meritain health provider

The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Check-ups, screenings and sick visits for adults and children. 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. Health-mental.org. 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. Meritain Health Copyright 2023 Meritain Health. Login - Meritain When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. Forgot Password? PDF Meritain Health Customer Service - EPC Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. 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. If youre still not sure which providers are in your network, dont worry! How do I find out what doctors are in my network? This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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. Online Certification Process 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. 1000 MO IL KS Essence Healthcare Essence Healthcare Health. 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 select one of the , Health (2 days ago) WebContact us. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This information is neither an offer of coverage nor medical advice. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman Meritain Health Customer Service When you need more information We are Meritain Health As Advocates for Healthier Living, we provide easy-to-use health care benefits you can use to live well. 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. Meritain Health P.O. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Provider services Contact us Your patient's health and your ability to access their information is important to us. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Health (1 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. So, when you visit an in-network provider, it can help ease your mind a bit. Please contact your Meritain Health Representative. You are now being directed to the CVS Health site. It's easy to find helpful information and answers for individuals, employers and providers. 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. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue 4. The member's benefit plan determines coverage. Our phone lines are open 24 hours a day, seven days a week. 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. 1000 or toll free 7) 232-3863 ext. All services deemed "never effective" are excluded from coverage. Meritain Health Provider Services - Meritain Health 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. It is only a partial, general description of plan or program benefits and does not constitute a contract. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Health Plan Search Aetna - Meritain Health PPO - Sutter Health Prompt claims payment You'll benefit from our commitment to service excellence. This search will use the five-tier subtype. 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. Contact Us - Health Care Providers - Aetna Providers cannot request to alter or remove reviews. For providers - Meritain Health provider portal - Meritain 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. 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 . 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. PDF Claims Submission and Payment - mbh-eap.com insurance, payment options, etc. Meritain Health Provider Services - Meritain Health I may or may not be employed by an Aetna-contracted provider. At Meritain Health, we create unrivaled connections. Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. 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. 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: Were a proud subsidiary of Aetna and CVS Health . This Agreement will terminate upon notice if you violate its terms. Powered by WEX Health 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. When billing, you must use the most appropriate code as of the effective date of the submission. (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 . Include the date to the template using the Date feature. 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. Username. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. However, . 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. For a faster response, please call us directly at 888-666-8135. 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. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. PLEASE NOTE: The Precertification Request form is for provider use only. Independent retail pharmacies can fill out the form at the link below. 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. Well need to terminate your existing agreement with us. " Others have four tiers, three tiers or two tiers. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Meritain Health insurance. 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. CPT only copyright 2015 American Medical Association. 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. Password. Please check with your health plan if you have questions about coverage and network providers for specific products. Your benefits plan determines coverage. An exception could be emergency care, when you might receive coverage at the in-network rate. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Department you're calling Customer Service. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Call center hours 24 hours, 7 days. Meritain Health Provider Credentialing Copyright 2023 Meritain Health. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Clinical Update Request. 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 do our best to streamline our processes so you can focus on tending to patients. Torequest participation in First Health networks, follow the link below. All rights reserved. If you have questions about claims or benefits, we're happy to help. 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. However, if you visit an out-of-network provider, its a little more tricky. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. By showing providers with higher ProfilePoints first, Forgot Username? Please note that providers listed in this directory may perform . Please log in to your secure account to get what you need. Links to various non-Aetna sites are provided for your convenience only. 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. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Step 2. 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 Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions.
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