The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. The following hospital and/or physician groups accept Meritain Health PPO. 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 expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. A full breakdown of points can be seen Treating providers are solely responsible for medical advice and treatment of members. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Call-back available NO. 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. It is important to note that not all of . (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 . Your browser doesn't support JavaScript code, or you have disabled JavaScript. Health-mental.org. **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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Gather Information. So, when you visit an in-network provider, it can help ease your mind a bit. 4.75. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone The information you will be accessing is provided by another organization or vendor. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Check-ups, screenings and sick visits for adults and children. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Links to various non-Aetna sites are provided for your convenience only. Cobrowse. 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. Welcome to Meritain Health - Meritain Health 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. For language services, please call the number on your member ID card and request an operator. All Rights Reserved. by providers with Doctor.com accounts when editing their profile on Doctor.com. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. website and services to function. 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. MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp 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. Category: Health Detail Health. Sutter Health is a registered 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.) 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. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. 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. 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. Unlisted, unspecified and nonspecific codes should be avoided. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Youll be joining a community of like-minded individuals, focused on wellness. Meritain Health's Aetna DocFind site 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. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Call center hours 24 hours, 7 days. CPT is a registered trademark of the American Medical Association. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Visit the secure website, available through www.aetna.com, for more information. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Some plans exclude coverage for services or supplies that Aetna considers medically necessary. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 1000 MO IL KS Essence Healthcare Essence Healthcare 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. The CAQH registration process prevents providers from submitting the same information to . This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Others have four tiers, three tiers or two tiers. We're currently processing your request and we'll be in touch soon. Do you want to continue? Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. Online Certification Process 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. PDF Claims Submission and Payment - mbh-eap.com 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. Best time to dial 3:45pm. This search will use the five-tier subtype. You can email the site owner to let them know you were blocked. When you select a Meritain Health plan, you get . Aetna Claim Address|Aetna Provider Phone Number Updated (2023) 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. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. 437 verified reviews. PLEASE NOTE: The Precertification Request form is for provider use only. These providers have agreed to discounted rates for the services they offer. 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. You can also check out our informational video about the advantages of using in-network providers. Very professional. Links to various non-Aetna sites are provided for your convenience only. Phone number to dial 800-925-2272. 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. 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. And what if youre not sure how to find one? Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Health Plan Search Aetna - Meritain Health PPO - Sutter Health And when you have questions, weve got answers! While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. However, . 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. Join CAQH UPD. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Treating providers are solely responsible for dental advice and treatment of members. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. 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. Step 2. Meritain Health Member Services - Meritain Health If you have any questions about your benefits or claims, we're happy to help. 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. 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. 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. By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance At Meritain Health, we create unrivaled connections. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Meritain Health Provider Enrollment. 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 showing providers with higher ProfilePoints first, U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
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