![]() If we have a question about your coverage under multiple plans, Meritain Health will send you information needed to contact your secondary plan. If your family is covered by more than one health plan, you are considered to have primary and secondary coverage. These are items from your provider, but you can follow up with them to make sure they have submitted the proper items. This can include medical records, an itemized bill or a letter of medical necessity. Meritain Health may need more information to process your claim. What are some common reasons for waited claims? This slows down an ultimate payment because if we receive the information needed after that timeframe, a new claim would need to be created and enter the process anew. If we do not get this information back within that timeframe, we won’t be able to process the claim, and it will be denied. ![]() The letter also gives a deadline to submit the missing information. If you have a waited claim, you will receive a letter from Meritain Health outlining the “waited” status of your claim and the information we need from you to continue processing the claim. When this happens, we mark your claim as a waited claim until we receive the requested information from you or your provider. ![]() We understand! Meritain Health ® sometimes receives incomplete claims for services, which need more information before we can process them. When you have an outstanding claim, you want to reimbursed as soon as possible. ![]()
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