meritain health provider

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". These providers have agreed to discounted rates for the services they offer. 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. 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. 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. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 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. provider's profile, including items like having a photo, a biography, A full breakdown of points can be seen 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. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. 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) Welcome to the Meritain Health benefits program. For serious accidents, injuries and conditions that require immediate medical care. 1000 MO IL KS Essence Healthcare Essence Healthcare (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. Past Week 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. 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. It is important to note that not all of . 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. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Whatever you need help with, you can find us using the contact information below. Sutter Health is a registered we make it easier for you to quickly identify the most informative profiles on Doctor.com. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. 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. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Ready to journey on with us? Our trusted partnership will afford you and your practice a healthy dose of advantages. All Time Please check with your health plan if you have questions about coverage and network providers for specific products. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. 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. Copyright 2023 Sutter Health. We use cookies to give you the best possible user experience. So, when you visit an in-network provider, it can help ease your mind a bit. For language services, please call the number on your member ID card and request an operator. Our phone lines are open 24 hours a day, seven days a week. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. 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. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. For Providers Meritain Health Provider Portal Meritain Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Password. When billing, you must use the most appropriate code as of the effective date of the submission. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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. Providers cannot request to alter or remove reviews. Copyright 2023 Meritain Health. 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). Applicable FARS/DFARS apply. 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. In 2020, we turned around 95.6 percent of claims within 10 business days. Gwizdala & Associates offers tax, bookkeeping and. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Health-mental.org. benefits. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). This search will use the five-tier subtype. 3. Our trusted partnership will afford you and your practice a healthy dose of advantages. Links to various non-Aetna sites are provided for your convenience only. 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. After review, Aetna will send your provider agreement via e-mail for signature. 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. Meritain Health P.O. CPT is a registered trademark of the American Medical Association. 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. 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. 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). Our trusted partnership will afford you and your practice a healthy dose of advantages. An exception could be emergency care, when you might receive coverage at the in-network rate. 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. 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. Username. Category: Health Detail Health. 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 member's benefit plan determines coverage. Links to various non-Aetna sites are provided for your convenience only. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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. 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. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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. All Rights Reserved. Copyright 2023 Meritain Health. How do I find out what doctors are in my network? Were a proud subsidiary of Aetna and CVS Health. Others have four tiers, three tiers or two tiers. WEX Health Inc. 2004-2023. Please contact your Meritain Health Representative. This means you could end up having to pay a lot more for your care. 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. We also take steps to help you save on the cost of your care. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. If youre still not sure which providers are in your network, dont worry! Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. 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. Step 2. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. 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. 69.163.152.136 I practice independently and I want to contract with Aetna. Call picked up by a real person YES. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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). Unlisted, unspecified and nonspecific codes should be avoided. We use cookies and limited processing of your personal information for our 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. 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. 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. 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. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. , 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. " Contact us at 1.800.925.2272 if you have any questions about your plan. If you do not intend to leave our site, close this message. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Gather Information. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. No fee schedules, basic unit, relative values or related listings are included in CPT. Less red tape means more peace of mind for you. Have other questions about your health care benefits? All services deemed "never effective" are excluded from coverage. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). This website is using a security service to protect itself from online attacks. 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. 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. (5 days ago) WebHere's how it works: Step 1. Youll benefit from our commitment to service excellence. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. It is a separate process from network contracting. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. If you have any questions about your benefits or claims, we're happy to help. Treating providers are solely responsible for medical advice and treatment of members. I may or may not be employed by an Aetna-contracted provider. This Agreement will terminate upon notice if you violate its terms. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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 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. **Please select one of the , Health (2 days ago) WebContact us. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. It is only a partial, general description of plan or program benefits and does not constitute a contract. Please log in to your secure account to get what you need. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Cloudflare Ray ID: 7c0ab7761d84efce Need Help? Meritain Health Claim Filing Limit. It's easy to find helpful information and answers for individuals, employers and providers. **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. When you select a Meritain Health plan, you get . insurance, payment options, etc. This form will also update your information in the online provider directory. Meritain Health Provider Enrollment. You can also check out our informational video about the advantages of using in-network providers. 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. 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. You can access the online provider portal here. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Convenient walk-in care clinics for your non-urgent health needs. 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. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health 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. Health. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. micro wedding packages seattle,

Summer Sacc Fairfax County, Articles M