Meritain Health at a glance
| Legal name | Meritain Health, Inc. |
|---|---|
| Also known as | Meritain |
| Category | Third-party administrator (TPA) |
| Parent organization | Aetna (CVS Health) |
| Claims payer ID | 41124 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 41124 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 41124 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Provider resource entry point | https://account.meritain.com/ |
| Provider phone | Plan-specific |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Meritain Health
A single filing deadline has not been established for this Meritain Health record. Check the member's plan, regional manual, provider agreement and applicable rules before calculating the deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Plan-, region- or contract-specific |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Meritain Health. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Meritain Health provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Meritain Health
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Meritain Health electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Meritain Health. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Meritain Health
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Meritain Health volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 41124 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 41124 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 41124 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
Provider portal and filing scope
Source comparison: 2026-09-18
Meritain's official provider resource page links account.meritain.com. It does not establish a universal 90-day filing deadline. That default was withdrawn; determine the controlling employer plan and provider agreement before calculating a deadline.
Primary source for provider portal and filing scopeProvider phone scope
Source comparison: 2026-09-18
Meritain lists 1-800-566-9311 for automated claims and benefits information, and directs callers to the patient ID card for plan-specific phone support. The old unverified staffed provider-services number was removed rather than replaced with a mislabeled automated line.
Primary source for provider phone scopeClearinghouse-specific electronic transactions
Source comparison: 2026-09-18
The official vendor table distinguishes claims-only connectivity from eligibility and claim-status transactions at other clearinghouses. It does not validate every stored payer ID, ERA enrollment or X12 278 support; those checks remain open.
Primary source for clearinghouse-specific electronic transactionsprovider_phone
Source comparison: 2026-09-18
800-566-9311 is automated claims/benefits information. Staffed, plan-specific questions route via the patient ID card; a generic provider phone must not be fabricated.
Primary source for provider_phoneelectronic_claims_supported, supports_279_271
Source comparison: 2026-09-18
The table distinguishes claims-only and additional eligibility/claim-status connections by clearinghouse. It does not establish ERA enrollment, X12 278 or all stored 41124 identifiers.
Primary source for electronic_claims_supported, supports_279_271
Not checked in this pass: All fields outside the specifically scoped findings, including legal-entity/NAIC identifiers, current enrollment and geographic coverage; Product-complete initial, corrected, secondary and appeal rules; applicable contracts and exceptions; Transaction-specific payer IDs, ERA enrollment and X12 278 unless explicitly established above; Prior-authorization code samples and current clinical criteria; QuickIntell capability/outcome claims and historical DataForSEO demand values; Accountable whole-record editorial approval (not supplied).
Evaluate QuickIntell workflow fit for Meritain Health
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Meritain Health; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Meritain Health; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Meritain Health before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Meritain Health
Where is the Meritain Health provider portal?
Use https://account.meritain.com/ as a starting point for Meritain Health provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Meritain Health?
A single filing deadline has not been established for this Meritain Health record. Check the member's plan, regional manual, provider agreement and applicable rules before calculating the deadline.
What is the Meritain Health payer ID?
Claims: 41124 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 41124 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 41124 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Meritain Health accept electronic claims?
Verify Meritain Health electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Meritain Health denial?
This registry has not established a payer-specific appeal ladder for Meritain Health. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Meritain Health prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
How do providers contact Meritain Health?
This registry has not established one provider phone number for Meritain Health. Use the number on the patient ID card for plan-specific support. Meritain lists 1-800-566-9311 for automated benefits and claims information; it is not a universal staffed provider-services line. Use https://account.meritain.com/ as a starting point for Meritain Health provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
For revenue-cycle teams
Connect payer lookups to your revenue-cycle workflow
Do staff repeatedly move between payer references, eligibility checks, claim status and remittance follow-up?
- Keep this payer's official reference available to the team.
- Identify one repeated administrative task and measure its handling time.
- Evaluate the required access, exceptions and reviewer handoff before expanding automation.
Meritain Health is an operational reference. Payer decisions remain with the payer. Confirm plan coverage, system access and supported actions during a scoped evaluation.
Download the illustrative workflow worksheet (PDF) · Explore the AI RCM evaluation toolkit · Model the workload and costs
Automate workflows around Meritain Health requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Meritain Health's current published documents before submission. CPT® is a registered trademark of the American Medical Association.