The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Your browser doesn't support JavaScript code, or you have disabled JavaScript. 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. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. How do I find out what doctors are in my network? 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. 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. 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. This website is using a security service to protect itself from online attacks. It is a separate process from network contracting. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! 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. You can email the site owner to let them know you were blocked. All Time 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. No fee schedules, basic unit, relative values or related listings are included in CPT. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. After review, Aetna will send your provider agreement via e-mail for signature. (5 days ago) WebHere's how it works: Step 1. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Disclaimer of Warranties and Liabilities. All rights reserved. " 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. 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. 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. 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. Were a proud subsidiary of Aetna and CVS Health . 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. 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. Forgot Password? Your patients health and your ability to access their information is important to us. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Call-back available NO. 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. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. 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 Please check with your health plan if you have questions about coverage and network providers for specific products. 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. By continuing to use the site, you agree to the use of cookies. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Past 24 Hours Well need to terminate your existing agreement with us. Find a Northern Californian Provider that meets your needs. 69.163.152.136 However, if you visit an out-of-network provider, its a little more tricky. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". We start by getting to know you and your needs, and build a free auto, home or life insurance quote. 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. When billing, you must use the most appropriate code as of the effective date of the submission. 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. 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, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. 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. Need Help? Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card In 2020, we turned around 95.6 percent of claims within 10 business days. 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. Cloudflare Ray ID: 7c0ab7761d84efce At Meritain Health, we create unrivaled connections. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . 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. This search will use the five-tier subtype. Privacy Policy Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Go to the American Medical Association Web site. All rights reserved. 437 verified reviews. Copyright 2015 by the American Society of Addiction Medicine. New and revised codes are added to the CPBs as they are updated. Best time to dial 3:45pm. By showing providers with higher ProfilePoints first, If you have questions about claims or benefits, we're happy to help. 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). Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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). The ABA Medical Necessity Guidedoes not constitute medical advice. Meritain Health Claim Filing Limit. Providers cannot request to alter or remove reviews. 4.75. 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. Have questions about our products, policies and services? Precertification Request. If you have any questions about your benefits or claims, we're happy to help. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Your IP: 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. First, you can request participation in the Aetna network by completing , Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023, 2022 health-mental.org. I may or may not be employed by an Aetna-contracted provider. Have other questions about your health care benefits? Performance & security by Cloudflare. These providers have agreed to discounted rates for the services they offer. 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. 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) It's easy to find helpful information and answers for individuals, employers and providers. 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. 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). CPT is a registered trademark of the American Medical Association. 4. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Phone number to dial 800-925-2272. Very professional. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Torequest participation in First Health networks, follow the link below. You are now being directed to CVS Caremark site. 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. Treating providers are solely responsible for dental advice and treatment of members. Applicable FARS/DFARS apply. 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. 1000 or toll free 7) 232-3863 ext. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Learn more about our clearinghouse vendors here. website and services to function. Include the date to the template using the Date feature. PLEASE NOTE: The Precertification Request form is for provider use only. These providers have agreed to discounted rates for the services they offer. (6 days ago) WebTimely Filing Limit 2023 of all Major Insurances Health (4 days ago) WebThe timely filing limit varies by insurance company and typically ranges from 90 to 180 days. Links to various non-Aetna sites are provided for your convenience only. This Agreement will terminate upon notice if you violate its terms. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. This means you could end up having to pay a lot more for your care. Past Week The AMA is a third party beneficiary to this Agreement. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. Our phone lines are open 24 hours a day, seven days a week. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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: , 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. Members should discuss any matters related to their coverage or condition with their treating provider. Information obtained during the , Health WebCredentialing Process Overview . **Please select one of the , Health (2 days ago) WebContact us. Independent retail pharmacies can fill out the form at the link below. Call picked up by a real person YES. Powered by WEX Health Applicable FARS/DFARS apply. All Rights Reserved. Please fill in all fields. 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 . 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.
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