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Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . 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. 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. Copyright 2023 Meritain Health. Links to various non-Aetna sites are provided for your convenience only. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Have questions about our products, policies and services? 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. we make it easier for you to quickly identify the most informative profiles on Doctor.com. At Meritain Health, we create unrivaled connections. Ready to journey on with us? The CAQH registration process prevents providers from submitting the same information to . 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. Less red tape means more peace of mind for you. 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. Copyright 2023 Sutter Health. 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're a proud subsidiary of Aetna and CVS Health . Were a proud subsidiary of Aetna and CVS Health . Welcome to Meritain Health At Meritain Health, we create unrivaled connections. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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). 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. We use cookies and limited processing of your personal information for our CPT only copyright 2015 American Medical Association. 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 . Each main plan type has more than one subtype. It is important to note that not all of . An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. 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. You are now being directed to the CVS Health site. Your patients health and your ability to access their information is important to us. If you have questions about claims or benefits, we're happy to help. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Members should discuss any matters related to their coverage or condition with their treating provider. Links to various non-Aetna sites are provided for your convenience only. 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. Please contact your Meritain Health Representative. 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. 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. Cobrowse. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. (5 days ago) WebHere's how it works: Step 1. Clinical Update Request. Links to various non-Aetna sites are provided for your convenience only. , 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. Check-ups, screenings and sick visits for adults and children. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Your IP: CPT only Copyright 2022 American Medical Association. All rights reserved. How do I find out what doctors are in my network? There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. 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. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Best time to dial 3:45pm. Copyright 2023 Meritain Health. We also take steps to help you save on the cost of your care. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Cloudflare Ray ID: 7c0ab7761d84efce **Please select one of the , Health (2 days ago) WebContact us. 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. Privacy Policy Past Week (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 . Credentialing and joining our network - 1-800-353-1232 (TTY: 711). You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. CPT is a registered trademark of the American Medical Association. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. Welcome to the Meritain Health benefits program. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Our trusted partnership will afford you and your practice a healthy dose of advantages. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. 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. 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. 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. 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. They go above and, Trusted Advisors Since 1984. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). It is a separate process from network contracting. Login. 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 log in to your secure account to get what you need. 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. 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 search will use the five-tier subtype. PLEASE NOTE: The Precertification Request form is for provider use only. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Forgot Password? Performance & security by Cloudflare. For a faster response, please call us directly at 888-666-8135. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. For serious accidents, injuries and conditions that require immediate medical care. 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. Reprinted with permission. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million 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. 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. You can email the site owner to let them know you were blocked. Torequest participation in First Health networks, follow the link below. **Please select one of the options at the left to proceed with your request. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Category: Health Detail Health. First, you can request participation in the Aetna network by completing our online request for participation form. 69.163.152.136 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. Youll be joining a community of like-minded individuals, focused on wellness. provider's profile, including items like having a photo, a biography, Please contact your Meritain Health Representative. 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.) insurance, payment options, etc. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Find a Northern Californian Provider that meets your needs. The AMA is a third party beneficiary to this Agreement. 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. Call-back available NO. Sutter Health is a registered In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. Prompt claims payment You'll benefit from our commitment to service excellence. By showing providers with higher ProfilePoints first, Learn more about our clearinghouse vendors here. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. 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. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. Your browser doesn't support JavaScript code, or you have disabled JavaScript. If you have any questions about your benefits or claims, we're happy to help. 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. Need Help? In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Applicable FARS/DFARS apply. All Rights Reserved. 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. Please check with your health plan if you have questions about coverage and network providers for specific products. 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. 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.

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