Coverage profile
Work Meritain Health across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Meritain Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Meritain Health.
Other aliases
Also known as
- 64157
- MTAIN
- MERITAIN, AN AETNA COMPANY
- MERITAIN
Payer policies
Meritain Health policies
The first 25 of 5,481 public policies Substrate tracks for Meritain Health, by title. Links open the payer's own document; check its current version before relying on it.
- 0001-Transrectal UltrasoundView policy ↗
- 0002-OxygenView policy ↗
- 0008-Color-Flow Doppler Echocardiography and Myocardial Strain ImagingView policy ↗
- 0009-Orthopedic Casts, Braces and SplintsView policy ↗
- 0016-Back Pain - Invasive ProceduresView policy ↗
- 0017-Breast Reduction Surgery and Gynecomastia SurgeryView policy ↗
- 0021-Cardiac RehabilitationView policy ↗
- 0022-Calcitriol, Etelcalcetide, and Paricalcitol InjectionsView policy ↗
- 0024-Aldesleukin (Proleukin)View policy ↗
- 0027-Vasectomy Procedures and Chronic Scrotal Content PainView policy ↗
- 0029-ThermographyView policy ↗
- 0038-Allergy and HypersensitivityView policy ↗
- 0048-Hepatitis A VaccineView policy ↗
- 0049-Nutritional CounselingView policy ↗
- 0059-Peak Flow MetersView policy ↗
- 0061-Nutritional SupportView policy ↗
- 0062-Burn GarmentsView policy ↗
- 0065-NebulizersView policy ↗
- 0070-Diabetes Tests, Programs and SuppliesView policy ↗
- 0074-Tracheostomy SuppliesView policy ↗
- 0078-Learning Disabilities, Dyslexia, and VisionView policy ↗
- 0079-Benign Prostatic HyperplasiaView policy ↗
- 0082-Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical PlansView policy ↗
- 0083-Stereotactic RadiosurgeryView policy ↗
- 0084-Eyelid SurgeryView policy ↗
Search all 5,481 Meritain Health policies by CPT code, keyword or policy number →
Routing reference
Meritain Health payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Meritain HealthSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AK, AL, AR, CA, CO, CT, DC, FL, GA, IL, KS, LA, MD, ME, MI, MO, NE, NJ, NY, OH, PA, SC, TN, TX, VASource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 41124Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 41124Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 41124Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 41124Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | MTAINSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 41124Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | MTAINSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- Stedi payer catalogMatched by payer ID; matched record: Meritain Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MERITAIN HEALTH. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Meritain Health. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone lines5
- (800) 646-9329(800) 646-9329 Phone TreeMeritain Health line with member, provider and plan sponsor options, including a plan participant ID prompt and an FSA transfer.Answered by: Automated phone menu → Live person
- (800) 828-6922Meritain Health Phone MenuMeritain Health phone menu that routes employers, plan participants, providers and flexible spending account callers by keypad.Answered by: Automated phone menu
- (800) 925-2272Meritain HealthMeritain Health line that sorts callers into employer or broker, plan participant, and healthcare provider paths, with flexible spending account transfers and extension dialing.Answered by: Automated phone menu
- (866) 808-2609Meritain Health Benefits Phone LineMeritain Health benefits line. Callers press 1 for employers, 2 for plan participants, 3 for providers, 5 for flexible spending accounts, or 9 for an extension.Answered by: Automated phone menu → Live person
- (888) 285-6402Meritain Health phone treeMeritain Health line that routes employers, plan participants, providers, flexible spending callers and extension callers.Answered by: Automated phone menu
Phone numbers1
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(866) 316-3784 | Other stated contextBenefit context: Inactive |
| Health Benefit Plan Coverage |
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.