Meritain HealthFAQ client

As a provider, if there appears to be a discrepancy, such as an unexpected discount applied to your bill, you would typically need to connect directly with your Meritain Health representative for resolution. They can provide detailed information about billing or agreement specifics. Please reach out to them directly with the details regarding your concern.

It's common practice for health insurance companies like Meritain Health to have pre-negotiated prices with health care providers, known as "contracted rates" or "allowed amounts". When you receive your Explanation of Benefits (EOB) after your claim is processed, you may see a "discount" applied to your billed amount. This is the difference between what your health care provider billed and the contracted rate. Remember that this isn't an additional discount but rather the pre-negotiated price that Meritain Health and your provider have agreed upon. This agreement helps reduce costs, benefiting both insured and insurer parties. Do make sure to review your EOB regularly to understand the billing breakdown for any services you receive.