window
First Choice Health NetworkOpens in new window
First Choice of the MidwestOpens in new window
First HealthOpens in new window
Freedom Networks (PHP)Opens in new window
Gulf Coast Provider NetworkOpens in new window
Gundersen LutheranOpens in new window
Health InfoNetOpens in new window
HealthSpan PreferredOpens in new window
Idaho Physicians Network (IPN)Opens in new window
Imagine/WiseOpens in new window
InterGroup ServicesOpens in new window
Midlands ChoiceOpens in new window
Mississippi Physicians Care Network (MPCN)Opens in new window
Nevada Preferred (UHN)Opens in new window
North American Preferred (NAP)Opens in new window
Ohio Health Choice (OHC)Opens in new window
Parkview Signature CareOpens in new window
Patoka ValleyOpens in new window
Preferred Community Choice (PCC OK)Opens in new window
PreferredOneOpens in new window
Premier DentalOpens in new window
Presbyterian Select Provider Network (SPN)Opens in new window
Private Health Care Systems (PHCS)Opens in new window
Providence PreferredOpens in new window
ProviDRs Care NetworkOpens in new window
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:
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:
- Level 1-Internal appeal. If a member submits a claim for coverage and it is initially denied under the procedures described within the group plan document, that member may request a review of the denial. Meritain Health allows 180 days after a member receives notice of an initial adverse determination to request a review of the adverse determination.
- Level 2-Internal appeal. Meritain Health allows 60 days to request a second-level appeal after a member receives notice of an adverse determination at the first level of appeal.
- Level 3-External appeal. If a member has exhausted the benefit plan’s internal appeal process (or a member is eligible to request an external review for any other reason) that member may request an external review of the benefit plan’s final adverse determination for certain health benefit claims. Meritain Health requires the member to complete an appeals form to indicate a request for external review. Once we receive the request form, the request for external review will be handled in accordance with federal law and/or state law, depending upon the benefit plan.
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.
Appeal Authorization Release Form
Appeal Authorization Release Form (Sp)
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.
Need to contact us?
You can locate the number on the back of your ID Card.
Have you checked out your personalized web site? Click the ‘Register’ button to get started. If you’ve already registered, we hope you’ll visit again. We’re adding new tools and resources all the time. You can get answers to what you need, around the clock. When on the portal, you can also download our free mobile app.
Need help? Click here to get in touch.
You can also click here for our Member User Guide.