meritain health provider

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. 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. Best Meritain Health Eye Doctors Near Me | Zocdoc 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. 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. 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. 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. 1000 MO IL KS Essence Healthcare Essence Healthcare 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. 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 discounts and one of the largest pharmacies. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Forgot Password? Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Expertise and advanced technologies in all areas of medicine. Welcome to the Meritain Health benefits program. **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. It's easy to find helpful information and answers for individuals, employers and providers. PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. 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. I may or may not be employed by an Aetna-contracted provider. Our phone lines are open 24 hours a day, seven days a week. 4. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. You are now being directed to CVS Caremark site. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. 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. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. The ABA Medical Necessity Guidedoes not constitute medical advice. Information obtained during the , Health WebCredentialing Process Overview . Username. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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. 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. trademark of Sutter Health , Reg. 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. 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. benefits. by providers with Doctor.com accounts when editing their profile on Doctor.com. You can access the online provider portal here. **Please select one of the options at the left to proceed with your request. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Copyright 2023 Meritain Health. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. website and services to function. Cobrowse. 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. Were a proud subsidiary of Aetna and CVS Health . 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. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Have questions about our products, policies and services? MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp Meritain Health Provider Services - Meritain Health While the Dental Clinical Policy Bulletins (DCPBs) 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 (7 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. However, if you visit an out-of-network provider, its a little more tricky. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. All rights reserved. It is a separate process from network contracting. Providers cannot request to alter or remove reviews. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health Contact us at 1.800.925.2272 if you have any questions about your plan. Past 24 Hours Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Your patients health and your ability to access their information is important to us. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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). Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Please check with your health plan if you have questions about coverage and network providers for specific products. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Members should discuss any matters related to their coverage or condition with their treating provider. 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. Treating providers are solely responsible for dental advice and treatment of members. Meritain Health Provider Enrollment. When billing, you must use the most appropriate code as of the effective date of the submission. And our payment, financial and procedural accuracy is above 99 percent. To help us direct your question or comment to the correct area, please select a category below. For a faster response, please call us directly at 888-666-8135. Password. Customer Number 800-925-2272 - by the Numbers. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. 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. Meritain Health CPT only copyright 2015 American Medical Association. Do you want to continue? Thank you for your interest in joining our networks. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. After review, Aetna will send your provider agreement via e-mail for signature. 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. However, . Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If you have questions about claims or benefits, we're happy to help. Login These providers have agreed to discounted rates for the services they offer. No fee schedules, basic unit, relative values or related listings are included in CPT. All Rights Reserved. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Others have four tiers, three tiers or two tiers. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. 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. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. The following hospital and/or physician groups accept Meritain Health PPO. Some subtypes have five tiers of coverage. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. It is important to note that not all of . 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. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Have other questions about your health care benefits? 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. Unlisted, unspecified and nonspecific codes should be avoided. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. These providers have agreed to discounted rates for the services they offer. Sutter Health is a registered The member's benefit plan determines coverage. WEX Health Inc. 2004-2023. U.S. Patent & Trademark office. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. Meritain Health Provider Credentialing Each main plan type has more than one subtype. Why to Visit Doctors in Your Provider Network - Meritain Health

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