Your browser doesn't support JavaScript code, or you have disabled JavaScript. Forgot Password? Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers cannot request to alter or remove reviews. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 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. 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). Include the date to the template using the Date feature. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Copyright 2023 Meritain 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. Meritain Health Provider Services - Meritain Health Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. The information you will be accessing is provided by another organization or vendor. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Check-ups, screenings and sick visits for adults and children. 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. All rights reserved. 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. After review, Aetna will send your provider agreement via e-mail for signature. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Please note that providers listed in this directory may perform . If you have any questions about your benefits or claims, we're happy to help. Links to various non-Aetna sites are provided for your convenience only. 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. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. 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). In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Each main plan type has more than one subtype. Youll be joining a community of like-minded individuals, focused on wellness. Call-back available NO. Links to various non-Aetna sites are provided for your convenience only. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 1000 or toll free 7) 232-3863 ext. 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 also check out our informational video about the advantages of using in-network providers. Performance & security by Cloudflare. 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. 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. You are now being directed to the CVS Health site. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health 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. 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. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. Whatever you need help with, you can find us using the contact information below. Cobrowse. We offer insurance, financial, and, Brooke N. said: This is the best bank that I have ever banked with! Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. By bundling policies, we can read more in Home & Rental Insurance, Life Insurance, Auto Insurance Gwizdala & Associates offers tax, bookkeeping and. (5 days ago) WebHere's how it works: Step 1. 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. If you have questions about claims or benefits, were happy to help. For providers - Meritain Health provider portal - Meritain Health We're currently processing your request and we'll be in touch soon. Our phone lines are open 24 hours a day, seven days a week. When you stay in your network, this usually means a lower deductible, less coinsurance and fewer out-of-pocket expenses for you. Step 2. I may or may not be employed by an Aetna-contracted provider. 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. trademark of Sutter Health , Reg. The following hospital and/or physician groups accept Meritain Health PPO. All Time www.meritain.com . An exception could be emergency care, when you might receive coverage at the in-network rate. PDF Meritain Health Benefit/Claim Customer Service 1-866-808-2609 Meritain These providers have agreed to discounted rates for the services they offer. Need Help? Some subtypes have five tiers of coverage. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). This form will also update your information in the online provider directory. This website is using a security service to protect itself from online attacks. It is only a partial, general description of plan or program benefits and does not constitute a contract. Meritain Health Provider Services - Meritain Health WEX Health Inc. 2004-2023. Applicable FARS/DFARS apply. License to sue 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. It is a separate process from network contracting. We take our mission as Advocates for Healthier Living seriouslyand cant wait to support you! 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. 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 dose of advantages. Thank you for your interest in joining our networks. Meritain Health Claim Filing Limit. This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Meritain Health Provider Enrollment. A full breakdown of points can be seen When billing, you must use the most appropriate code as of the effective date of the submission. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. The member's benefit plan determines coverage. Sutter Health is a registered Online Certification Process This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. All services deemed "never effective" are excluded from coverage. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. Aetna Claim Address|Aetna Provider Phone Number Updated (2023) This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. CPT is a registered trademark of the American Medical Association. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. 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. How do I find out what doctors are in my network? Were a proud subsidiary of Aetna and CVS Health . Meritain Health Member Services - Meritain Health They go above and, Trusted Advisors Since 1984. Copyright 2023 Meritain Health. Meritain Health works closely with provider networks, large and small, across the nation. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. U.S. Patent & Trademark office. Powered by WEX Health 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. 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. Very professional. Meritain Health Provider Enrollment 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. Privacy Policy Were a proud subsidiary of Aetna and CVS Health . Meritain Health's Aetna DocFind site Login Login. Have questions about our products, policies and services? Provider services - Meritain Health There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. 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. insurance, payment options, etc. All rights reserved. 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. What is an in-network provider? Category: Health Detail Health. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. We start by getting to know you and your needs, and build a free auto, home or life insurance quote. By continuing to use the site, you agree to the use of cookies. Copyright 2023 Sutter Health. Call picked up by a real person YES. 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Meritain Health Claim Filing Limit This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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 is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Members should discuss any matters related to their coverage or condition with their treating provider. 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. 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. 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. 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. Contact Us | Meridian 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. (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. ProfilePoints measure the overall completeness of a This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. 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). PDF benefits available with Meritain Health, your third-party administrator By showing providers with higher ProfilePoints first, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. **Please select one of the options at the left to proceed with your request. For a faster response, please call us directly at 888-666-8135. 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. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. website and services to function. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change.

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