Health Plan Search Aetna - Meritain Health PPO - Sutter Health All rights reserved. Well need to terminate your existing agreement with us. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Meritain Health P.O. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. These providers have agreed to discounted rates for the services they offer. 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. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options. Provider services - Meritain Health (6 days ago) Web (7 days ago) WebFor member or provider questions regarding benefits, claims status or eligibility call Meritain Health Member Services at 1.800.762.2234 or visit . by providers with Doctor.com accounts when editing their profile on Doctor.com. Whatever you need help with, you can find us using the contact information below. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Select the Sign icon and , Health (4 days ago) WebHealth Care Providers: Join the Aetna Network. If you have questions about claims or benefits, were happy to help. Meritain Health Provider Enrollment Cobrowse. Meritain Health Member Services - Meritain Health Member services Contact us Your health and your ability to access your information is important to us. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. First, you can request participation in the Aetna network by completing our online request for participation form. Find a Northern Californian Provider that meets your needs. ProfilePoints measure the overall completeness of a The CAQH Unique provider data source is an online tool that conveniently gathers information required by health plans to obtain provider credentialing. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. You can also check out our informational video about the advantages of using in-network providers. Our trusted partnership will afford you and your practice a healthy dose of advantages. All Rights Reserved. Gather Information. 69.163.152.136 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. 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 Youll benefit from our commitment to service excellence. When you visit the doctor, you may already be a little on edgewithout needing to worry about how your care will be covered! Powered by WEX Health 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. CPT only Copyright 2022 American Medical Association. This Agreement will terminate upon notice if you violate its terms. Performance & security by Cloudflare. Include the date to the template using the Date feature. Why to Visit Doctors in Your Provider Network, Offering Easy Access to Virtual Mental Well-being Providers, Listen to Your Gut to Improve Your Health, All About Spending Accounts: HRAs, FSAs and HSAs, The Importance of Good Financial Wellness. 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. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. , 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. 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. Privacy Policy 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.

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