Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone It is important to note that not all of . Health benefits and health insurance plans contain exclusions and limitations. 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. Sutter Health is a registered At Meritain Health, we create unrivaled connections. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. 3. All Rights Reserved. Expertise and advanced technologies in all areas of medicine. Past month, Health WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If you have any questions about your benefits or claims, we're happy to help. 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. 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. Copyright 2015 by the American Society of Addiction Medicine. 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. Youll benefit from our commitment to service excellence. Were a proud subsidiary of Aetna and CVS Health . This site has been specially designed to provide quick and easy access to the Aetna provider directory. 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: Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. When you select a Meritain Health plan, you get . Provider services Contact us Your patient's health and your ability to access their information is important to us. Prompt claims payment You'll benefit from our commitment to service excellence. 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). PROVIDER RELATIONS APPLICABLE STATE Carpenters' Health & Welfare Trust Fund Meritain Health PO Box 853921 Richardson, TX 75085-3921 (87 Web MD/Emdeon, #41124 or McKesson/Relay Health 1761 (314) 644-4802 ext. 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. Treating providers are solely responsible for medical advice and treatment of members. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. If you have questions about claims or benefits, we're happy to help. 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. Our trusted partnership will afford you and your practice a healthy Detail: Visit URL Category: Health View Health Links to various non-Aetna sites are provided for your convenience only. The member's benefit plan determines coverage. You are now being directed to the CVS Health site. 69.163.152.136 This Agreement will terminate upon notice if you violate its terms. , Health (5 days ago) WebTo locate a physician or facility for treatment participating with Meritain: Please call Meritain Health at 1-800-343-3140 for help finding an in-network provider. An in-network provider belongs to a group of hospitals, doctors, nurses and other health care providers your health plan has contracted with. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. For language services, please call the number on your member ID card and request an operator. Less red tape means more peace of mind for you. This site has been specially designed to provide quick and easy access to the Aetna provider directory. Forgot Username? Providers cannot request to alter or remove reviews. 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. 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) 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 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. An exception could be emergency care, when you might receive coverage at the in-network rate. 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. All Rights Reserved. If you have questions about claims or benefits, were happy to help. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Welcome to Meritain Health's Aetna DocFind site. This means we can connect you to over 700,000 providers , Health WebThe three primary phases of provider credentialing are as follows: 1. 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. 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. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. New and revised codes are added to the CPBs as they are updated. Some subtypes have five tiers of coverage. Navigate phone maze to a human Press 2, 0#, 0#, and 0# and you will be transferred. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. 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). **Please select one of the options at the left to proceed with your request. 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. Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health. In case of a conflict between your plan documents and this information, the plan documents will govern. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. In 2020, we turned around 95.6 percent of claims within 10 business days. Precertification Request Clinical Update Request Welcome to the Meritain Health benefits program. 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. 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. Please fill in all fields. 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. 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. We use cookies to give you the best possible user experience. 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). And our payment, financial and procedural accuracy is above 99 percent. To reach us by phone: For the fastest service, dial the toll-free number on the back of your ID card 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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.
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