provider's profile, including items like having a photo, a biography, By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. After-hours, weekend and holiday services. Our trusted partnership will afford you and your practice a healthy dose of advantages. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Have questions about our products, policies and services? Contact us at 1.800.925.2272 if you have any questions about your plan. Less red tape means more peace of mind for you. Our trusted partnership will afford you and your practice a healthy dose of advantages. 437 verified reviews. What is an in-network provider? ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance 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). This website is using a security service to protect itself from online attacks. Provider termination form and directory update. It is important to note that not all of . 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. Powered by WEX Health 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). 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. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Ready to journey on with us? by providers with Doctor.com accounts when editing their profile on Doctor.com. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please fill in all fields. If you have questions about claims or benefits, we're happy to help. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Our trusted partnership will afford you and your practice a healthy , https://www.meritain.com/resources-for-providers-meritain-health-provider-portal/, Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. We are excited to share that MeridianCare, a WellCare company, is , https://corp.mhplan.com/en/join-our-network/, Health (Just Now) WebWelcome to Meritain Health's Aetna DocFind site. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. www.meritain.com . Disclaimer of Warranties and Liabilities. All services deemed "never effective" are excluded from coverage. Links to various non-Aetna sites are provided for your convenience only. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Others have four tiers, three tiers or two tiers. Copyright 2023 Meritain Health. The AMA is a third party beneficiary to this Agreement. The following hospital and/or physician groups accept Meritain Health PPO. Well need to terminate your existing agreement with us. All rights reserved | Email: [emailprotected], Meritain health check patient eligibility, Maryland licensed environmental health specialist, Mesa county health department grand junction, Behavioral health park nicollet st louis park. This site has been specially designed to provide quick and easy access to the Aetna provider directory. We use cookies to give you the best possible user experience. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. The information you will be accessing is provided by another organization or vendor. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. 4.75. If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. 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. Your IP: Click to reveal And what if youre not sure how to find one? Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. 1000 or toll free 7) 232-3863 ext. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. When you visit an out-of-network provider, its common to pay up front and then file a claim for reimbursement according to your out-of-network benefits (if this is part of your plan coverage). Links to various non-Aetna sites are provided for your convenience only. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. In most cases, the providers office will make a copy of your ID card for your file so they know in advance how to bill you for the service you receive. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Check-ups, screenings and sick visits for adults and children. Our phone lines are open 24 hours a day, seven days a week. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health This means you could end up having to pay a lot more for your care. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). 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. First, you can request participation in the Aetna network by completing our online request for participation form. 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. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. Performance & security by Cloudflare. Need Help? Please contact your Meritain Health Representative. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Precertification Request. 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. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. In case of a conflict between your plan documents and this information, the plan documents will govern. All Rights Reserved. Category: Health Detail Health. Treating providers are solely responsible for dental advice and treatment of members. Join CAQH UPD. 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. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Combined with our own in-house products and valued vendor partnerships, our solutions have placed us as the second largest third party administrator (TPA) in the nation. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. You can access the online provider portal here. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. I practice independently and I want to contract with Aetna. Do you want to continue? trademark of Sutter Health , Reg. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Copyright 2023 Meritain Health. **Please select one of the , Health (2 days ago) WebContact us. Privacy Policy Total number of Providers on Doctor.com who Accept Meritain Health: Most popular medical specialty of providers who accept Meritain Health: Meritain Health providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Meritain Health: Average Overall User Rating for providers who take Meritain Health. These providers have agreed to discounted rates for the services they offer. Expertise and advanced technologies in all areas of medicine. 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. 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. This information is neither an offer of coverage nor medical advice. By continuing to use the site, you agree to the use of cookies. Click , https://corp.mhplan.com/en/provider/michigan/meridianhealthplan/join/, Health (9 days ago) WebThe medical practitioners are required to login to the CAQH page to complete and activate the registration process. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). Very professional. They go above and, Trusted Advisors Since 1984. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Skip To Main Content. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. 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. 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. 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. 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 , https://qa.meritain.com/?spb-section=welcome-to-meritain-health, Health (2 days ago) WebMeritain Health Provider Services - Meritain Health Provider services Contact us Your patients health and your ability to access their information is important to us. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! This search will use the five-tier subtype. PLEASE NOTE: The Precertification Request form is for provider use only. Call picked up by a real person YES. **Please select one of the options at the left to proceed with your request. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Thank you for your interest in joining our networks. 3. A full breakdown of points can be seen 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. 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. Meritain Health Provider Enrollment. All Rights Reserved. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. When you select a Meritain Health plan, you get . Please contact your Meritain Health Representative. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. And our payment, financial and procedural accuracy is above 99 percent. So, when you visit an in-network provider, it can help ease your mind a bit. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 1000 MO IL KS Essence Healthcare Essence Healthcare Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). Health. Call center hours 24 hours, 7 days. Our trusted partnership will afford you and your practice a healthy , Health WebContact us online Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice , Health WebMeritain Health Provider Credentialing Health (9 days ago) WebNetwork Participation and Credentialing Providers AmeriHealth Health (Just Now) WebAll providers , Health WebMeritain Health Provider Services Meritain Health. Please note that providers listed in this directory may perform . Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. insurance, payment options, etc. Provider services Contact us Your patient's health and your ability to access their information is important to us. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. 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. Links to various non-Aetna sites are provided for your convenience only. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". If you have any questions about your benefits or claims, we're happy to help. All rights reserved. For language services, please call the number on your member ID card and request an operator. 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. benefits. 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. 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. 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. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue In 2020, we turned around 95.6 percent of claims within 10 business days. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). (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 . Copyright 2023 Meritain Health. Clinical Update Request. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. 100% Top 10 Meritain Health Provider Specialties: Ophthalmologist (Eye Doctor) (1 providers) States with the most Meritain Health Doctors: New York Florida Cities with the most Meritain Health Doctors: Fort Lauderdale, FL Smithtown, NY Aggregate Statistics Meritain Health Doctors by Specialty Ophthalmologist (Eye Doctor) No fee schedules, basic unit, relative values or related listings are included in CPT. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. Treating providers are solely responsible for medical advice and treatment of members. Past 24 Hours Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Forgot Password? The following hospital and/or physician groups accept Meritain Health PPO. 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. All Time Reprinted with permission. Login. Your browser doesn't support JavaScript code, or you have disabled JavaScript. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Welcome to Meritain Health's Aetna DocFind site. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. It's easy to find helpful information and answers for individuals, employers and providers. 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. Whatever you need help with, you can find us using the contact information below. If you have , https://qa.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/, Health (5 days ago) WebBecome A Meritain Health Provider Health (4 days ago) WebHealth Care Providers: Join the Aetna Network Health (5 days ago) WebHere's how it works: Step 1. After review, Aetna will send your provider agreement via e-mail for signature. Copyright 2015 by the American Society of Addiction Medicine. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WEX Health Inc. 2004-2023. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Sutter Health is a registered CPT only Copyright 2022 American Medical Association. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. This site has been specially designed to provide quick and easy access to the Aetna provider directory. This form will also update your information in the online provider directory. Links to various non-Aetna sites are provided for your convenience only. Step 2. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. These providers have agreed to discounted rates for the services they offer. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. 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. , 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. If youre still not sure which providers are in your network, dont worry! The member's benefit plan determines coverage. 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. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. (5 days ago) WebHere's how it works: Step 1. And when you have questions, weve got , Health (7 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. An exception could be emergency care, when you might receive coverage at the in-network rate. **Please select one of the , 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 , https://www.health-mental.org/become-a-meritain-health-provider/, Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. what happened to uzette salazar on alice radio, 80g insulation temperature rating,
Jet2 Wedding Packages, How Many Assistant Masters Support Each Takumi Lexus, Articles M