Best Meritain Health Doctors Near Me | Zocdoc 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. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. These providers have agreed to discounted rates for the services they offer. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Forgot Password? Welcome to the Meritain Health benefits program. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. Health. Past Week Total number of Providers on Doctor.com who Accept Meritain Health: Most popular medical specialty of providers who accept Meritain Health: Meritain Health providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Meritain Health: Average Overall User Rating for providers who take Meritain Health. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. Please contact your Meritain Health Representative. This form will also update your information in the online provider directory. So, when you visit an in-network provider, it can help ease your mind a bit. Meritain Health Phone Number | Call Now & Shortcut to Rep - GetHuman This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Login - Meritain Meritain Health Claim Filing Limit. Copyright 2023 Sutter Health. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Our trusted partnership will afford you and your practice a healthy dose of advantages. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. insurance, payment options, etc. Precertification Request. Well need to terminate your existing agreement with us. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. CPT is a registered trademark of the American Medical Association. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Have questions or need to connect with us? All services deemed "never effective" are excluded from coverage. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. Youll benefit from our commitment to service excellence. 4.75. Ready to journey on with us? Have other questions about your health care benefits? Meritain Health - health insurance for employees - self-funding - TPA At Meritain Health, our goal is simpletake a creative approach to health care and build industry-leading connections. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Join CAQH UPD. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. (5 days ago) WebHere's how it works: Step 1. All Rights Reserved. Highly recommended Janet Conrad, NP Family Nurse Practitioner Bobtown, VA 5.00 ( 7 reviews) " Outstanding experience. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Click to reveal If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Phone number to dial 800-925-2272. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. And our payment, financial and procedural accuracy is above 99 percent. 437 verified reviews. 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 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. 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). And when you have questions, weve got , Health (7 days ago) WebYour online Meritain Health provider portal gives you instant, online access to patient eligibility, claims information, forms and more. Performance & security by Cloudflare. **Please select one of the options at the left to proceed with your request. This means we can connect you to over 700,000 providers nationwide, unmatched network discounts and one of the largest pharmacies. This means you could end up having to pay a lot more for your care. 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. Include the date to the template using the Date feature. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. And when you have questions, weve got , Health (3 days ago) WebAt Meritain Health, we create unrivaled connections. Were a proud subsidiary of Aetna and CVS Health . We also take steps to help you save on the cost of your care. **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. 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). Doctors who accept Meritain Health Insurance | Doctor.com 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. This Aetna provider , https://www.aetna.com/docfind/jsp/rdIndex.jsp?site_id=mymeritain&langpref=en, Health (5 days ago) WebHere's how it works: Step 1. Our phone lines are open 24 hours a day, seven days a week. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Meritain Health P.O. Copyright 2023 Meritain Health. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. 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. 10.0 miles away from Meritain Health Our American Family Insurance agency is committed to inspiring and protecting dreams in Edina, MN. We're currently processing your request and we'll be in touch soon. 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). Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. 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. Check-ups, screenings and sick visits for adults and children. 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.

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