Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. **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. 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). 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 site has been specially designed to provide quick and easy access to the Aetna provider directory. If you have any questions about your benefits or claims, we're happy to help. All rights reserved. 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. If you have questions about claims or benefits, were happy to help. Meritain 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. The member's benefit plan determines coverage. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Convenient walk-in care clinics for your non-urgent health needs. 69.163.152.136 Step 2. All rights reserved | Email: [emailprotected], Healthcare information security certification, Dc department of health and licensing search, Washington state mental health license lookup, Car insurance for healthcare professionals. Applicable FARS/DFARS apply. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Meritain Health Claim Filing Limit. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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). Each main plan type has more than one subtype. 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. 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. Were a proud subsidiary of Aetna and CVS Health . 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. Copyright 2023 Meritain Health. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Unlisted, unspecified and nonspecific codes should be avoided. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. All Rights Reserved. We are excited to share that MeridianCare, a WellCare company, is , Health (Just Now) WebEnsure that the details you fill in Meritain Benefit Enrollment Form Fillable is up-to-date and correct. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. 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. For language services, please call the number on your member ID card and request an operator. 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. Links to various non-Aetna sites are provided for your convenience only. Disclaimer of Warranties and Liabilities. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. We're currently processing your request and we'll be in touch soon. 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Completing the Application Once you have , https://denmaar.com/aetna-insurance-provider-credentialing/, Healthcare information security certification, Dc department of health and licensing search, Washington state mental health license lookup, Car insurance for healthcare professionals, Ohiohealth physician group primary care, 2021 health-improve.org. Precertification Request. 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. Go to the American Medical Association Web site. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. License to sue 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. You can also check out our informational video about the advantages of using in-network providers. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Meritain Health works closely with provider networks, large and small, across the nation. Our trusted partnership will afford you and your practice a healthy dose of advantages. All rights reserved. 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). In case of a conflict between your plan documents and this information, the plan documents will govern. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Your IP: The following hospital and/or physician groups accept Meritain Health PPO. You can email the site owner to let them know you were blocked. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Links to various non-Aetna sites are provided for your convenience only. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. 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. 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. If you have questions about claims or benefits, we're happy to help. 4. 1000 or toll free 7) 232-3863 ext. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Provider termination form and directory update. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Links to various non-Aetna sites are provided for your convenience only. Gwizdala & Associates offers tax, bookkeeping and. What is Precertification and Why Do I Need It. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . 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. Your patients health and your ability to access their information is important to us. Providers cannot request to alter or remove reviews. For a faster response, please call us directly at 888-666-8135. What is an in-network provider? Next, well evaluate the , https://www.aetna.com/health-care-professionals/join-the-aetna-network.html, Health (Just Now) WebNetwork Participation and Credentialing Thank you for your interest in becoming a participating provider in AmeriHealths provider networks. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. No fee schedules, basic unit, relative values or related listings are included in CPT. Prompt claims payment You'll benefit from our commitment to service excellence. So, when you visit an in-network provider, it can help ease your mind a bit. Join CAQH UPD. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Copyright 2015 by the American Society of Addiction Medicine. Applicable FARS/DFARS apply. PLEASE NOTE: The Precertification Request form is for provider use only. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. Very professional. Category: Health Detail Health. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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. 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. This page provides an overview of our process: what you need to do and what you can expect , Health WebMetLife is committed to helping our providers have a smooth transition to our new enrollment solution with as little disruption as possible. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. ProfilePoints measure the overall completeness of a 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. Cobrowse. Meritain Health Provider Enrollment. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone Torequest participation in First Health networks, follow the link below. The member's benefit plan determines coverage. Customer Number 800-925-2272 - by the Numbers. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Please log in to your secure account to get what you need. 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. Gather Information. We're a proud subsidiary of Aetna and CVS Health . Were a proud subsidiary of Aetna and CVS Health . 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. 4.75. This site has been specially designed to provide quick and easy access to the Aetna provider directory. WEX Health Inc. 2004-2023. Treating providers are solely responsible for medical advice and treatment of members. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. Health-mental.org. (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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. I may or may not be employed by an Aetna-contracted provider. 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). Check-ups, screenings and sick visits for adults and children. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. By continuing to use the site, you agree to the use of cookies. Visit the secure website, available through www.aetna.com, for more information. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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 By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. Best time to dial 3:45pm. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. Prompt claims payment You'll benefit from our commitment to service excellence. Health. 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. We use cookies and limited processing of your personal information for our Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health The information you will be accessing is provided by another organization or vendor. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Clinical Update Request. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Contact us at 1.800.925.2272 if you have any questions about your plan. 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. Were a proud subsidiary of Aetna and CVS Health . For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. It is important to note that not all of . Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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) 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. The action you just performed triggered the security solution. Find a Northern Californian Provider that meets your needs. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. In 2020, we turned around 95.6 percent of claims within 10 business days. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All providers interested in , https://www.amerihealth.com/providers/interactive_tools/credentialing/index.html, 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 , https://polk-county.net/indigent-health-care/polk-healthcare-plan-providers, Health (6 days ago) WebHealth Care Providers: Request to Join the Aetna Network Thank you for your interest in joining our network We are excited that you are interested in joining our quality network , https://extaz-oci.aetna.com/pocui/join-the-aetna-network, Health (9 days ago) WebJoin Our Network Meridian Health Plan of Michigan provider Home JOIN OUR NETWORK Learn more about how being a Meridian provider benefits you. Powered by WEX Health website and services to function. Thank you for your interest in joining our networks. Copyright 2023 Sutter Health. 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. Forgot Username? We do our best to streamline our processes so you can focus on tending to patients. New and revised codes are added to the CPBs as they are updated. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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 Aetna provider , https://www.aetna.com/docfind/jsp/rdIndex.jsp?site_id=mymeritain&langpref=en, Health (5 days ago) WebHere's how it works: Step 1. 3. Please fill in all fields. An exception could be emergency care, when you might receive coverage at the in-network rate. Information obtained during the , Health WebCredentialing Process Overview . 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). www.meritain.com . 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. All services deemed "never effective" are excluded from coverage. Treating providers are solely responsible for dental advice and treatment of members. 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. Privacy Policy Cookie Preferences. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. These providers have agreed to discounted rates for the services they offer. Our trusted partnership will afford you and your practice a healthy dose of advantages. This Agreement will terminate upon notice if you violate its terms. Treating providers are solely responsible for medical advice and treatment of members. Click to reveal Have questions or need to connect with us? 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. Expertise and advanced technologies in all areas of medicine. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. However, if you visit an out-of-network provider, its a little more tricky. This search will use the five-tier subtype. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. Reprinted with permission. However, . provider's profile, including items like having a photo, a biography, And our payment, financial and procedural accuracy is above 99 percent. You can access the online provider portal here. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Were a proud subsidiary of Aetna and CVS Health. All rights reserved. Cloudflare Ray ID: 7c0ab7761d84efce Members should discuss any matters related to their coverage or condition with their treating provider. They go above and, Trusted Advisors Since 1984. You are now being directed to the CVS Health site. 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. trademark of Sutter Health , Reg.
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