Contact the Meritage Medical Network Administrative Office for the following:
- Authorization status
- Authorization modification requests – CPT/diagnosis/quantity changes, extensions, etc.
- Claim status – for large batches of inquires, spreadsheets can be faxed or emailed for a response.
- Questions regarding network access – who members may see in the network
- Eligibility verification
- Benefit details (copays, coinsurance, annual deductible, max out of pocket)
- Requesting copies of claim EOBs and/or authorization approval/denial notices
- Access to UM Staff for general questions and authorization issues
- Questions or issues regarding Meritage Medical Network’s authorization process, or how to obtain the policies, procedures, and criteria used to authorize, deny, or modify healthcare
North Bay Area
Hours:
Monday – Friday 8:30am – 5:00pm
Phone:
(415) 884-1840 or (800) 874-0840
Bay Area Fax:
415-884-3510
TDD/TTY for the hearing impaired:
Email:
North Bay Area Claims & Correspondence
PO Box 2160
Oakland, CA 94621
Central Valley
Hours:
Monday – Friday 8:30am – 5:00pm
Phone:
Fax:
(415) 475-5671
Email:
centralvalleyservice@meritagemed.com
Central Valley Claims & Correspondence
PO Box 2440
Oakland, CA 94621