If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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. Were a proud subsidiary of Aetna and CVS Health. Join CAQH UPD. Past 24 Hours They go above and, Trusted Advisors Since 1984. 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. (5 days ago) WebHere's how it works: Step 1. Copyright 2023 Sutter Health. Very professional. PDF Meritain Health Customer Service - EPC Cobrowse. Health-mental.org. 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. 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. U.S. Patent & Trademark office. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Contact Us | Meridian If you do not intend to leave our site, close this message. Were a proud subsidiary of Aetna and CVS Health . 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. If youre still not sure which providers are in your network, dont worry! CPT is a registered trademark of the American Medical Association. What is Precertification and Why Do I Need It. 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. However, if you visit an out-of-network provider, its a little more tricky. Our trusted partnership will afford you and your practice a healthy dose of advantages. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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: 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. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. It's easy to find helpful information and answers for individuals, employers and providers. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. WEX Health Inc. 2004-2023. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Were a proud subsidiary of Aetna and CVS Health . An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. 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. , 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. 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. For a faster response, please call us directly at 888-666-8135. Information obtained during the , Health WebCredentialing Process Overview . (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 . It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Provider services Contact us Your patient's health and your ability to access their information is important to us. Meritain Health Provider Enrollment. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. Category: Health Detail Health. Independent retail pharmacies can fill out the form at the link below. 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. Meritain Health Provider Services - Meritain Health 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.) 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. 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. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. 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). In 2020, we turned around 95.6 percent of claims within 10 business days. 69.163.152.136 No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Meritain Health's Aetna DocFind site The information you will be accessing is provided by another organization or vendor. In most cases, the providers office will make a copy of your ID card for your file so they know in advance how to bill you for the service you receive. Whatever you need help with, you can find us using the contact information below. Links to various non-Aetna sites are provided for your convenience only. Contact us at 1.800.925.2272 if you have any questions about your plan. By continuing to use the site, you agree to the use of cookies. Unlisted, unspecified and nonspecific codes should be avoided. website and services to function. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Applicable FARS/DFARS apply. The member's benefit plan determines coverage. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Login. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Why to Visit Doctors in Your Provider Network - Meritain Health 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. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Include the date to the template using the Date feature. 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). When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Copyright 2023 Meritain Health. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Meritain Health Claim Filing Limit 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Performance & security by Cloudflare. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Others have four tiers, three tiers or two tiers. 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. Copyright 2023 Meritain Health. 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. 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. Best Meritain Health Doctors Near Me | Zocdoc Copyright 2023 Meritain Health. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . Provider services - Meritain Health CPT only Copyright 2022 American Medical Association. 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. 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. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. However, . At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. This site has been specially designed to provide quick and easy access to the Aetna provider directory. By showing providers with higher ProfilePoints first, Our trusted partnership will afford you and your practice a healthy dose of advantages. 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).
Folsom Softball Tournament,
Barbara Stovall Smith,
Bagwell Style Bowie,
Sunderland Council Housing Benefit Phone Number,
Articles M
meritain health provider