The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. New and revised codes are added to the CPBs as they are updated. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. We're currently processing your request and we'll be in touch soon. 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. Cookie Preferences. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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. 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. 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. Copyright 2023 Meritain Health. 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. These providers have agreed to discounted rates for the services they offer. Do you want to continue? Less red tape means more peace of mind for you. www.meritain.com . Call center hours 24 hours, 7 days. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The member's benefit plan determines coverage. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Copyright 2023 Meritain Health. 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. Have other questions about your health care benefits? Some subtypes have five tiers of coverage. Health benefits and health insurance plans contain exclusions and limitations. It is a separate process from network contracting. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. PLEASE NOTE: The Precertification Request form is for provider use only. 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. We also take steps to help you save on the cost of your care. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. 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. Very professional. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. If you have questions about claims or benefits, were happy to help. Forgot Password? Youll benefit from our commitment to service excellence. 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. 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. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Were a proud subsidiary of Aetna and CVS Health . CPT only copyright 2015 American Medical Association. You can also check out our informational video about the advantages of using in-network providers. 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). 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: First, you can request participation in the Aetna network by completing our online request for participation form. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! **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. 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. Step 2. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. If you do not intend to leave our site, close this message. Precertification Request. 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.) Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Your patients health and your ability to access their information is important to us. Powered by WEX Health Treating providers are solely responsible for medical advice and treatment of members. 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. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health Department you're calling Customer Service. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Past 24 Hours Prompt claims payment You'll benefit from our commitment to service excellence. Phone number to dial 800-925-2272. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. 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 Meritain Health. 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. This information is neither an offer of coverage nor medical advice. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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. 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. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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. CPT only Copyright 2022 American Medical Association. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Health. How do I find out what doctors are in my network? A full breakdown of points can be seen 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. 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. This Agreement will terminate upon notice if you violate its terms. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. 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. When billing, you must use the most appropriate code as of the effective date of the submission. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Visit the secure website, available through www.aetna.com, for more information. Have questions or need to connect with us? 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). 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. (5 days ago) WebHere's how it works: Step 1. Well need to terminate your existing agreement with us. Links to various non-Aetna sites are provided for your convenience only. Your benefits plan determines coverage. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/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. Your browser doesn't support JavaScript code, or you have disabled JavaScript. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. This search will use the five-tier subtype. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. The AMA is a third party beneficiary to this Agreement. Copyright 2015 by the American Society of Addiction Medicine. All rights reserved. No fee schedules, basic unit, relative values or related listings are included in CPT. What is an in-network provider? WEX Health Inc. 2004-2023. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Include the date to the template using the Date feature. Clinical Update Request. Privacy Policy 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). Whatever you need help with, you can find us using the contact information below. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For language services, please call the number on your member ID card and request an operator. By showing providers with higher ProfilePoints first, 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. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". All services deemed "never effective" are excluded from coverage. Links to various non-Aetna sites are provided for your convenience only. If you have questions about claims or benefits, we're happy to help. The member's benefit plan determines coverage. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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. In 2020, we turned around 95.6 percent of claims within 10 business days. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Others have four tiers, three tiers or two tiers. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page.