Claims Submission and Payment
List of Accounts managed by Mercy Managed Behavioral Health
Effective Date: 1/1/2020
**Send claims directly to the third-party administrator.
PLAN
ADDRESS
Electronic Claims Address
CLAIM
STATUS/
PROVIDER
RELATIONS
APPLICABLE
STATE
Carpenters’ Health &
Welfare Trust Fund
Meritain Health
PO Box 853921
Richardson, TX 75085-3921
Web MD/Emdeon, #41124 or McKesson/Relay
Health 1761
(314) 644-4802
ext. 1000
or toll free
(877) 232-3863
ext. 1000
MO
IL
KS
Essence Healthcare
Essence Healthcare
PO Box 5907
Troy, MI 48007
Emdeon #20818, Gateway #57082
SSI Payer ID & Sub ID 99999-0648
(314) 209-2700
or
(866) 597-9560
Option 5, then
Option 2
MO
IBEW Local 309
Collinsville, Illinois
Meritain Health
PO Box 853921
Richardson, TX 75085-3921
WEBMD/Emdeon #41124,
Mckesson/Relay Health #1761
(618) 344-2002
MO
IL
IBEW Local No. 1 Health
and Welfare
IBEW Local 1
Health & Welfare Fund
PO Box 6088
St. Louis, MO 63139
Relay Health #44602
Trizetto / Office Ally / Practice Insight #44602
(314) 752-2330
or (877) 281-
2430
MO
IL
LHN
(Labor Health Network)
Meritain Health
PO Box 853921
Richardson, TX 75085-3921
WEBMD/Emdeon #41124,
Mckesson/Relay Health #1761
(866) 209-3063
MO
IL
Anthem EPO Commercial
(Offered in MO ONLY for
NON-Mercy co-workers)
MO ONLY:
Anthem
PO Box 105187
Atlanta, GA 30348
Electronic Claim Submission:
www.anthem.com/edi
(888) 571-9054
MO
Mercy Co-Workers
MO ONLY:
Outside of MO:
Anthem
PO Box 105187
Atlanta, GA
30348
File claims with the local Blue
Cross and Blue Shield Plan in
the state where services were
provided.
Electronic Claim Submission:
www.anthem.com/edi
(888) 571-9054
MO
IL
OK
AR
KS
2 | P a g e
Aetna Medicare Premier
(HMO). H2663021
Aetna Medicare
PO Box 981106
El Paso, TX 79998-1106
Payor ID# 60054
(800) 624-0756
MO
AR
Aetna Medicare Core Value
(HMO). H2663022
Aetna Medicare
PO Box 981106
El Paso, TX 79998-1106
Payor ID# 60054
(800) 624-0756
MO
AR
Aetna Medicare Premier
Plus (HMO-POS).
H2663023
Aetna Medicare
PO Box 981106
El Paso, TX 79998-1106
Payor ID# 60054
(800) 624-0756
MO
AR
Aetna Medicare Premier
Preferred (HMO).
H2663036
Aetna Medicare
PO Box 981106
El Paso, TX 79998-1106
Payor ID# 60054
(800) 624-0756
MO
AR
QuikTrip Corporation
Mercy Benefit Administrators (MBA)
PO Box 211197
Eagan, MN 55121
Electronic Payor ID #43185
(918) 615-7972
MO
IL
