The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Cloudflare Ray ID: 7c0ab7761d84efce 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. This means we can connect you to over 700,000 providers nationwide, unmatched network , https://qa.meritain.com/?spb-section=welcome-to-meritain-health, Health (2 days ago) WebMeritain Health Provider Services - Meritain Health Provider services Contact us Your patients health and your ability to access their information is important to us. Please log in to your secure account to get what you need. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue 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. All services deemed "never effective" are excluded from coverage. WEX Health Inc. 2004-2023. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. The ABA Medical Necessity Guidedoes not constitute medical advice. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. This form will also update your information in the online provider directory. All Rights Reserved. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. U.S. Patent & Trademark office. 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. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. This site has been specially designed to provide quick and easy access to the Aetna provider directory. We use cookies to give you the best possible user experience. After-hours, weekend and holiday services. 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. Provider services - Meritain Health Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Visit the secure website, available through www.aetna.com, for more information. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. All rights reserved. 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. Links to various non-Aetna sites are provided for your convenience only. We're currently processing your request and we'll be in touch soon. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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). 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 youre still not sure which providers are in your network, dont worry! I practice independently and I want to contract with Aetna. Were a proud subsidiary of Aetna and CVS Health . website and services to function. Health Plan Search Aetna - Meritain Health PPO - Sutter Health Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Provider termination form and directory update. 437 verified reviews. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Call picked up by a real person YES. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Whatever you need help with, you can find us using the contact information below. When billing, you must use the most appropriate code as of the effective date of the submission. First, you can request participation in the Aetna network by completing our online request for participation form. Providers cannot request to alter or remove reviews. Meritain Health works closely with provider networks, large and small, across the nation. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. And our payment, financial and procedural accuracy is above 99 percent. Your patients health and your ability to access their information is important to us. Copyright 2015 by the American Society of Addiction Medicine. And what if youre not sure how to find one? Disclaimer of Warranties and Liabilities. Cobrowse. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance Convenient walk-in care clinics for your non-urgent health needs. Youll be joining a community of like-minded individuals, focused on wellness. How do I find out what doctors are in my network? Contact Us - Health Care Providers - Aetna No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Copyright 2023 Meritain Health. PDF Meritain Health Benefit/Claim Customer Service 1-866-808-2609 Meritain 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. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. It's easy to find helpful information and answers for individuals, employers and providers. Links to various non-Aetna sites are provided for your convenience only. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Our phone lines are open 24 hours a day, seven days a week. Treating providers are solely responsible for medical advice and treatment of members. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. I may or may not be employed by an Aetna-contracted provider. Best Meritain Health Doctors Near Me | Zocdoc At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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). 1000 MO IL KS Essence Healthcare Essence Healthcare **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. 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. Meritain Health Provider Services - Meritain Health All rights reserved. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card 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. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Please contact your Meritain Health Representative. Meritain Health Member Services - Meritain Health To help us direct your question or comment to the correct area, please select a category below. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Meritain Health - health insurance for employees - self-funding - TPA Our trusted partnership will afford you and your practice a healthy dose of advantages. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Provider services Contact us Your patient's health and your ability to access their information is important to us. 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: You can learn more by contacting the Customer Service department of your benefits plan. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . (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 . Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. For serious accidents, injuries and conditions that require immediate medical 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. CPT is a registered trademark of the American Medical Association. 1000 or toll free 7) 232-3863 ext. So, when you visit an in-network provider, it can help ease your mind a bit. Our trusted partnership will afford you and your practice a healthy dose of advantages. CPT only copyright 2015 American Medical Association. Treating providers are solely responsible for dental advice and treatment of members. PDF benefits available with Meritain Health, your third-party administrator Welcome to Meritain Health - Meritain Health Applicable FARS/DFARS apply. Links to various non-Aetna sites are provided for your convenience only. 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. Category: Health Detail Health. 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. Independent retail pharmacies can fill out the form at the link below. Health-mental.org. Online Certification Process This website is using a security service to protect itself from online attacks. 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. Cookie Preferences. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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. An exception could be emergency care, when you might receive coverage at the in-network rate. Go to the American Medical Association Web site. 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. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Polk HealthCare Plan Providers Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Best Meritain Health Eye Doctors Near Me | Zocdoc When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! By showing providers with higher ProfilePoints first, 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. What is Precertification and Why Do I Need It. 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. 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 NOTE: The Precertification Request form is for provider use only. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Members should discuss any matters related to their coverage or condition with their treating provider. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. Skip To Main Content. Welcome to the Meritain Health benefits program. It is a separate process from network contracting. 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. Call center hours 24 hours, 7 days. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. " Call-back available NO. Past 24 Hours After review, Aetna will send your provider agreement via e-mail for signature. 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 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. Your IP: Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. These providers have agreed to discounted rates for the services they offer. 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. 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. 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). In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. It is important to note that not all of . Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 4. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Each main plan type has more than one subtype. Health. Password. Expertise and advanced technologies in all areas of medicine. You are now being directed to CVS Caremark site. Aetna Insurance Provider Credentialing - The Process - DENmaar When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Were a proud subsidiary of Aetna and CVS Health. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Some subtypes have five tiers of coverage. Copyright 2023 Meritain Health. Unlisted, unspecified and nonspecific codes should be avoided. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. New and revised codes are added to the CPBs as they are updated. 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. 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. 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. Learn more about our clearinghouse vendors here. Links to various non-Aetna sites are provided for your convenience only. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Meritain Health Provider Services - Meritain Health We do our best to streamline our processes so you can focus on tending to patients. 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. 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. , 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. (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. You are now being directed to the CVS Health site. All Time 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. 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). Were a proud subsidiary of Aetna and CVS Health . 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. 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. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. PDF Claims Submission and Payment - mbh-eap.com 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) 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.