However, if you visit an out-of-network provider, its a little more tricky. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 .
Meritain Health **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.
Treating providers are solely responsible for dental advice and treatment of members. CPT only Copyright 2022 American Medical Association. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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.
Why to Visit Doctors in Your Provider Network - Meritain Health website and services to function. 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 . Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. We also take steps to help you save on the cost of your care.
Best Meritain Health Doctors Near Me | Zocdoc Thank you for your interest in joining our networks. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! CPT is a registered trademark of the American Medical Association. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health Well need to terminate your existing agreement with us. Copyright 2023 Meritain Health. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1.
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Welcome to Meritain Health - Meritain Health By continuing to use the site, you agree to the use of cookies. All Time 69.163.152.136 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. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. All rights reserved. It helps when you understand the ins and outs of your health care benefits, especially when youre in search of a doctor or health care facility. Skip To Main Content. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. 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. 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 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. Were a proud subsidiary of Aetna and CVS Health . I practice independently and I want to contract with Aetna. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 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. By showing providers with higher ProfilePoints first, 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.
Meritain Health Claim Filing Limit You can learn more by contacting the Customer Service department of your benefits plan. Please contact your Meritain Health Representative. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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.
Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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). If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. What is Precertification and Why Do I Need It. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. You are now being directed to the CVS Health site. Past 24 Hours
Login - Meritain All rights reserved. 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. Customer Number 800-925-2272 - by the Numbers.
Meritain Health Provider Credentialing Cookie Preferences. 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. CPT only copyright 2015 American Medical Association. 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. 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. All Rights Reserved. Cobrowse. Health benefits and health insurance plans contain exclusions and limitations. 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. Provider termination form and directory update. Password. All rights reserved. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Have questions or need to connect with us? Forgot Password? We're currently processing your request and we'll be in touch soon. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program.
Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search.
PDF Claims Submission and Payment - mbh-eap.com Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider.
PDF Meritain Health Customer Service - EPC And our payment, financial and procedural accuracy is above 99 percent. Meritain Health Provider Enrollment.
Provider services - Meritain Health I may or may not be employed by an Aetna-contracted provider. 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. 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. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. insurance, payment options, etc. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. 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 action you just performed triggered the security solution. 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. 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. 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. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Your IP: Less red tape means more peace of mind for you. 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. Links to various non-Aetna sites are provided for your convenience only. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. U.S. Patent & Trademark office. Past Week Cloudflare Ray ID: 7c0ab7761d84efce provider's profile, including items like having a photo, a biography, In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. This Agreement will terminate upon notice if you violate its terms. Clinical Update Request. Phone number to dial 800-925-2272. 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. Precertification Request. 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. How do I find out what doctors are in my network? 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. Were a proud subsidiary of Aetna and CVS Health.
Meritain Health Provider Services - 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. To help us direct your question or comment to the correct area, please select a category below. Department you're calling Customer Service. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Members should discuss any matters related to their coverage or condition with their treating provider. Independent retail pharmacies can fill out the form at the link below. This website is using a security service to protect itself from online attacks. Links to various non-Aetna sites are provided for your convenience only. Were a proud subsidiary of Aetna and CVS Health . 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.
For providers - Meritain Health provider portal - Meritain Health Login. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. 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). Torequest participation in First Health networks, follow the link below. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Learn more about our clearinghouse vendors here. In 2020, we turned around 95.6 percent of claims within 10 business days. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! The following hospital and/or physician groups accept Meritain Health PPO. Links to various non-Aetna sites are provided for your convenience only. All services deemed "never effective" are excluded from coverage. Applicable FARS/DFARS apply. " Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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. www.meritain.com . Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. It is important to note that not all of . For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Welcome to Meritain Health's Aetna DocFind site. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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). 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 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. 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. 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. 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. 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. 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 is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. In case of a conflict between your plan documents and this information, the plan documents will govern. A healthcare facility or health insurance plan asks the provider for information on his or her background, licenses, , Health WebCredentialing is done before a health care professional joins the Aetna network. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! This search will use the five-tier subtype. 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). 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. 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. You can email the site owner to let them know you were blocked. The AMA is a third party beneficiary to this Agreement. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. You can access the online provider portal here.
Each main plan type has more than one subtype. 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. This means you could end up having to pay a lot more for your care. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Information obtained during the , Health WebCredentialing Process Overview . Call-back available NO.
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.
Contact Us - Health Care Providers - Aetna In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Need Help? Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Have other questions about your health care benefits? When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. 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. 3. If youre still not sure which providers are in your network, dont worry! We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with.