Aetna recently completed its acquisition of Meritain Health, a subsidiary of Prodigy Health Group. At the time of acquisition, Meritain Health was the nation's largest, independent third-party administrator (TPA) of self-funded health care plans.
As an Aetna-owned company, Meritain members can use physicians and hospitals in the Aetna network.
ID card facts:
- The ID card issued by the TPA will have the Meritain logo identifying it as an Aetna company.
- The ID card will also contain a logo indicating the network the member is using. If the ID card has an Aetna logo, Aetna will pay based on the Aetna non-gated fee schedule. If the ID card has another network logo, Meritain will pay based on the negotiated rate for the indicated network. Note: Meritain is contracted with some companies who may use networks other then the Aetna network for their employees.
- Send claims to the Meritian address listed on the member's ID card, as Meritain will be processing claims.
If you have questions, call the number on the member's ID card.
Source: Aetna OfficeLink UpdatesTM, December 2011, Volume 8, Issue 4 at www.aetna.com.