meritain health provider

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. Contact us at 1.800.925.2272 if you have any questions about your plan. 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. PLEASE NOTE: The Precertification Request form is for provider use only. What is an in-network provider? 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. Do you want to continue? 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. We use cookies to give you the best possible user experience. Were a proud subsidiary of Aetna and CVS Health . We're currently processing your request and we'll be in touch soon. 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. 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. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Prompt claims payment You'll benefit from our commitment to service excellence. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). For Providers Meritain Health Provider Portal Meritain Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. The member's benefit plan determines coverage. 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. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 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. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card To help us direct your question or comment to the correct area, please select a category below. In case of a conflict between your plan documents and this information, the plan documents will govern. Performance & security by Cloudflare. I may or may not be employed by an Aetna-contracted provider. Privacy Policy When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Convenient walk-in care clinics for your non-urgent health needs. This website is using a security service to protect itself from online attacks. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). All rights reserved. Learn more about our clearinghouse vendors here. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. 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. 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. We do our best to streamline our processes so you can focus on tending to patients. Call-back available NO. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Information obtained during the , Health WebCredentialing Process Overview . Gwizdala & Associates offers tax, bookkeeping and. trademark of Sutter Health , Reg. Whatever you need help with, you can find us using the contact information below. 4.75. , 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". These providers have agreed to discounted rates for the services they offer. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. Welcome to the Meritain Health benefits program. Links to various non-Aetna sites are provided for your convenience only. You can email the site owner to let them know you were blocked. 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. 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. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Forgot Password? When billing, you must use the most appropriate code as of the effective date of the submission. 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. So, when you visit an in-network provider, it can help ease your mind a bit. Copyright 2023 Sutter Health. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Meritain Health works closely with provider networks, large and small, across the nation. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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 five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This means you could end up having to pay a lot more for your care. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Forgot Username? Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. CPT is a registered trademark of the American Medical Association. 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. 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. Our phone lines are open 24 hours a day, seven days a week. How do I find out what doctors are in my network? provider's profile, including items like having a photo, a biography, 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. 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. Ready to journey on with us? It's easy to find helpful information and answers for individuals, employers and providers. 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. CPT only copyright 2015 American Medical Association. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. ProfilePoints measure the overall completeness of a The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Please fill in all fields. Your IP: This search will use the five-tier subtype. Gather Information. Step 2. All Time Disclaimer of Warranties and Liabilities. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. Cobrowse. And our payment, financial and procedural accuracy is above 99 percent. 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. After-hours, weekend and holiday services. Youll benefit from our commitment to service excellence. Skip To Main Content. Expertise and advanced technologies in all areas of medicine. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Your browser doesn't support JavaScript code, or you have disabled JavaScript. And what if youre not sure how to find one? Cloudflare Ray ID: 7c0ab7761d84efce After review, Aetna will send your provider agreement via e-mail for signature. And when you have questions, weve got answers! You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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. For a faster response, please call us directly at 888-666-8135. And when you have questions, weve got , Health (7 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. Some subtypes have five tiers of coverage. 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. 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. Unlisted, unspecified and nonspecific codes should be avoided. Less red tape means more peace of mind for you. Very professional. Torequest participation in First Health networks, follow the link below. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Copyright 2015 by the American Society of Addiction Medicine. website and services to function. Find a Northern Californian Provider that meets your needs. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid 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. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million 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. 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. 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. (5 days ago) WebHere's how it works: Step 1. Include the date to the template using the Date feature. 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). The information you will be accessing is provided by another organization or vendor. 4. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. It is important to note that not all of . Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Treating providers are solely responsible for dental advice and treatment of members. Copyright 2023 Meritain Health. Your benefits plan determines coverage. 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. 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 . 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. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. we make it easier for you to quickly identify the most informative profiles on Doctor.com. At Meritain Health, we create unrivaled connections. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Welcome to Meritain Health's Aetna DocFind site. 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. 437 verified reviews. The CAQH registration process prevents providers from submitting the same information to . Meritain Health P.O. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. 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). However, if you visit an out-of-network provider, its a little more tricky. Applicable FARS/DFARS apply. You are now being directed to the CVS Health site. Join CAQH UPD. Phone number to dial 800-925-2272. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. If you have questions about claims or benefits, were happy to help. 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. If youre still not sure which providers are in your network, dont worry! No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. 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). 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. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! Our trusted partnership will afford you and your practice a healthy dose of advantages. Our trusted partnership will afford you and your practice a healthy dose of advantages. Customer Number 800-925-2272 - by the Numbers. 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. The following hospital and/or physician groups accept Meritain Health PPO. Treating providers are solely responsible for medical advice and treatment of members. Provider services Contact us Your patient's health and your ability to access their information is important to us. By showing providers with higher ProfilePoints first, Treating providers are solely responsible for medical advice and treatment of members. Please contact your Meritain Health Representative. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. 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. 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. U.S. Patent & Trademark office. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please note that providers listed in this directory may perform . Please check with your health plan if you have questions about coverage and network providers for specific products. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. 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. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. This site has been specially designed to provide quick and easy access to the Aetna provider directory. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Copyright 2023 Meritain Health. By using our site, you agree to our use of cookies and our, Rheumatologist (Joints & Arthritis Specialist), Physiatrist (Physical Medicine & Rehabilitation), Speech, Language and Hearing Service Providers, Gastroenterologist (Stomach & Bowel Specialist), Pediatrician (Kids / Children Specialist). By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance

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