If you have questions about claims or benefits, we're happy to help. benefits. Links to various non-Aetna sites are provided for your convenience only. When you select a Meritain Health plan, you get . 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. 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. 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. After review, Aetna will send your provider agreement via e-mail for signature. You can access the online provider portal here. Learn more about our clearinghouse vendors here. Health benefits and health insurance plans contain exclusions and limitations. If you have questions about claims or benefits, were happy to help. Gwizdala & Associates offers tax, bookkeeping and. This site has been specially designed to provide quick and easy access to the Aetna provider directory. At Meritain Health, we create unrivaled connections. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone 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. So, when you visit an in-network provider, it can help ease your mind a bit. Links to various non-Aetna sites are provided for your convenience only. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. insurance, payment options, etc. **Please select one of the , Health (2 days ago) WebContact us. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Provider termination form and directory update. Please contact your Meritain Health Representative. Were a proud subsidiary of Aetna and CVS Health . In 2020, we turned around 95.6 percent of claims within 10 business days. Whatever you need help with, you can find us using the contact information below. Treating providers are solely responsible for medical advice and treatment of members. 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. And what if youre not sure how to find one? 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. The CAQH registration process prevents providers from submitting the same information to . This site has been specially designed to provide quick and easy access to the Aetna provider directory. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. For serious accidents, injuries and conditions that require immediate medical care. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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. Copyright 2023 Sutter Health. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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. By continuing to use the site, you agree to the use of cookies. 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. Please check with your health plan if you have questions about coverage and network providers for specific products. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! The 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 email at group_precert-referrals@meritain.com in order for claims to be paid. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number All rights reserved. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. If you have questions about claims or benefits, we're happy to help. 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. Username. Prompt claims payment You'll benefit from our commitment to service excellence. However, if you visit an out-of-network provider, its a little more tricky. 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). Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. 437 verified reviews. Powered by WEX Health It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. 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. Applicable FARS/DFARS apply. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! 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. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. Others have four tiers, three tiers or two tiers. Find a Northern Californian Provider that meets your needs. This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". This means you could end up having to pay a lot more for your care. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. **Please select one of the options at the left to proceed with your request. PLEASE NOTE: The Precertification Request form is for provider use only. Join CAQH UPD. 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. Become A Meritain Health Provider 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 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. 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 Detail: Visit URL Category: Health View Health We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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. (5 days ago) WebHere's how it works: Step 1. 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. What is Precertification and Why Do I Need It. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Meritain Health Provider Enrollment. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Customer Number 800-925-2272 - by the Numbers. Independent retail pharmacies can fill out the form at the link below. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. The member's benefit plan determines coverage. No fee schedules, basic unit, relative values or related listings are included in CPT. Have questions about our products, policies and services? Expertise and advanced technologies in all areas of medicine. Aetna's 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). 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. Need Help? The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. 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: 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. And our payment, financial and procedural accuracy is above 99 percent. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Applicable FARS/DFARS apply. 4. Call picked up by a real person YES. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card (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 . You are now being directed to CVS Caremark site. The information you will be accessing is provided by another organization or vendor. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. provider's profile, including items like having a photo, a biography, 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. Have other questions about your health care benefits? **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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Copyright 2015 by the American Society of Addiction Medicine. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. New and revised codes are added to the CPBs as they are updated. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. 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. Welcome to the Meritain Health benefits program. For language services, please call the number on your member ID card and request an operator. 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 include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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. Links to various non-Aetna sites are provided for your convenience only. Convenient walk-in care clinics for your non-urgent health needs. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. An exception could be emergency care, when you might receive coverage at the in-network rate. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. For a faster response, please call us directly at 888-666-8135. 69.163.152.136 Include the date to the template using the Date feature. Each main plan type has more than one subtype. 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. Very professional. Cobrowse. Go to the American Medical Association Web site. 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). Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Youll benefit from our commitment to service excellence. Do you want to continue? You can email the site owner to let them know you were blocked. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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. These providers have agreed to discounted rates for the services they offer. Ready to journey on with us? Members should discuss any matters related to their coverage or condition with their treating provider. 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. You are now being directed to the CVS Health site. 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. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members.
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