A full breakdown of points can be seen Aetna Insurance Provider Credentialing - The Process - DENmaar 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. 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". We do our best to streamline our processes so you can focus on tending to patients. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! 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. Department you're calling Customer Service. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. The following hospital and/or physician groups accept Meritain Health PPO. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. We're a proud subsidiary of Aetna and CVS Health . Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Call picked up by a real person YES. Well need to terminate your existing agreement with us. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 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. First, you can , https://www.health-improve.org/become-a-meritain-health-provider/, Health (4 days ago) WebOnline Certification Process Skip To Main Content Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. All Time CPT only copyright 2015 American Medical Association. When you select a Meritain Health plan, you get . Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. ProfilePoints measure the overall completeness of a Our trusted partnership will afford you and your practice a healthy dose of advantages. We are excited to share that MeridianCare, a WellCare company, is , https://corp.mhplan.com/en/join-our-network/, Health (Just Now) WebWelcome to Meritain Health's Aetna DocFind site. 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. Our phone lines are open 24 hours a day, seven days a week. The following hospital and/or physician groups accept Meritain Health PPO. www.meritain.com . At Meritain Health, we create unrivaled connections. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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 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. For providers - Meritain Health provider portal - Meritain Health We're currently processing your request and we'll be in touch soon. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). After review, Aetna will send your provider agreement via e-mail for signature. Past 24 Hours This site has been specially designed to provide quick and easy access to the Aetna provider directory. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! Have questions about our products, policies and services? Your benefits plan determines coverage. Your online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. 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. 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. 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. All rights reserved. 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. 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. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Please note that providers listed in this directory may perform . 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. 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. 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. Please contact your Meritain Health Representative. Each main plan type has more than one subtype. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. After-hours, weekend and holiday services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. **Please select one of the , Health (2 days ago) WebContact us. Doctors who accept Meritain Health Insurance | Doctor.com 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. Past Week The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Cloudflare Ray ID: 7c0ab7761d84efce Links to various non-Aetna sites are provided for your convenience only. 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. Do you want to continue? However, if you visit an out-of-network provider, its a little more tricky. 1000 MO IL KS Essence Healthcare Essence Healthcare Prompt claims payment Youll benefit from our commitment to service , Health (1 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. (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 . Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. 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. CPT only Copyright 2022 American Medical Association. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Phone number to dial 800-925-2272. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. All services deemed "never effective" are excluded from coverage. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Login - Meritain 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. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! For language services, please call the number on your member ID card and request an operator. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs).
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