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) 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. You are now being directed to the CVS Health site. They go above and, Trusted Advisors Since 1984. 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.)
Aetna Insurance Provider Credentialing - The Process - DENmaar Independent retail pharmacies can fill out the form at the link below. What is an in-network provider? And when you have questions, weve got answers! Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Less red tape means more peace of mind for you. 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.
Contact Us - Health Care Providers - Aetna Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits.
Best Meritain Health Eye Doctors Near Me | Zocdoc Some plans exclude coverage for services or supplies that Aetna considers medically necessary. It is important to note that not all of . 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. 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). Check-ups, screenings and sick visits for adults and children. The information you will be accessing is provided by another organization or vendor. By showing providers with higher ProfilePoints first, 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. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. If you have questions about claims or benefits, were happy to help. Powered by WEX Health
Aetna Claim Address|Aetna Provider Phone Number Updated (2023) At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. So, when you visit an in-network provider, it can help ease your mind a bit. " 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Links to various non-Aetna sites are provided for your convenience only. 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.
Health Plan Search Aetna - Meritain Health PPO - Sutter Health Phone number to dial 800-925-2272. Join CAQH UPD.
MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp Department you're calling Customer Service. Were a proud subsidiary of Aetna and CVS Health . 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).
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. This means you could end up having to pay a lot more for your care. Contact us at 1.800.925.2272 if you have any questions about your plan. 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. Meritain Health Customer Service When you need more information We are Meritain Health As Advocates for Healthier Living, we provide easy-to-use health care benefits you can use to live well. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. 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. Please fill in all fields. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Past Week In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. 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. Your IP: 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. Torequest participation in First Health networks, follow the link below. Links to various non-Aetna sites are provided for your convenience only. 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. Copyright 2023 Meritain Health. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Applicable FARS/DFARS apply. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Do you want to continue? Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. This site has been specially designed to provide quick and easy access to the Aetna provider directory. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision.
Provider services - Meritain Health This information is neither an offer of coverage nor medical advice. This search will use the five-tier subtype. Links to various non-Aetna sites are provided for your convenience only. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. How do I find out what doctors are in my network? Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Providers cannot request to alter or remove reviews. Performance & security by Cloudflare. Our trusted partnership will afford you and your practice a healthy dose of advantages. The following hospital and/or physician groups accept Meritain Health PPO. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. CPT is a registered trademark of the American Medical Association. www.meritain.com . Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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 For a faster response, please call us directly at 888-666-8135. **Please select one of the , Health (2 days ago) WebContact us. If youre still not sure which providers are in your network, dont worry! 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.
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. You are now being directed to CVS Caremark site. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Treating providers are solely responsible for medical advice and treatment of members. Include the date to the template using the Date feature.
Meritain Health Provider Enrollment Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. provider's profile, including items like having a photo, a biography, Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Ready to journey on with us? Cobrowse. , Health (5 days ago) WebTo locate a physician or facility for treatment participating with Meritain: Please call Meritain Health at 1-800-343-3140 for help finding an in-network provider. Welcome to Meritain Health At Meritain Health, we create unrivaled connections.
Why to Visit Doctors in Your Provider Network - Meritain Health At Meritain Health, we create unrivaled connections. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Cloudflare Ray ID: 7c0ab7761d84efce The CAQH registration process prevents providers from submitting the same information to . Meritain Health Provider Enrollment. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Skip To Main Content. 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. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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.