However, if you visit an out-of-network provider, its a little more tricky. Contact us at 1.800.925.2272 if you have any questions about 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. Call center hours 24 hours, 7 days. 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. 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. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. www.meritain.com . Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Please note that providers listed in this directory may perform . Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card Prompt claims payment Youll benefit from our commitment to service , Health (1 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Gather Information. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Password. An exception could be emergency care, when you might receive coverage at the in-network rate. To help us direct your question or comment to the correct area, please select a category below. 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. 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). It is only a partial, general description of plan or program benefits and does not constitute a contract. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Were a proud subsidiary of Aetna and CVS Health . Meritain Health Claim Filing Limit. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. What is Precertification and Why Do I Need It. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. All rights reserved. Your patients health and your ability to access their information is important to us. We use cookies to give you the best possible user experience. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Your browser doesn't support JavaScript code, or you have disabled JavaScript. 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. Cloudflare Ray ID: 7c0ab7761d84efce Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. It is important to note that not all of . No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Members should discuss any matters related to their coverage or condition with their treating provider. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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 any questions about your benefits or claims, we're happy to help. Please contact your Meritain Health Representative. You can access the online provider portal here. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Your IP: Applicable FARS/DFARS apply. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Prompt claims payment You'll benefit from our commitment to service excellence. Welcome to Meritain Health's Aetna DocFind site. Visit the secure website, available through www.aetna.com, for more information. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. Your benefits plan determines coverage. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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). insurance, payment options, etc. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. For serious accidents, injuries and conditions that require immediate medical care. After-hours, weekend and holiday services. Youll benefit from our commitment to service excellence. And our payment, financial and procedural accuracy is above 99 percent. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Forgot Username? Cookie Preferences. David Chow is a well-rounded ophthalmologist serving his patients in Reston and Vienna, VA. Dr. Chow, who has been in practice since 1982, currently serves as Chair on the Political Action Committee Board of the Medical Society of Virginia, Richmond, VA. and he is President Emeritus of the Medical Society of Northern . 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. Precertification Request. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Treating providers are solely responsible for dental advice and treatment of members. 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. Need Help? CPT only copyright 2015 American Medical Association. These providers have agreed to discounted rates for the services they offer. Best time to dial 3:45pm. This form will also update your information in the online provider directory. 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. 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. Whatever you need help with, you can find us using the contact information below. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. WEX Health Inc. 2004-2023. Reprinted with permission. (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 . Department you're calling Customer Service. 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. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. ProfilePoints measure the overall completeness of a Health-mental.org. It is a separate process from network contracting. Were a proud subsidiary of Aetna and CVS Health . For a faster response, please call us directly at 888-666-8135. Well need to terminate your existing agreement with us. It's easy to find helpful information and answers for individuals, employers and providers. Provider services Contact us Your patient's health and your ability to access their information is important to us. We use cookies and limited processing of your personal information for our 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. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Copyright 2023 Meritain Health. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. 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. CPT is a registered trademark of the American Medical Association. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Powered by WEX Health 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. If youre still not sure which providers are in your network, dont worry! We start by getting to know you and your needs, and build a free auto, home or life insurance quote. 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. Meritain Health Provider Enrollment. Performance & security by Cloudflare. Past Week Were a proud subsidiary of Aetna and CVS Health. Check-ups, screenings and sick visits for adults and children. 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. Providers cannot request to alter or remove reviews. 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. We know it can seem hard to figure out what provider is in-network, so weve put together a couple options to help you locate some. Treating providers are solely responsible for medical advice and treatment of members. This information is neither an offer of coverage nor medical advice. 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. 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 is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Very professional. 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. 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. Each main plan type has more than one subtype. 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. 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. (5 days ago) WebHere's how it works: Step 1. Clinical Update Request. 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. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. If you have questions about claims or benefits, we're happy to help. 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). 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. **Please select one of the , Health (2 days ago) WebContact us. Health. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . Thank you for your interest in joining our networks. 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. **Please select one of the options at the left to proceed with your request. We're currently processing your request and we'll be in touch soon. Applicable FARS/DFARS apply. we make it easier for you to quickly identify the most informative profiles on Doctor.com. The action you just performed triggered the security solution. No fee schedules, basic unit, relative values or related listings are included in CPT. You can learn more by contacting the Customer Service department of your benefits plan. Gwizdala & Associates offers tax, bookkeeping and. All rights reserved. This site has been specially designed to provide quick and easy access to the Aetna provider directory. **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. Copyright 2023 Meritain Health. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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. Copyright 2023 Meritain Health. " Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Have questions or need to connect with us? The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. 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.) 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. This means you could end up having to pay a lot more for your care. Go to the American Medical Association Web site. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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. Convenient walk-in care clinics for your non-urgent health needs. 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. Information obtained during the , Health WebCredentialing Process Overview . Find a Northern Californian Provider that meets your needs. 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. 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. Links to various non-Aetna sites are provided for your convenience only. After review, Aetna will send your provider agreement via e-mail for signature. 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. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. 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. Links to various non-Aetna sites are provided for your convenience only. CPT is a registered trademark of the American Medical Association. Were a proud subsidiary of Aetna and CVS 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. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. First, you can request participation in the Aetna network by completing our online request for participation form. Have questions about our products, policies and services? (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. 1000 MO IL KS Essence Healthcare Essence Healthcare Meritain Health P.O. By showing providers with higher ProfilePoints first, Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. We're a proud subsidiary of Aetna and CVS Health . by providers with Doctor.com accounts when editing their profile on Doctor.com. Skip To Main Content. 3. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Call-back available NO. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. Have other questions about your health care benefits? The member's benefit plan determines coverage. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. is brittani marcell married, best shooting sticks for coyote hunting, kentucky dui arrests,
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