Check-ups, screenings and sick visits for adults and children. They go above and, Trusted Advisors Since 1984. 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. 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. 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. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. Contact Us | Meridian Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. benefits. WEX Health Inc. 2004-2023. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. 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. 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. 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. Contact Us - Health Care Providers - Aetna 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. 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. 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. Meritain Health Provider Enrollment 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. 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. PDF Meritain Health Customer Service - EPC Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. **Please select one of the options at the left to proceed with your request. CPT is a registered trademark of the American Medical Association. 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. Your patients health and your ability to access their information is important to us. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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. Links to various non-Aetna sites are provided for your convenience only. CPT is a registered trademark of the American Medical Association. Meritain Health Claim Filing Limit. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Skip To Main Content. Meritain Health - health insurance for employees - self-funding - TPA This information is neither an offer of coverage nor medical advice. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. A full breakdown of points can be seen Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. We're a proud subsidiary of Aetna and CVS Health . Aetna Insurance Provider Credentialing - The Process - DENmaar Treating providers are solely responsible for medical advice and treatment of members. For language services, please call the number on your member ID card and request an operator. 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. 1000 or toll free 7) 232-3863 ext. Meritain Health Provider Enrollment. 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. Copyright 2023 Meritain Health. Provider services - Meritain Health Provider termination form and directory update. 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. Unlisted, unspecified and nonspecific codes should be avoided. 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. Applicable FARS/DFARS apply. Your benefits plan determines coverage. Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Become A Meritain Health Provider 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. CPT only copyright 2015 American Medical Association. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Best Meritain Health Eye Doctors Near Me | Zocdoc 3. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. 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). Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. 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. Sutter Health is a registered Meritain Health P.O. If you or a covered dependent seek hospital treatment, both inpatient and/or outpatient, in Anchorage, you must use Providence Hospital to receive maximum plan benefits. Information obtained during the , Health WebCredentialing Process Overview . provider's profile, including items like having a photo, a biography, Powered by WEX Health Go to the American Medical Association Web site. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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 have questions about claims or benefits, we're happy to help. **Please select one of the , Health (2 days ago) WebContact us. Convenient walk-in care clinics for your non-urgent health needs. 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. Cloudflare Ray ID: 7c0ab7761d84efce Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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. 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. All Time www.meritain.com . These providers have agreed to discounted rates for the services they offer. 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 does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Have questions about our products, policies 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. Call-back available NO. An exception could be emergency care, when you might receive coverage at the in-network rate. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. This website is using a security service to protect itself from online attacks. Health-mental.org. All Rights Reserved. All services deemed "never effective" are excluded from coverage. (5 days ago) WebHere's how it works: Step 1. Category: Health Detail Health. by providers with Doctor.com accounts when editing their profile on Doctor.com. Reprinted with permission. Username. Privacy Policy It's easy to find helpful information and answers for individuals, employers and providers. It is a separate process from network contracting. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. 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 dose of advantages. 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. Cobrowse. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Our trusted partnership will afford you and your practice a healthy dose of advantages. 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 2015 by the American Society of Addiction Medicine. The following hospital and/or physician groups accept Meritain Health PPO. Thank you for your interest in joining our networks. 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. The information you will be accessing is provided by another organization or vendor. Department you're calling Customer Service. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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 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. Password. PDF benefits available with Meritain Health, your third-party administrator 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 means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Your browser doesn't support JavaScript code, or you have disabled JavaScript. What is Precertification and Why Do I Need It. Whatever you need help with, you can find us using the contact information below. Doctors who accept Meritain Health Insurance | Doctor.com Copyright 2023 Sutter Health. Provider services Contact us Your patient's health and your ability to access their information is important to us. 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. Learn more about our clearinghouse vendors here. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Click to reveal All rights reserved. Copyright 2023 Meritain Health. And what if youre not sure how to find one? 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. 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). Welcome to Meritain Health - Meritain Health You can also check out our informational video about the advantages of using in-network providers. Find a Northern Californian Provider that meets your needs. Your IP: Meritain Health I practice independently and I want to contract with Aetna. 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. 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. 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. 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. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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). Aetna's 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). Health. 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. To help us direct your question or comment to the correct area, please select a category below. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Expertise and advanced technologies in all areas of medicine. 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. Visit the secure website, available through www.aetna.com, for more information. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. If youre still not sure which providers are in your network, dont worry! 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. We do our best to streamline our processes so you can focus on tending to patients. 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. You can email the site owner to let them know you were blocked. For providers - Meritain Health provider portal - Meritain Health 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.

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