Meritain Health Provider Credentialing Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Login - Meritain Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. These providers have agreed to discounted rates for the services they offer. Forgot Password? The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance 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). Our trusted partnership will afford you and your practice a healthy dose of advantages. Meritain Health Member Services - Meritain Health Gather Information. Information obtained during the , Health WebCredentialing Process Overview . MERITAIN HEALTH - 117 Reviews - Minneapolis, Minnesota - Yelp An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Need Help? 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. No fee schedules, basic unit, relative values or related listings are included in CPT. WEX Health Inc. 2004-2023. We use cookies to give you the best possible user experience. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card This website is using a security service to protect itself from online attacks. 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. All Time Our trusted partnership will afford you and your practice a healthy dose of advantages. 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. Your patients health and your ability to access their information is important to us. A full breakdown of points can be seen Welcome to Meritain Health - Meritain Health 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. Why to Visit Doctors in Your Provider Network - Meritain Health , 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. Please contact your Meritain Health Representative. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. However, if you visit an out-of-network provider, its a little more tricky. 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. And when you have questions, weve got answers! Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. 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. Doctors who accept Meritain Health Insurance | Doctor.com All rights reserved. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. 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. 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. Please fill in all fields. Performance & security by Cloudflare. 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. Clinical Update Request. Links to various non-Aetna sites are provided for your convenience only. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Members should discuss any matters related to their coverage or condition with their treating provider. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. PDF Meritain Health Benefit/Claim Customer Service 1-866-808-2609 Meritain Copyright 2023 Meritain Health. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. 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. Provider services - Meritain Health Health Plan Search Aetna - Meritain Health PPO - Sutter Health Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. Login These providers have agreed to discounted rates for the services they offer. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. 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. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Were a proud subsidiary of Aetna and CVS Health . LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). The CAQH registration process prevents providers from submitting the same information to . Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. I practice independently and I want to contract with Aetna. (5 days ago) WebHere's how it works: Step 1. Contact us at 1.800.925.2272 if you have any questions about your plan. Health benefits and health insurance plans contain exclusions and limitations. 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. Were a proud subsidiary of Aetna and CVS Health . At Meritain Health, we create unrivaled connections. Meritain Health P.O. If you have any questions about your benefits or claims, we're happy to help. Copyright 2023 Sutter Health. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! 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. Best Meritain Health Doctors Near Me | Zocdoc Providers cannot request to alter or remove reviews. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . All rights reserved. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Were a proud subsidiary of Aetna and CVS Health. Learn more about our clearinghouse vendors here. Health. The information you will be accessing is provided by another organization or vendor. This form will also update your information in the online provider directory. 4. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Very professional. When billing, you must use the most appropriate code as of the effective date of the submission. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! Step 2. The following hospital and/or physician groups accept Meritain Health PPO. 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. 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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Password. Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman www.meritain.com . Call center hours 24 hours, 7 days. 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). Please contact your Meritain Health Representative. Thank you for your interest in joining our networks. Customer Number 800-925-2272 - by the Numbers. Privacy Policy 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. 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. You can email the site owner to let them know you were blocked. What is an in-network provider? 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. Contact Us | Meridian This means you could end up having to pay a lot more for your care. 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. If you do not intend to leave our site, close this message. Click to reveal 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. I may or may not be employed by an Aetna-contracted provider. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Prompt claims payment You'll benefit from our commitment to service excellence. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. 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. PLEASE NOTE: The Precertification Request form is for provider use only. 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. We're a proud subsidiary of Aetna and CVS Health . You can learn more by contacting the Customer Service department of your benefits plan. Ready to journey on with us? All services deemed "never effective" are excluded from coverage. For a faster response, please call us directly at 888-666-8135. All rights reserved. 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. Applicable FARS/DFARS apply. Please log in to your secure account to get what you need. Department you're calling Customer Service. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Meritain Health 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. How do I find out what doctors are in my network? Skip To Main Content. 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. We do our best to streamline our processes so you can focus on tending to patients. Polk HealthCare Plan Providers Meritain Health Provider Enrollment. Treating providers are solely responsible for medical advice and treatment of members. Your browser doesn't support JavaScript code, or you have disabled JavaScript. PDF benefits available with Meritain Health, your third-party administrator we make it easier for you to quickly identify the most informative profiles on Doctor.com. 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. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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. 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. 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. By showing providers with higher ProfilePoints first, 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Provider termination form and directory update. However, . 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. 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.
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