meritain health provider
**Please select one of the , Health (2 days ago) WebContact us. Need Help? Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Health. 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The following hospital and/or physician groups accept Meritain Health PPO. 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. 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. 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. Category: Health Detail Health. 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. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Unlisted, unspecified and nonspecific codes should be avoided. Health. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . trademark of Sutter Health , Reg. It is important to note that not all of . For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 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. Providers cannot request to alter or remove reviews. Credentialing involves collecting and , Health WebWelcome to Meritain Health's Aetna DocFind site. And our payment, financial and procedural accuracy is above 99 percent. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. " Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. It is a separate process from network contracting. Have questions or need to connect with us? 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. WEX Health Inc. 2004-2023. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Cookie Preferences. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. 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. Combined with our own in-house products and valued vendor partnerships, our solutions have placed us as the second largest third party administrator (TPA) in the nation. In 2020, we turned around 95.6 percent of claims within 10 business days. This Aetna provider , Health (6 days ago) WebMeritain Health Provider Enrollment Health (6 days ago) Web (7 days ago) WebFor member or provider questions regarding benefits, claims status or eligibility call Meritain , Health (4 days ago) WebOnline Certification Process. Past Week (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. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Past 24 Hours After-hours, weekend and holiday services. 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. All rights reserved. Meritain Health P.O. By continuing to use the site, you agree to the use of cookies. Were a proud subsidiary of Aetna and CVS Health. After review, Aetna will send your provider agreement via e-mail for signature. Health-mental.org. 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. Please note that providers listed in this directory may perform . 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. 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. You can access the online provider portal here. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Your browser doesn't support JavaScript code, or you have disabled JavaScript. What is an in-network provider? You can email the site owner to let them know you were blocked. 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 fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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). insurance, payment options, etc. Please contact your Meritain Health Representative. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Health benefits and health insurance plans contain exclusions and limitations. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health 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. 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. Login. And what if youre not sure how to find one? Your benefits plan determines coverage. 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. Our phone lines are open 24 hours a day, seven days a week. 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. Provider termination form and directory update. Youll benefit from our commitment to service excellence. 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. First, you can request participation in the Aetna network by completing our online request for participation form. Welcome to the Meritain Health benefits program. PLEASE NOTE: The Precertification Request form is for provider use only. The member's benefit plan determines coverage. Very professional. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! Meritain Health Provider Enrollment. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Torequest participation in First Health networks, follow the link below. This site has been specially designed to provide quick and easy access to the Aetna provider directory. **Please select one of the options at the left to proceed with your request. You are now being directed to CVS Caremark site. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. Some subtypes have five tiers of coverage. 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. Please check with your health plan if you have questions about coverage and network providers for specific products. This Agreement will terminate upon notice if you violate its terms. CPT only Copyright 2022 American Medical Association. Performance & security by Cloudflare. Provider services Contact us Your patient's health and your ability to access their information is important to us. All Rights Reserved. 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. Gather Information. Our trusted partnership will afford you and your practice a healthy dose of advantages. If you have questions about claims or benefits, we're happy to help. For a faster response, please call us directly at 888-666-8135. If you have any questions about your benefits or claims, we're happy to help. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Thank you for your interest in joining our networks. Applicable FARS/DFARS apply. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. And when you have questions, weve got answers! Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Include the date to the template using the Date feature. Privacy Policy Sutter Health is a registered 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. Phone number to dial 800-925-2272. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. Copyright 2023 Sutter Health. How do I find out what doctors are in my network? Members should discuss any matters related to their coverage or condition with their treating provider. ProfilePoints measure the overall completeness of a All Time 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. Meritain Health Claim Filing Limit. 4. 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: 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. This means you could end up having to pay a lot more for your care. 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. Find a Northern Californian Provider that meets your needs. Call-back available NO. For language services, please call the number on your member ID card and request an operator. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. When billing, you must use the most appropriate code as of the effective date of the submission. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. www.meritain.com . Cobrowse. CPT is a registered trademark of the American Medical Association. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Customer Number 800-925-2272 - by the Numbers. Have other questions about your health care benefits? Links to various non-Aetna sites are provided for your convenience only. To help us direct your question or comment to the correct area, please select a category below. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. This website is using a security service to protect itself from online attacks. We're a proud subsidiary of Aetna and CVS Health . Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. The action you just performed triggered the security solution. Our trusted partnership will afford you and your practice a healthy dose of advantages. So, when you visit an in-network provider, it can help ease your mind a bit. Independent retail pharmacies can fill out the form at the link below. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. What is Precertification and Why Do I Need It.