Claims Incurred Out of U. S. | Alliance Benefits

Claims Incurred Out of the US

When you obtain medical services out of the US, claim submission is very streamlined.

Medical, Dental, Vision, or Prescription

Submit Claims to:

           Meritain Health
           PO Box 27267
           Minneapolis, MN 55427-0267
           Fax: 952-541-0193
           Electronic: EDI: WebMD – #41124

Please Note: Prescriptions purchased out of US are reimbursed through Meritain, not Express Scripts.

To submit claims, e-mail this information to Alliance@meritain.com for each claim:

Primary Cardholder’s Name
Meritain ID number
Patient’s Name
Patient’s Date of Birth
Date of Procedure
Diagnosis (Medical condition or symptoms)
Type of Procedure (or name of medicine)
Amount of bill for each procedure in local currency
Exchange rate on date of service
Amount of bill for each procedure in US dollars according to the exchange rate on date of service

If the claim is US $2,000 or more: You must attach a copy of itemized receipt.

If the bill or receipt is in another language: Please provide an English translation.

For claims less than US $2,000: You do not need to submit receipts, but you should retain all receipts for at least two years from date of service in case of audit.

Claims must be filed within one year from date of service.

Save your claim in your Sent e-mail folder until paid
Check your claims at www.myMeritain.com to verify Meritain has processed
If your paid claim online is labeled NOCHECK, reimbursement will appear in the next available month’s allowance

Questions about your claims? Please e-mail servicehelp@meritain.com.

Exception: Is this injury or illness Work-Related? If so DO NOT submit to Meritain. Please contact Alliance Benefits for further instructions.

Please save all medical receipts, travel receipts, and doctor’s notes.
Keep record of any work time lost.