meritain health provider

Treating providers are solely responsible for medical advice and treatment of members. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. You can email the site owner to let them know you were blocked. 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. What is an in-network provider? 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. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Go to the American Medical Association Web site. CPT only Copyright 2022 American Medical Association. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. ProfilePoints measure the overall completeness of a 1000 or toll free 7) 232-3863 ext. 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. Login Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue Prompt claims payment You'll benefit from our commitment to service excellence. 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. 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. Cobrowse. Have questions or need to connect with us? While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. By showing providers with higher ProfilePoints first, Links to various non-Aetna sites are provided for your convenience only. 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. Links to various non-Aetna sites are provided for your convenience only. For providers - Meritain Health provider portal - Meritain Health 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. U.S. Patent & Trademark office. Skip To Main Content. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 69.163.152.136 Were a proud subsidiary of Aetna and CVS Health . 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. You can also check out our informational video about the advantages of using in-network providers. You can learn more by contacting the Customer Service department of your benefits plan. Your browser doesn't support JavaScript code, or you have disabled JavaScript. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Treating providers are solely responsible for medical advice and treatment of members. Were a proud subsidiary of Aetna and CVS Health. 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. You may not have the same coverage and discounts because out-of-network doctors have not agreed to contracted rates. Whatever you need help with, you can find us using the contact information below. Join CAQH UPD. After-hours, weekend and holiday services. (5 days ago) WebHere's how it works: Step 1. I practice independently and I want to contract with Aetna. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Disclaimer of Warranties and Liabilities. Welcome to the Meritain Health benefits program. 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. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. If youre still not sure which providers are in your network, dont worry! 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. Links to various non-Aetna sites are provided for your convenience only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT is a registered trademark of the American Medical Association. This Agreement will terminate upon notice if you violate its terms. 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 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. 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. 4.75. Unlisted, unspecified and nonspecific codes should be avoided. 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. Phone number to dial 800-925-2272. Performance & security by Cloudflare. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Have other questions about your health care benefits? Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Your benefits plan determines coverage. 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. Health benefits and health insurance plans contain exclusions and limitations. Welcome to Meritain Health At Meritain Health, we create unrivaled connections. 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. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. License to use 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. This means you could end up having to pay a lot more for your care. Do you want to continue? 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). Each main plan type has more than one subtype. Become A Meritain Health Provider 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. 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. Independent retail pharmacies can fill out the form at the link below. Meritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Why to Visit Doctors in Your Provider Network - Meritain Health Call-back available NO. Password. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. 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.

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meritain health provider

meritain health provider