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.) It is a separate process from network contracting. The AMA is a third party beneficiary to this Agreement. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. provider's profile, including items like having a photo, a biography, These providers have agreed to discounted rates for the services they offer. Health benefits and health insurance plans contain exclusions and limitations. I practice independently and I want to contract with Aetna. Meritain Health works closely with provider networks, large and small, across the nation. We use cookies and limited processing of your personal information for our Information obtained during the , Health WebCredentialing Process Overview . An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. 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 CAQH registration process prevents providers from submitting the same information to . 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. 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. Please note that providers listed in this directory may perform . WEX Health Inc. 2004-2023. Precertification Request. 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. You are now being directed to CVS Caremark site. Copyright 2023 Meritain Health. Your browser doesn't support JavaScript code, or you have disabled JavaScript. You can access the online provider portal here. After review, Aetna will send your provider agreement via e-mail for signature. The following hospital and/or physician groups accept Meritain Health PPO. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. 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. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. 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) Include the date to the template using the Date feature. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. What is Precertification and Why Do I Need It. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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. By continuing to use the site, you agree to the use of cookies. A full breakdown of points can be seen First, you can request participation in the Aetna network by completing our online request for participation form. Applicable FARS/DFARS apply. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. You are now being directed to the CVS Health site. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. 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). Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request participation in First Health Submit feedback Find frequently asked questions (FAQs) Find more options under: In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. New and revised codes are added to the CPBs as they are updated. 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. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone Torequest participation in First Health networks, follow the link below. Learn more about our clearinghouse vendors here. Please check with your health plan if you have questions about coverage and network providers for specific products. Treating providers are solely responsible for medical advice and treatment of members. (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 . Providers cannot request to alter or remove reviews. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Youll benefit from our commitment to service excellence. Username. 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. All rights reserved. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. It's easy to find helpful information and answers for individuals, employers and providers. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Login. 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. We're currently processing your request and we'll be in touch soon. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Category: Health Detail Health. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Why to Visit Doctors in Your Provider Network, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, All About Spending Accounts: HRAs, FSAs and HSAs, The Importance of Good Financial Wellness. At Meritain Health, we create unrivaled connections. Need Help? Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. When billing, you must use the most appropriate code as of the effective date of the submission. What is an in-network provider? In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. (5 days ago) WebHere's how it works: Step 1. ProfilePoints measure the overall completeness of a Links to various non-Aetna sites are provided for your convenience only. And what if youre not sure how to find one? Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health The member's benefit plan determines coverage. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. 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. All services deemed "never effective" are excluded from coverage. PLEASE NOTE: The Precertification Request form is for provider use only. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Welcome to Meritain Health's Aetna DocFind site. Contact us at 1.800.925.2272 if you have any questions about your plan. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Visit the secure website, available through www.aetna.com, for more information. Past Week To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . 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. For serious accidents, injuries and conditions that require immediate medical care. Past 24 Hours Credentialing and joining our network - 1-800-353-1232 (TTY: 711). CPT is a registered trademark of the American Medical Association. 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. Links to various non-Aetna sites are provided for your convenience only. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. Step 2. Treating providers are solely responsible for dental advice and treatment of members. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. They go above and, Trusted Advisors Since 1984. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Disclaimer of Warranties and Liabilities. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! 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). This Agreement will terminate upon notice if you violate its terms. In most cases, the providers office will make a copy of your ID card for your file so they know in advance how to bill you for the service you receive. Forgot Password? Cobrowse. 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. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. In 2020, we turned around 95.6 percent of claims within 10 business days. This website is using a security service to protect itself from online attacks. I may or may not be employed by an Aetna-contracted provider. Meritain Health P.O. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 1000 or toll free 7) 232-3863 ext. Gather Information. All rights reserved. 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. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. Your benefits plan determines coverage. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 69.163.152.136 Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. Applicable FARS/DFARS apply. Our trusted partnership will afford you and your practice a healthy dose of advantages. Copyright 2023 Meritain Health. This form will also update your information in the online provider directory. 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. Department you're calling Customer Service. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. If you have questions about claims or benefits, we're happy to help. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Others have four tiers, three tiers or two tiers. If youre still not sure which providers are in your network, dont worry! U.S. Patent & Trademark office. Reprinted with permission. 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. 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 we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. 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). 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. Copyright 2023 Sutter Health. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. www.meritain.com . Phone number to dial 800-925-2272. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. An exception could be emergency care, when you might receive coverage at the in-network rate. If you have any questions about your benefits or claims, we're happy to help. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. 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 Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Find a Northern Californian Provider that meets your needs. 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. benefits. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. Youll be joining a community of like-minded individuals, focused on wellness. Prompt claims payment You'll benefit from our commitment to service excellence. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Check-ups, screenings and sick visits for adults and children. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Provider termination form and directory update. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Please contact your Meritain Health Representative. Clinical Update Request. 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. Well need to terminate your existing agreement with us. Please contact your Meritain Health Representative. 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. 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. How do I find out what doctors are in my network? Go to the American Medical Association Web site. 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. These providers have agreed to discounted rates for the services they offer. Do you want to continue? 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. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Some subtypes have five tiers of coverage. **Please select one of the , Health (2 days ago) WebContact us. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Have other questions about your health care benefits? Password. Ready to journey on with us? 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. When you select a Meritain Health plan, you get . All rights reserved. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. 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. 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. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Your 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. 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. 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. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. If you have questions about claims or benefits, we're happy to help. Very professional. 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.

How Much Does It Cost To Fix Squeaky Stairs, How Old Is Carlos Alvarez Tennis, Google Forms Fake Response, Articles M