we make it easier for you to quickly identify the most informative profiles on Doctor.com. When billing, you must use the most appropriate code as of the effective date of the submission. Aetna Inc. and itsitsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. The information you will be accessing is provided by another organization or vendor. Were a proud subsidiary of Aetna and CVS Health . They go above and, Trusted Advisors Since 1984. Health-mental.org. What is Precertification and Why Do I Need It. First, you can , https://www.health-improve.org/become-a-meritain-health-provider/, Health (4 days ago) WebOnline Certification Process Skip To Main Content Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Provider termination form and directory update. Please fill in all fields. To help us direct your question or comment to the correct area, please select a category below. The following hospital and/or physician groups accept Meritain Health PPO. Your benefits plan determines coverage. I practice independently and I want to contract with Aetna. You can email the site owner to let them know you were blocked. Independent retail pharmacies can fill out the form at the link below. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Whether you're building an employee benefits program, researching your member benefits or offering support to your patients, we're ready to help you do more with your health plan. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Providers cannot request to alter or remove reviews. These providers have agreed to discounted rates for the services they offer. Less red tape means more peace of mind for you. What is an in-network provider? Links to various non-Aetna sites are provided for your convenience only. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Welcome to Meritain Health's Aetna DocFind site. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Expertise and advanced technologies in all areas of medicine. All rights reserved. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. WEX Health Inc. 2004-2023. CPT is a registered trademark of the American Medical Association. Best time to dial 3:45pm. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. This means you could end up having to pay a lot more for your care. , Health (5 days ago) WebTo locate a physician or facility for treatment participating with Meritain: Please call Meritain Health at 1-800-343-3140 for help finding an in-network provider. Contact us at 1.800.925.2272 if you have any questions about your plan. Forgot Password? Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. A full breakdown of points can be seen To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . This search will use the five-tier subtype. Please contact your Meritain Health Representative. Gather Information. by providers with Doctor.com accounts when editing their profile on Doctor.com. For serious accidents, injuries and conditions that require immediate medical care. A healthcare facility or health insurance plan asks the provider for information on his or her background, licenses, , Health WebCredentialing is done before a health care professional joins the Aetna network. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Past Week Past 24 Hours By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance provider's profile, including items like having a photo, a biography, Meritain Health Provider Services - Meritain Health Provider services Contact us Your patient's health and your ability to access their information is important to us. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. And what if youre not sure how to find one? 437 verified reviews. 69.163.152.136 Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. First, you can request participation in the Aetna network by completing our online request for participation form. By continuing to use the site, you agree to the use of cookies. For a faster response, please call us directly at 888-666-8135. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Category: Health Detail Health. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. For 24-hour , Health (6 days ago) WebAddress, phone number, and practice changes For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) , Health (7 days ago) WebMeritain Health 4 Benefit Highlights Nationwide provider access at a discount When you and your family seek health care services, you have access to Aetnas broad national , Health (5 days ago) WebThe Provider/Specialist who receives the patient referral must submit the completed Specialty Referral form to: Meritain Health, Inc. via fax at (602) 789-9369 or submit via , Health (7 days ago) WebFor member or provider questions regarding benefits, claims status or eligibility call Meritain Health Member Services at 1.800.762.2234 or visit www.MERITAIN.com. " Meritain Health works closely with provider networks, large and small, across the nation. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Do you want to continue? Were a proud subsidiary of Aetna and CVS Health . The ABA Medical Necessity Guidedoes not constitute medical advice. Our trusted partnership will afford you and your practice a healthy dose of advantages. Torequest participation in First Health networks, follow the link below. It helps when you understand the ins and outs of your health care benefits, especially when youre in search of a doctor or health care facility. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. New and revised codes are added to the CPBs as they are updated. I may or may not be employed by an Aetna-contracted provider. For Providers Meritain Health Provider Portal Meritain Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Each main plan type has more than one subtype. The member's benefit plan determines coverage. Some subtypes have five tiers of coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Treating providers are solely responsible for medical advice and treatment of members. (6 days ago) Web (7 days ago) WebFor member or provider questions regarding benefits, claims status or eligibility call Meritain Health Member Services at 1.800.762.2234 or visit . The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. You are now being directed to CVS Caremark site. Thank you for your interest in joining our networks. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Convenient walk-in care clinics for your non-urgent health needs. When you select a Meritain Health plan, you get . Welcome to the Meritain Health benefits program. The Provider/Specialist who receives the patient referral must submit the completed Specialty Referral form to: Meritain Health, Inc. via fax at (602) 789-9369 or submit via email at group_precert-referrals@meritain.com in order for claims to be paid. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Have other questions about your health care benefits? While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. Meritain Health Customer Service When you need more information We are Meritain Health As Advocates for Healthier Living, we provide easy-to-use health care benefits you can use to live well. PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. Copyright 2023 Meritain Health. Well need to terminate your existing agreement with us. Youll benefit from our commitment to service excellence. These providers have agreed to discounted rates for the services they offer. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Prompt claims payment You'll benefit from our commitment to service excellence. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. This Agreement will terminate upon notice if you violate its terms. Call center hours 24 hours, 7 days. Username. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Our trusted partnership will afford you and your practice a healthy dose of advantages. Links to various non-Aetna sites are provided for your convenience only. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. website and services to function. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Join CAQH UPD. Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. Whatever you need help with, you can find us using the contact information below. Aaron Lissarrague - American Family Insurance, Our American Family Insurance agency is committed to inspiring and protecting dreams, Welcome to the Roderick Youngdahl agency, serving the Maple Grove, MN area since, **You can drop off the information at Debbie's Tax Facts located in Maple Grove, MN, Becky Meierhofer - State Farm Insurance Agent, Thank you for considering Meierhofer Becky Ins. We're currently processing your request and we'll be in touch soon. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. By using our site, you agree to our use of cookies and our, Rheumatologist (Joints & Arthritis Specialist), Physiatrist (Physical Medicine & Rehabilitation), Speech, Language and Hearing Service Providers, Gastroenterologist (Stomach & Bowel Specialist), Pediatrician (Kids / Children Specialist). Visit the secure website, available through www.aetna.com, for more information. First, you can request participation in the Aetna network by completing , Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023, 2022 health-mental.org. If you have any questions about your benefits or claims, we're happy to help. This website is using a security service to protect itself from online attacks. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. In case of a conflict between your plan documents and this information, the plan documents will govern. Password. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). And our payment, financial and procedural accuracy is above 99 percent. Include the date to the template using the Date feature. With Aetna's financial backing and 30-plus years of operational excellence, you can rest assured knowing Meritain Health has the experience and resources to keep your plan. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Please check with your health plan if you have questions about coverage and network providers for specific products. Find a Northern Californian Provider that meets your needs. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. The CAQH registration process prevents providers from submitting the same information to . All rights reserved. (6 days ago) WebTimely Filing Limit 2023 of all Major Insurances Health (4 days ago) WebThe timely filing limit varies by insurance company and typically ranges from 90 to 180 days. Powered by WEX Health Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. If you do not intend to leave our site, close this message. At this time, only PPO , Maryland licensed environmental health specialist, Mesa county health department grand junction, Behavioral health park nicollet st louis park, Missouri department of behavioral health, Community health network medical record, 2019 Healthmoom.com. This means we can connect you to over 700,000 providers nationwide, unmatched network , Health (Just Now) WebWelcome to Meritain Health's Aetna DocFind site. We're a proud subsidiary of Aetna and CVS Health . Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Were a proud subsidiary of Aetna and CVS Health. You are now being directed to the CVS Health site. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Prompt claims payment Youll benefit from our commitment to service , Health (1 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Precertification Request. If you have questions about claims or benefits, were happy to help. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Our trusted partnership will afford you and your practice a healthy dose of advantages. You can access the online provider portal here. Links to various non-Aetna sites are provided for your convenience only. **Please select one of the options at the left to proceed with your request. PLEASE NOTE: The Precertification Request form is for provider use only. If you or a covered dependent seek hospital treatment, both inpatient and/or outpatient, in Anchorage, you must use Providence Hospital to receive maximum plan benefits. This site has been specially designed to provide quick and easy access to the Aetna provider directory. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Customer Number 800-925-2272 - by the Numbers. U.S. Patent & Trademark office. 1000 MO IL KS Essence Healthcare Essence Healthcare Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Privacy Policy However, if you visit an out-of-network provider, its a little more tricky. So, when you visit an in-network provider, it can help ease your mind a bit. However, . Reprinted with permission. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Please note that providers listed in this directory may perform . **Please select one of the , Health (2 days ago) WebContact us. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. Information obtained during the , Health WebCredentialing Process Overview . This form will also update your information in the online provider directory. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number Copyright 2023 Sutter Health. All Rights Reserved. Performance & security by Cloudflare. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) December 23, 2022 by NSingh Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. And when you have questions, weve got answers! Become A Meritain Health Provider Health (4 days ago) Web(5 days ago) WebThe Provider/Specialist who receives the patient referral must submit the completed Specialty Referral form to: Meritain Health, Inc. via fax at (602) 789-9369 or Disclaimer of Warranties and Liabilities. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. ProfilePoints measure the overall completeness of a Step 2. 3. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members.

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