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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Forgot Username? Less red tape means more peace of mind for you. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Provider termination form and directory update. 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. Youll be joining a community of like-minded individuals, focused on wellness. 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 include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. Precertification Request. If youre still not sure which providers are in your network, dont worry! Include the date to the template using the Date feature. For serious accidents, injuries and conditions that require immediate medical care. by providers with Doctor.com accounts when editing their profile on Doctor.com. Cloudflare Ray ID: 7c0ab7761d84efce Were a proud subsidiary of Aetna and CVS Health . 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 site has been specially designed to provide quick and easy access to the Aetna provider directory. In case of a conflict between your plan documents and this information, the plan documents will govern. This information is neither an offer of coverage nor medical advice. You can also check out our informational video about the advantages of using in-network providers. 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 information you will be accessing is provided by another organization or vendor. All Rights Reserved. Call-back available NO. You are now being directed to the CVS Health site. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. 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. All rights reserved. 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. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Health-mental.org. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. 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 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. Meritain Health P.O. Torequest participation in First Health networks, follow the link below. 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. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. All Time If you have any questions about your benefits or claims, we're happy to help. Clinical Update Request. How do I find out what doctors are in my network? Check-ups, screenings and sick visits for adults and children. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 4. 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. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. 3. We use cookies and limited processing of your personal information for our 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. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. We're a proud subsidiary of Aetna and CVS Health . Health benefits and health insurance plans contain exclusions and limitations. Prompt claims payment You'll benefit from our commitment to service excellence. Go to the American Medical Association Web site. All Rights Reserved. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Links to various non-Aetna sites are provided for your convenience only. 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. 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 rights reserved. These providers have agreed to discounted rates for the services they offer. This search will use the five-tier subtype. 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. 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. 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 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. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. 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 CAQH registration process prevents providers from submitting the same information to . At Meritain Health, we create unrivaled connections. 4.75. 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. Links to various non-Aetna sites are provided for your convenience only. (5 days ago) WebHere's how it works: Step 1. By showing providers with higher ProfilePoints first, Aaron Lissarrague - American Family Insurance, Our American Family Insurance agency is committed to inspiring and protecting dreams, Welcome to the Roderick Youngdahl agency, serving the Maple Grove, MN area since, **You can drop off the information at Debbie's Tax Facts located in Maple Grove, MN, Becky Meierhofer - State Farm Insurance Agent, Thank you for considering Meierhofer Becky Ins. 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. 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. Information obtained during the , Health WebCredentialing Process Overview . Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Skip To Main Content. Login. 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. What is Precertification and Why Do I Need It. Have questions or need to connect with us? Well need to terminate your existing agreement with us. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. 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. Please check with your health plan if you have questions about coverage and network providers for specific products. 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. 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. We do our best to streamline our processes so you can focus on tending to patients. 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. 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. Please contact your Meritain Health Representative. 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. 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 action you just performed triggered the security solution. This website is using a security service to protect itself from online attacks. Cobrowse. Health. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. You are now being directed to CVS Caremark site. Sutter Health is a registered Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. 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). Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. 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. Providers cannot request to alter or remove reviews. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Treating providers are solely responsible for medical advice and treatment of members. 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. 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. It is a separate process from network contracting. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Forgot Password? The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Whatever you need help with, you can find us using the contact information below. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. 1000 MO IL KS Essence Healthcare Essence Healthcare 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. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. When billing, you must use the most appropriate code as of the effective date of the submission. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Our trusted partnership will afford you and your practice a healthy dose of advantages. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Independent retail pharmacies can fill out the form at the link below. Welcome to the Meritain Health benefits program. 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. 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). CPT is a registered trademark of the American Medical Association. Our trusted partnership will afford you and your practice a healthy dose of advantages. Your browser doesn't support JavaScript code, or you have disabled JavaScript. When you select a Meritain Health plan, you get . Reprinted with permission. Treating providers are solely responsible for dental advice and treatment of members. All services deemed "never effective" are excluded from coverage. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Applicable FARS/DFARS apply. For language services, please call the number on your member ID card and request an operator. CPT only Copyright 2022 American Medical Association. Past Week In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. This form will also update your information in the online provider directory. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Copyright 2023 Meritain Health. Click to reveal Call center hours 24 hours, 7 days. Your benefits plan determines coverage. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. This means you could end up having to pay a lot more for your care. 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. If you have questions about claims or benefits, were happy to help. If you have questions about claims or benefits, we're happy to help. 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. You can email the site owner to let them know you were blocked. Our trusted partnership will afford you and your practice a healthy dose of advantages. 69.163.152.136 Please log in to your secure account to get what you need. Applicable FARS/DFARS apply. This site has been specially designed to provide quick and easy access to the Aetna provider directory. New and revised codes are added to the CPBs as they are updated. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . Password. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Username. Youll benefit from our commitment to service excellence. Do you want to continue? Health. Meritain Health Claim Filing Limit. 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. Have questions about our products, policies and services? No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! website and services to function. 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. Provider services Contact us Your patient's health and your ability to access their information is important to us. Department you're calling Customer Service. Performance & security by Cloudflare. 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). 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. Please contact your Meritain Health Representative. Best time to dial 3:45pm. Need Help? U.S. Patent & Trademark office. We also take steps to help you save on the cost of your care. benefits. Unlisted, unspecified and nonspecific codes should be avoided. 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. , 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. The ABA Medical Necessity Guidedoes not constitute medical advice. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Prompt claims payment You'll benefit from our commitment to service excellence. Past 24 Hours Meritain Health Provider Enrollment. 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. 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. Contact us at 1.800.925.2272 if you have any questions about your plan. 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. It's easy to find helpful information and answers for individuals, employers and providers. 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. 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. Cookie Preferences. They go above and, Trusted Advisors Since 1984. All rights reserved. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. Gather Information. insurance, payment options, etc. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number **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. PLEASE NOTE: The Precertification Request form is for provider use only. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million , Health WebMeritain Health Credentialing New Provider Health (3 days ago) WebMeritain Health Credentialing Health (Just Now) WebProvider services - Meritain Health. 437 verified reviews. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. punch cake strain wikileaf,
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