**Please select one of the options at the left to proceed with your request. 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. 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. 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. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Convenient walk-in care clinics for your non-urgent health needs. " An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Customer Number 800-925-2272 - by the Numbers. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. 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). You can access the online provider portal here. By continuing to use the site, you agree to the use of cookies. Copyright 2015 by the American Society of Addiction Medicine. 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. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. 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. If you do not intend to leave our site, close this message. It is only a partial, general description of plan or program benefits and does not constitute a contract. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. 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, 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. Meritain Health works closely with provider networks, large and small, across the nation. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. You can email the site owner to let them know you were blocked. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Health. PLEASE NOTE: The Precertification Request form is for provider use only. 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. We use cookies to give you the best possible user experience. Best time to dial 3:45pm. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. And what if youre not sure how to find one? Each main plan type has more than one subtype. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Please contact your Meritain Health Representative. Very professional. 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. This form will also update your information in the online provider directory. Some subtypes have five tiers of coverage. 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. 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) 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. Thank you for your interest in joining our networks. 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. Links to various non-Aetna sites are provided for your convenience only. Expertise and advanced technologies in all areas of medicine. CPT only copyright 2015 American Medical Association. Were a proud subsidiary of Aetna and CVS Health. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Welcome to the Meritain Health benefits program. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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). 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. Copyright 2023 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. 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 Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Ready to journey on with us? Have questions about our products, policies and services? When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Past 24 Hours 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. 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. If you have questions about claims or benefits, we're happy to help. All Time 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. You are now being directed to CVS Caremark site. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WEX Health Inc. 2004-2023. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled 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. 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. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View 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. Links to various non-Aetna sites are provided for your convenience only. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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). Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Were a proud subsidiary of Aetna and CVS Health . Health-mental.org. Username. If youre still not sure which providers are in your network, dont worry! When billing, you must use the most appropriate code as of the effective date of the submission. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. You can also check out our informational video about the advantages of using in-network providers. by providers with Doctor.com accounts when editing their profile on Doctor.com. After review, Aetna will send your provider agreement via e-mail for signature. Gwizdala & Associates offers tax, bookkeeping and. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. This information is neither an offer of coverage nor medical advice. Meritain Health P.O. The following hospital and/or physician groups accept Meritain Health PPO. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Performance & security by Cloudflare. 3. Information obtained during the , Health WebCredentialing Process Overview . Copyright 2023 Meritain Health. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Reprinted with permission. 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). Youll be joining a community of like-minded individuals, focused on wellness. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Sutter Health is a registered Treating providers are solely responsible for medical advice and treatment of members. However, if you visit an out-of-network provider, its a little more tricky. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. And our payment, financial and procedural accuracy is above 99 percent. Call picked up by a real person YES. We also take steps to help you save on the cost of your care. 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. 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. For a faster response, please call us directly at 888-666-8135. Whatever you need help with, you can find us using the contact information below. When you select a Meritain Health plan, you get . You can learn more by contacting the Customer Service department of your benefits plan. I may or may not be employed by an Aetna-contracted provider. Were a proud subsidiary of Aetna and CVS Health . Include the date to the template using the Date feature. Login. 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. 437 verified reviews. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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. Links to various non-Aetna sites are provided for your convenience only. Gather Information. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. (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 . The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. It is a separate process from network contracting. Please note that providers listed in this directory may perform . If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Welcome to Meritain Health's Aetna DocFind site. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Well need to terminate your existing agreement with us. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. insurance, payment options, etc. U.S. Patent & Trademark office. 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. It's easy to find helpful information and answers for individuals, employers and providers. Have other questions about your health care benefits? 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. 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. A full breakdown of points can be seen 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. Powered by WEX Health You are now being directed to the CVS Health site. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Phone number to dial 800-925-2272. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Disclaimer of Warranties and Liabilities. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Torequest participation in First Health networks, follow the link below. 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. 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. New and revised codes are added to the CPBs as they are updated. 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 Agreement will terminate upon notice if you violate its terms. Do you want to continue? All rights reserved. CPT is a registered trademark of the American Medical Association. 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. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Your IP: **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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. Members should discuss any matters related to their coverage or condition with their treating provider. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. 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). Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. The information you will be accessing is provided by another organization or vendor. The CAQH registration process prevents providers from submitting the same information to . What is an in-network provider? For serious accidents, injuries and conditions that require immediate medical care. 1000 or toll free 7) 232-3863 ext. Links to various non-Aetna sites are provided for your convenience only. All services deemed "never effective" are excluded from coverage. This means you could end up having to pay a lot more for your care. Others have four tiers, three tiers or two tiers. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. After-hours, weekend and holiday services. 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. Check-ups, screenings and sick visits for adults and children. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Copyright 2023 Meritain Health. What is Precertification and Why Do I Need It. We're currently processing your request and we'll be in touch soon. (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. Please log in to your secure account to get what you need. Privacy Policy All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. If you have any questions about your benefits or claims, we're happy to help. Visit the secure website, available through www.aetna.com, for more information. Click to reveal 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). But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. 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. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Our trusted partnership will afford you and your practice a healthy dose of advantages. 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. Step 2. Applicable FARS/DFARS apply. This site has been specially designed to provide quick and easy access to the Aetna provider directory. CPT only Copyright 2022 American Medical Association. 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. Please check with your health plan if you have questions about coverage and network providers for specific products. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. 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.
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