Meritain Health Other Insurance Coverage Information 2017 free printable template
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Other Insurance
Coverage
InformationComplete and return to:
Maritain Health
Eligibility Department
P.O. Box 27810
Minneapolis, MN 554270810
Fax: 716.541.6672
Email: Forms.Direct@meritain.comMeritain
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How to fill out Meritain Health Oformr Insurance Coverage Information
How to fill out Meritain Health Other Insurance Coverage Information
01
Gather all relevant information about your other insurance policy, including the policy number, the name of the insurance company, and the names of covered individuals.
02
Go to the Meritain Health website or the form provided by your employer.
03
Locate the section labeled 'Other Insurance Coverage Information'.
04
Carefully fill in the required fields with the information gathered, ensuring accuracy.
05
Review the completed information for any errors or omissions.
06
Submit the form as instructed, either electronically or via mail.
Who needs Meritain Health Other Insurance Coverage Information?
01
Members who have additional health insurance coverage aside from their Meritain Health plan.
02
Individuals who are coordinating benefits between multiple health insurance plans.
03
Patients seeking to ensure proper billing and claims processing for healthcare services.
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What is Meritain Health Other Insurance Coverage Information?
Meritain Health Other Insurance Coverage Information is a form that collects details about any additional insurance coverage an individual may have alongside their Meritain Health plan.
Who is required to file Meritain Health Other Insurance Coverage Information?
All members who have other insurance coverage in addition to their Meritain Health plan are required to file this information.
How to fill out Meritain Health Other Insurance Coverage Information?
To fill out the form, members should provide details such as the name of the other insurance company, policy number, type of coverage, and the effective dates of the policy.
What is the purpose of Meritain Health Other Insurance Coverage Information?
The purpose is to coordinate benefits and ensure that claims are processed correctly when multiple health insurance policies are involved.
What information must be reported on Meritain Health Other Insurance Coverage Information?
Members must report details including the name and address of the other insurance provider, policy number, type of coverage (e.g., medical, dental), and the effective and termination dates of the coverage.
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