4.75. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. We do our best to streamline our processes so you can focus on tending to patients. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. **Please select one of the , Health (2 days ago) WebContact us. Login. Information obtained during the , Health WebCredentialing Process Overview . No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Forgot Password? Provider termination form and directory update. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Call-back available NO. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Click to reveal Youll be joining a community of like-minded individuals, focused on wellness. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. It is a separate process from network contracting. 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. Were a proud subsidiary of Aetna and CVS Health . No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Meritain Health's Aetna DocFind site Copyright 2023 Meritain Health. Become A Meritain Health Provider LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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). Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. However, if you visit an out-of-network provider, its a little more tricky. If youre still not sure which providers are in your network, dont worry! Links to various non-Aetna sites are provided for your convenience only. Cobrowse. Online Certification Process Find a Northern Californian Provider that meets your needs. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. All rights reserved. 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. First, you can request participation in the Aetna network by completing our online request for participation form. PDF Claims Submission and Payment - mbh-eap.com 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). 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. 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. 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 Meritain Health Claim Filing Limit The CAQH registration process prevents providers from submitting the same information to . For serious accidents, injuries and conditions that require immediate medical care. CPT only copyright 2015 American Medical Association. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. 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: Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance " Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Call picked up by a real person YES. 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 member's benefit plan determines coverage. 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 action you just performed triggered the security solution. Provider services Contact us Your patient's health and your ability to access their information is important to us. 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) MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp Have questions or need to connect with us? 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. The member's benefit plan determines coverage. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. I may or may not be employed by an Aetna-contracted provider. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. Health. The ABA Medical Necessity Guidedoes not constitute medical advice. Members should discuss any matters related to their coverage or condition with their treating provider. 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. Contact us at 1.800.925.2272 if you have any questions about your plan. Please check with your health plan if you have questions about coverage and network providers for specific products. For language services, please call the number on your member ID card and request an operator. 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 also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Well need to terminate your existing agreement with us. Skip To Main Content. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. (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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Meritain Health Member Services - Meritain Health Were a proud subsidiary of Aetna and CVS Health . 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). Were a proud subsidiary of Aetna and CVS Health . If you have questions about claims or benefits, we're happy to help. Password. In case of a conflict between your plan documents and this information, the plan documents will govern. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. All Rights Reserved. You are now being directed to the CVS Health site. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Provider services - Meritain Health Your patients health and your ability to access their information is important to us. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. And what if youre not sure how to find one? This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Links to various non-Aetna sites are provided for your convenience only. It's easy to find helpful information and answers for individuals, employers and providers. 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. We're currently processing your request and we'll be in touch soon. 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. Category: Health Detail Health. 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. Please contact your Meritain Health Representative. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman You can learn more by contacting the Customer Service department of your benefits plan. Include the date to the template using the Date feature. Copyright 2023 Meritain Health. Meritain Health P.O. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Independent retail pharmacies can fill out the form at the link below. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. 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. 1000 or toll free 7) 232-3863 ext. Contact Us | Meridian Join CAQH UPD. The AMA is a third party beneficiary to this Agreement. By continuing to use the site, you agree to the use of cookies. 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. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. Meritain Health works closely with provider networks, large and small, across the nation. Treating providers are solely responsible for medical advice and treatment of members. 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. Have other questions about your health care benefits? 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. They go above and, Trusted Advisors Since 1984. 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. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. These providers have agreed to discounted rates for the services they offer. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Thank you for your interest in joining our networks. Login Applicable FARS/DFARS apply. All services deemed "never effective" are excluded from coverage. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. PDF Meritain Health Customer Service - EPC When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! 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. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card 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. For a faster response, please call us directly at 888-666-8135. 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. How do I find out what doctors are in my network? 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Health benefits and health insurance plans contain exclusions and limitations. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. All Rights Reserved. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. All rights reserved. Copyright 2023 Meritain Health. 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. This information is neither an offer of coverage nor medical advice. Health Plan Search Aetna - Meritain Health PPO - Sutter Health Welcome to Meritain Health - Meritain Health We use cookies and limited processing of your personal information for our (5 days ago) WebHere's how it works: Step 1. This Agreement will terminate upon notice if you violate its terms. And our payment, financial and procedural accuracy is above 99 percent. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Cloudflare Ray ID: 7c0ab7761d84efce Need Help? 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. U.S. Patent & Trademark office. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health CPT only Copyright 2022 American Medical Association. 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. 4. Disclaimer of Warranties and Liabilities. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Some subtypes have five tiers of coverage. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. Welcome to Meritain Health's Aetna DocFind site. 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. 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. 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. Links to various non-Aetna sites are provided for your convenience only. Past 24 Hours Call center hours 24 hours, 7 days. The following hospital and/or physician groups accept Meritain Health PPO. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 1000 MO IL KS Essence Healthcare Essence Healthcare Step 2. Aetna Insurance Provider Credentialing - The Process - DENmaar Since Dental Clinical Policy Bulletins (DCPBs) 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. Links to various non-Aetna sites are provided for your convenience only. Why to Visit Doctors in Your Provider Network - Meritain Health Forgot Username? insurance, payment options, etc. 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. Visit the secure website, available through www.aetna.com, for more information. 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). , 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. PDF benefits available with Meritain Health, your third-party administrator If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. WEX Health Inc. 2004-2023. Our trusted partnership will afford you and your practice a healthy dose of advantages. Cookie Preferences. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Less red tape means more peace of mind for you. Treating providers are solely responsible for medical advice and treatment of members. Clinical Update Request. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Your benefits plan determines coverage. 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. Contact Us - Health Care Providers - Aetna These providers have agreed to discounted rates for the services they offer. website and services to function. Links to various non-Aetna sites are provided for your convenience only. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue 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. 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. Meritain Health Provider Credentialing Gwizdala & Associates offers tax, bookkeeping and. 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. Meritain Health - health insurance for employees - self-funding - TPA 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. What is an in-network provider? Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. All rights reserved. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. An exception could be emergency care, when you might receive coverage at the in-network rate. Meritain Health Provider Services - Meritain Health Treating providers are solely responsible for dental advice and treatment of members. So, when you visit an in-network provider, it can help ease your mind a bit.
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