meritain health provider

Why to Visit Doctors in Your Provider Network - Meritain Health The ABA Medical Necessity Guidedoes not constitute medical advice. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 4.75. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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) Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Step 2. 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. Meritain Health An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. 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. What is an in-network provider? 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. 3. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Polk HealthCare Plan Providers Health Plan Search Aetna - Meritain Health PPO - Sutter Health 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. You are now being directed to CVS Caremark site. Welcome to the Meritain Health benefits program. 1000 MO IL KS Essence Healthcare Essence Healthcare Call center hours 24 hours, 7 days. Information obtained during the , Health WebCredentialing Process Overview . If you have any questions about your benefits or claims, we're happy to help. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman 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. Please note that providers listed in this directory may perform . " An exception could be emergency care, when you might receive coverage at the in-network rate. 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. Call picked up by a real person YES. These providers have agreed to discounted rates for the services they offer. 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. 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. All rights reserved. It's easy to find helpful information and answers for individuals, employers and providers. Contact Us - Health Care Providers - Aetna Our trusted partnership will afford you and your practice a healthy dose of advantages. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Visit the secure website, available through www.aetna.com, for more information. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Login - Meritain Some plans exclude coverage for services or supplies that Aetna considers medically necessary. We use cookies and limited processing of your personal information for our Very professional. Have questions or need to connect with us? Username. provider's profile, including items like having a photo, a biography, Provider termination form and directory update. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. 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 following hospital and/or physician groups accept Meritain Health PPO. 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. 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. PDF Meritain Health Benefit/Claim Customer Service 1-866-808-2609 Meritain When billing, you must use the most appropriate code as of the effective date of the submission. Sutter Health is a registered This website is using a security service to protect itself from online attacks. Your patients health and your ability to access their information is important to us. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. It is a separate process from network contracting. 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. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. If you have questions about claims or benefits, we're happy to help. Welcome to Meritain Health - Meritain Health 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. 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. 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. 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. Copyright 2023 Meritain Health. 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. We're a proud subsidiary of Aetna and CVS Health . 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. All rights reserved. The AMA is a third party beneficiary to this Agreement. Disclaimer of Warranties and Liabilities. Call-back available NO. We're currently processing your request and we'll be in touch soon. 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. Powered by WEX Health Meritain Health Provider Credentialing Youll benefit from our commitment to service excellence. You can access the online provider portal here. 1000 or toll free 7) 232-3863 ext. 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. Category: Health Detail Health. Meritain Health Member Services - Meritain Health (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 . 69.163.152.136 Please fill in all fields. website and services to function. 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. All rights reserved. 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). 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Torequest participation in First Health networks, follow the link below. However, if you visit an out-of-network provider, its a little more tricky. So, when you visit an in-network provider, it can help ease your mind a bit. 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. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. For providers - Meritain Health provider portal - Meritain Health Convenient walk-in care clinics for your non-urgent health needs. Online Certification Process Some subtypes have five tiers of coverage. Copyright 2023 Sutter 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. These providers have agreed to discounted rates for the services they offer. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Applicable FARS/DFARS apply. And our payment, financial and procedural accuracy is above 99 percent. Cloudflare Ray ID: 7c0ab7761d84efce I may or may not be employed by an Aetna-contracted provider. 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. Gather Information. (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. 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. Do you want to continue? CPT is a registered trademark of the American Medical Association. MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. This Agreement will terminate upon notice if you violate its terms. 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. You can learn more by contacting the Customer Service department of your benefits plan. 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. Youll be joining a community of like-minded individuals, focused on wellness. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. This site has been specially designed to provide quick and easy access to the Aetna provider directory. we make it easier for you to quickly identify the most informative profiles on Doctor.com. You are now being directed to the CVS Health site. Reprinted with permission. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. I practice independently and I want to contract with Aetna. **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. Join CAQH UPD. If youre still not sure which providers are in your network, dont worry! This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. How do I find out what doctors are in my network? Others have four tiers, three tiers or two tiers. Each main plan type has more than one subtype. 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. trademark of Sutter Health , Reg. The information you will be accessing is provided by another organization or vendor. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. PDF Claims Submission and Payment - mbh-eap.com ProfilePoints measure the overall completeness of a Copyright 2015 by the American Society of Addiction Medicine. Please log in to your secure account to get what you need. Links to various non-Aetna sites are provided for your convenience only. www.meritain.com . After-hours, weekend and holiday services. 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. It is important to note that not all of . Meritain Health Provider Enrollment. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Provider services - Meritain Health Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. All Rights Reserved. Performance & security by Cloudflare. The member's benefit plan determines coverage. Treating providers are solely responsible for dental advice and treatment of members. With Aetna's financial backing and 30-plus years of operational excellence, you can rest assured knowing Meritain Health has the experience and resources to keep your plan. 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. Provider services Contact us Your patient's health and your ability to access their information is important to us. The following hospital and/or physician groups accept Meritain Health PPO. All Time And what if youre not sure how to find one? insurance, payment options, etc. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue 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. 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). To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . 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. Prompt claims payment You'll benefit from our commitment to service excellence. Have questions about our products, policies and services? Were a proud subsidiary of Aetna and CVS Health . 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 For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. First, you can request participation in the Aetna network by completing our online request for participation form. Password. 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). Our trusted partnership will afford you and your practice a healthy dose of advantages. And when you have questions, weve got answers! 437 verified reviews. First, you can request participation in the Aetna network by completing , Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023, 2022 health-mental.org. Your IP: Best time to dial 3:45pm. Login. Department you're calling Customer Service. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. No fee schedules, basic unit, relative values or related listings are included in CPT. All Rights Reserved. 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. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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.

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