For providers

Reliable support
for providing
top-notch care

Meritain Health works closely with provider networks, large and small, across the nation. We do our best to streamline our processes so you can focus on tending to patients.

When you’re caring for a Meritain Health member, we’re glad to work with you to ensure they receive the very best. We’re the benefits administrator for more than 2,400 plan sponsors and 1.5 million members. Our trusted partnership will afford you and your practice a healthy dose of advantages.


Need to get in touch?

You can access the online provider portal here.

Learn more about provider services here.

Learn more about our clearinghouse vendors here.

Medical claim form

Appeal request form

Transition or continuity of care

Request for predetermination form

Bariatric predetermination form

Injectable infusion authorization form

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Prompt claims payment

You’ll benefit from our commitment to service excellence. In 2020, we turned around 95.6 percent of claims within 10 business days. Our payment, financial and procedural accuracy is above 99 percent. Less red tape means more peace of mind for you.

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Support when you need it

Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. So, when you have questions, we’ve got answers! Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries.

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A community of wellness

Ready to journey with us? You’ll be joining a community of like-minded individuals, focused on wellness. We take our mission of healthier living seriously—and can’t wait to support you!