Contact Us | Meridian The following hospital and/or physician groups accept Meritain Health PPO. Meritain Health This search will use the five-tier subtype. To obtain a Provider Directory or Specialist Directory please contact Customer Service (863 . Alta Bates Summit Medical Center - Alta Bates Campus, Alta Bates Summit Medical Center - Summit Campus, Sutter Maternity & Surgery Center of Santa Cruz. Convenient walk-in care clinics for your non-urgent health needs. If youre still not sure which providers are in your network, dont worry! In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. Meritain Health Member Services - Meritain Health PDF benefits available with Meritain Health, your third-party administrator However, . It is only a partial, general description of plan or program benefits and does not constitute a contract. Privacy Policy This Aetna provider , Health WebAll providers interested in participating in our networks must complete and return a credentialing application, as explained below. Forgot Password? This site has been specially designed to provide quick and easy access to the Aetna provider directory. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Forgot Username? In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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). 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. Cloudflare Ray ID: 7c0ab7761d84efce Health-mental.org. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Past 24 Hours 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Email Members: memberservices.mi@mhplan.com Mail Meridian 777 Woodward Ave, Ste 700 Detroit, MI 48226 Meridian Healthy Michigan Phone These providers have agreed to discounted rates for the services they offer. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. All rights reserved | Email: [emailprotected], Understanding asian culture in healthcare, How does culture affect health and wellbeing, Home health conditions of participation 2023. Links to various non-Aetna sites are provided for your convenience only. Best Meritain Health Doctors Near Me | Zocdoc Contact us at 1.800.925.2272 if you have any questions about your plan. 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. Your IP: Since Dental Clinical Policy Bulletins (DCPBs) 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. Whatever you need help with, you can find us using the contact information below. It is a separate process from network contracting. Please contact your Meritain Health Representative. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Do you want to continue? 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. The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. trademark of Sutter Health , Reg. **Please select one of the , Health (2 days ago) WebContact us. 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. After-hours, weekend and holiday services. The Meritain Health YouTube channel includes lots of videos with more information about topics our members frequently ask about, and much more! 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. 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. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! 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. 437 verified reviews. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Step 2. by providers with Doctor.com accounts when editing their profile on Doctor.com. benefits. 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. 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. A full breakdown of points can be seen For serious accidents, injuries and conditions that require immediate medical care. 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. Click to reveal Were a proud subsidiary of Aetna and CVS Health . If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. When youre caring for a Meritain Health member, were glad to work with you to ensure they receive the very best. 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. Learn more about our clearinghouse vendors here. 4. Cookie Preferences. For language services, please call the number on your member ID card and request an operator. The Aetna Service Centers help with benefits, claims, appeals, contracted rates, and many other questions. 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. Our trusted partnership will afford you and your practice a healthy dose of advantages. PLEASE NOTE: The Precertification Request form is for provider use only. Information obtained during the , Health WebCredentialing Process Overview . Welcome to the Meritain Health benefits program. Please contact your Meritain Health Representative. Include the date to the template using the Date feature. CPT only Copyright 2022 American Medical Association. 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. If you do not intend to leave our site, close this message. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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 Copyright 2023 Meritain Health. Cobrowse. Gather Information. An exception could be emergency care, when you might receive coverage at the in-network rate. Please note that providers listed in this directory may perform . Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Online Certification Process Health (7 days ago) WebMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. If you have questions about claims or benefits, we're happy to help. Copyright 2023 Sutter Health. Category: Health Detail Health. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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). Please log in to your secure account to get what you need. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Reprinted with permission. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Our trusted partnership will afford you and your practice a healthy dose of advantages. 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.
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