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Unlisted, unspecified and nonspecific codes should be avoided. 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. Whether you're building an employee benefits program, researching your member benefits or offering support to your patients, we're ready to help you do more with your health plan. Include the date to the template using the Date feature. You are always free to visit any health care provider you want, but youll typically receive the best rates when you choose participating (in-network) providers. 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. Have other questions about your health care benefits? 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. Please fill in all fields. Department you're calling Customer Service. Gwizdala & Associates offers tax, bookkeeping and. Meritain Health works closely with provider networks, large and small, across the nation. Copyright 2023 Meritain Health. So, when you visit an in-network provider, it can help ease your mind a bit. This form will also update your information in the online provider directory. I may or may not be employed by an Aetna-contracted provider. Please contact your Meritain Health Representative. Clicking this button will cancel username recovery and navigate to login page Clicking this button will navigate to the next page Continue We use cookies to give you the best possible user experience. Cobrowse. 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. Join CAQH UPD. Meritain Health Provider Enrollment. You can also check out our informational video about the advantages of using in-network providers. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. 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. Meritain Health Customer Service When you need more information We are Meritain Health As Advocates for Healthier Living, we provide easy-to-use health care benefits you can use to live well. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. 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. All Rights Reserved. Health (3 , Health WebWelcome to Meritain Health At Meritain Health, we create unrivaled connections. Expertise and advanced technologies in all areas of medicine. Meritain Health P.O. Performance & security by Cloudflare. Treating providers are solely responsible for medical advice and treatment of members. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Our Customer Support team is just a phone call away for guidance on COVID-19 information, precertification and all your inquiries. By showing providers with higher ProfilePoints first, Have questions about our products, policies and services? Prompt claims payment You'll benefit from our commitment to service excellence. 4. Information obtained during the , Health WebCredentialing Process Overview . We do our best to streamline our processes so you can focus on tending to patients. (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. 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. For 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Learn more about our clearinghouse vendors here. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Contact us at 1.800.925.2272 if you have any questions about your plan. WEX Health Inc. 2004-2023. Reprinted with permission. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. But if youre wondering why to visit doctors in your provider network, you may question how much it actually matters. And when you have questions, weve got answers! Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Providers should , Health (4 days ago) WebSee how you can join Meridian Health Plan's provider network quickly and easily online. Treating providers are solely responsible for medical advice and treatment of members. At this time, only PPO , Maryland licensed environmental health specialist, Mesa county health department grand junction, Behavioral health park nicollet st louis park, Missouri department of behavioral health, Community health network medical record, 2019 Healthmoom.com. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Meritain Health Doctors nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Box 27267 Minneapolis, MN 55472-0267 The primary Preferred Network Hospital will remain Providence Hospital in Anchorage. 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. I practice independently and I want to contract with Aetna. 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. Youll benefit from our commitment to service excellence. To help us direct your question or comment to the correct area, please select a category below. All Time 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. 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. trademark of Sutter Health , Reg. This means we can connect you to over 700,000 providers nationwide, unmatched network , Health (Just Now) WebWelcome to Meritain Health's Aetna DocFind site. All rights reserved. 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. 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. www.meritain.com . However, . The member's benefit plan determines coverage. 100% Top 10 Meritain Health Provider Specialties: Ophthalmologist (Eye Doctor) (1 providers) States with the most Meritain Health Doctors: New York Florida Cities with the most Meritain Health Doctors: Fort Lauderdale, FL Smithtown, NY Aggregate Statistics Meritain Health Doctors by Specialty Ophthalmologist (Eye Doctor) by providers with Doctor.com accounts when editing their profile on Doctor.com. 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. 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. You are now being directed to CVS Caremark site. Meridian Phone Members: 888-437-0606 (TTY 711) Providers: 888-773-2647 (TTY 711) Meridian's regular business hours are Mon - Friday 8am-6:30pm EST. 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: Were a proud subsidiary of Aetna and CVS Health . Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. If youre still not sure which providers are in your network, dont worry! benefits. Please log in to your secure account to get what you need. Others have four tiers, three tiers or two tiers. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Links to various non-Aetna sites are provided for your convenience only. 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). We use cookies and limited processing of your personal information for our