Please check with your health plan if you have questions about coverage and network providers for specific products. , 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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. Health benefits and health insurance plans contain exclusions and limitations. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. Category: Health Detail Health. This site has been specially designed to provide quick and easy access to the Aetna provider directory. David Chow is a well-rounded ophthalmologist serving his patients in Reston and Vienna, VA. Dr. Chow, who has been in practice since 1982, currently serves as Chair on the Political Action Committee Board of the Medical Society of Virginia, Richmond, VA. and he is President Emeritus of the Medical Society of Northern . Please note that providers listed in this directory may perform . A full breakdown of points can be seen 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. 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. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. The member's benefit plan determines coverage. Provider termination form and directory update. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. Contact us at 1.800.925.2272 if you have any questions about your plan. Precertification Request. Have questions about our products, policies and services? The information you will be accessing is provided by another organization or vendor. 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. 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. Very professional. For a faster response, please call us directly at 888-666-8135. And when you have questions, weve got answers! Join CAQH UPD. (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 . Do you want to continue? The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. 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. The action you just performed triggered the security solution. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. It is important to note that not all of . 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. 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. Contact Us | Meridian Have questions or need to connect with us? Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. 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. **Please select one of the , Health (2 days ago) WebContact us. 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. Login. All rights reserved. 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. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. (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. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. Call picked up by a real person YES. However, if you visit an out-of-network provider, its a little more tricky. Forgot Username? By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. PDF Meritain Health Benefit/Claim Customer Service 1-866-808-2609 Meritain Reprinted with permission. Meritain Health Provider Services - Meritain Health 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). PLEASE NOTE: The Precertification Request form is for provider use only. In 2020, we turned around 95.6 percent of claims within 10 business days. Links to various non-Aetna sites are provided for your convenience only. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone Sutter Health is a registered We're a proud subsidiary of Aetna and CVS Health . U.S. Patent & Trademark office. Why to Visit Doctors in Your Provider Network, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, All About Spending Accounts: HRAs, FSAs and HSAs, The Importance of Good Financial Wellness. MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 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. 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. I practice independently and I want to contract with Aetna. The CAQH registration process prevents providers from submitting the same information to . No fee schedules, basic unit, relative values or related listings are included in CPT. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Cobrowse. Health. Provider services Contact us Your patient's health and your ability to access their information is important to us. Our phone lines are open 24 hours a day, seven days a week. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. (5 days ago) WebHere's how it works: Step 1. You can access the online provider portal here. Call-back available NO. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Treating providers are solely responsible for medical advice and treatment of members. 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 This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. All Rights Reserved. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Health Plan Search Aetna - Meritain Health PPO - Sutter Health Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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 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. 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. Skip To Main Content. For language services, please call the number on your member ID card and request an operator. Meritain Health Provider Services - Meritain Health Login - Meritain 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. 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. Visit the secure website, available through www.aetna.com, for more information. Cookie Preferences. You are always free to visit any health care provider you want, but youll typically receive the best rates when you choose participating (in-network) providers. When billing, you must use the most appropriate code as of the effective date of the submission. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. 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. 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. provider's profile, including items like having a photo, a biography, 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 Aetna provider , Health (6 days ago) WebMeritain Health Provider Enrollment Health (6 days ago) Web (7 days ago) WebFor member or provider questions regarding benefits, claims status or eligibility call Meritain , Health (4 days ago) WebOnline Certification Process. Members should discuss any matters related to their coverage or condition with their treating provider. This website is using a security service to protect itself from online attacks. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request participation in First Health Submit feedback Find frequently asked questions (FAQs) Find more options under: They go above and, Trusted Advisors Since 1984. 4. 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. 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. Meritain Health Provider Credentialing Copyright 2023 Meritain Health. 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. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. What is an in-network provider? For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 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. Performance & security by Cloudflare. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Please contact your Meritain Health Representative. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. Please log in to your secure account to get what you need. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Best Meritain Health Doctors Near Me | Zocdoc 4.75. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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). 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. Well need to terminate your existing agreement with us. You can email the site owner to let them know you were blocked. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. We also take steps to help you save on the cost of your care. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Need Help? Meritain Health works closely with provider networks, large and small, across the nation. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card 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. Welcome to the Meritain Health benefits program. All rights reserved. We know it can seem hard to figure out what provider is in-network, so weve put together a couple options to help you locate some. website and services to function. 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. www.meritain.com . Your browser doesn't support JavaScript code, or you have disabled JavaScript. First, you can request participation in the Aetna network by completing our online request for participation form. Disclaimer of Warranties and Liabilities. Were a proud subsidiary of Aetna and CVS Health . Past 24 Hours I may or may not be employed by an Aetna-contracted provider. So, when you visit an in-network provider, it can help ease your mind a bit. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Our trusted partnership will afford you and your practice a healthy dose of advantages. Phone number to dial 800-925-2272. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. You are now being directed to CVS Caremark site. 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. Polk HealthCare Plan Providers Torequest participation in First Health networks, follow the link below. Were a proud subsidiary of Aetna and CVS Health . Credentialing and joining our network - 1-800-353-1232 (TTY: 711). All Rights Reserved. All rights reserved. Username. Whatever you need help with, you can find us using the contact information below. 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. Customer Number 800-925-2272 - by the Numbers. We do our best to streamline our processes so you can focus on tending to patients. Aetna Insurance Provider Credentialing - The Process - DENmaar 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 Claim Filing Limit. New and revised codes are added to the CPBs as they are updated. 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. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Meritain Health Provider Enrollment 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). trademark of Sutter Health , Reg. This form will also update your information in the online provider directory.
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