Aetna Meritain Health Pre Authorizations

Listing Websites about Aetna Meritain Health Pre Authorizations

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Online Certification Process

(4 days ago) WebWelcome to the Meritain Health benefits program. **Please select one of the options at the left to proceed with your request. PLEASE NOTE: The Precertification Request form is …

https://meritain.mednecessity.com/

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Prior Authorization Process & Guidelines Aetna

(8 days ago) WebSome procedures, tests and prescriptions need prior approval to be sure they’re right for you. In these cases, your doctor can submit a request on your behalf to get that approval. This is called prior authorization. You …

https://www.aetna.com/individuals-families/prior-authorization-guidelines.html

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Precertification Lists - Aetna

(2 days ago) WebParticipating providers are required to pursue precertification for procedures and services on the lists below. 2024 Participating Provider Precertification List – Effective date: May 1, …

https://www.aetna.com/health-care-professionals/precertification/precertification-lists.html

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For providers - Meritain Health provider portal

(1 days ago) WebMeritain Health works closely with provider networks, large and small, across the nation. We do our best to streamline our processes so you can focus on tending to patients. When you’re caring for a Meritain Health …

https://www.meritain.com/resources-for-providers-meritain-health-provider-portal/

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Instructions for Submitting Requests for Predeterminations

(7 days ago) WebYou must also complete any other pre-service requirements, such as preauthorization, if applicable and required. 3. All applicable fields are required. Meritain Health ® P.O. …

https://www.meritain.com/wp-content/uploads/2021/02/Form-OIC_Meritain.p65.pdf

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Aetna Precertification and Referral guide

(6 days ago) WebVerify the date of birth and resubmit the request. Please call the appropriate number below and select the option for precertification: 1-888-MD-AETNA (1-888-632-3862) (TTY: 711) …

https://www.aetna.com/document-library/healthcare-professionals/assets/documents/aetna-precertification-and-referral-guide.pdf

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Prior authorization: What you need to know Aetna

(4 days ago) WebHome health aide services. Medical equipment and supplies. Some inpatient hospital care. For more help understanding what you need prior authorization for, call …

https://education.aetnamedicare.com/article/benefit-spotlight/prior-authorization-what-to-know

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What is Precertification and Why Do I Need It?

(1 days ago) WebIf you have a Meritain Health benefits plan and have any questions, we’re here to help. Just call our Meritain Health Customer Service team at 1.800.925.2272. If you have any questions about …

https://www.meritain.com/what-is-precertification-and-why-do-i-need-it/

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Understanding prior authorization - Aetna

(4 days ago) WebIn some plans, you might need prior authorization for the place where you get a service or medicine. We call this the site of service or site of care. You may also …

https://member.aetna.com/memberSecure/assets/pdfs/Precertification_Authorization.pdf

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Forms and applications for Health care professionals - Aetna

(3 days ago) WebHealth benefits and health insurance plans contain exclusions and limitations. See all legal notices. Applications and forms for health care professionals in the Aetna network and …

https://www.aetna.com/health-care-professionals/health-care-professional-forms.html

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Provider services - Meritain Health

(3 days ago) WebContact us. Your patient’s health and your ability to access their information is important to us. If you have questions about claims or benefits, we’re happy to help. For 24-hour …

https://www.meritain.com/about-us-self-funded-employee-benefit-plans/meritain-health-provider-services/

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Medical Exception/Prior Authorization/Precertification

(1 days ago) WebNon-Specialty drug Prior Authorization Requests Fax: 1-877-269-9916. Specialty drug Prior Authorization Requests Fax: 1-888-267-3277. Request for Prescription. OR, …

https://www.aetna.com/document-library/healthcare-professionals/documents-forms/precertification-request-for-prescription-drugs.pdf

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Precertification – Health Care Professionals Aetna

(9 days ago) WebPrecertification occurs before inpatient admissions and select ambulatory procedures and services. Precertification applies to: You can submit a precertification by electronic data …

https://www.aetna.com/health-care-professionals/precertification.html

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Prior Authorization - Aetna Better Health

(4 days ago) WebIf you have questions about what is covered, consult your Provider Manual or call 1-855-456-9126. Remember, prior authorization is not a guarantee of payment. Unauthorized …

https://www.aetnabetterhealth.com/ny/providers/information/prior

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Meritain Health - health insurance for employees - self-funding

(5 days ago) WebAt Meritain Health®, our goal is simple—take a creative approach to health care and build industry-leading connections. Whether you're building an employee benefits program, …

https://www.meritain.com/

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Prior Authorization Forms - Aetna Better Health

(2 days ago) WebWe encourage you to call the Prior Authorization department at 1-855-676-5772 for all urgent requests. Peer to Peer Consultations. Peer to peers are scheduled by calling 1 …

https://www.aetnabetterhealth.com/michigan/providers/prior-authorization

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Prior authorizations - Aetna Better Health

(3 days ago) WebIf you have questions about what is covered, consult your provider handbook (PDF) or call 1-866-212-2851 (ICP) or 1‑866‑600-2139 (Premier Plan) for more information. If covered …

https://www.aetnabetterhealth.com/illinois/providers/prior-auth

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Prior authorization Aetna Better Health Premier Plan MMAI

(2 days ago) WebAetna Better Health Premier Plan MMAI works with certain subcontractors to coordinate services that are provided by entities other than the health plan, such as transportation, …

https://www.aetnabetterhealth.com/illinois/providers/resources/priorauth

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New Jersey Medicaid Plans Aetna Medicaid New Jersey - Aetna …

(4 days ago) WebAetna Better Health of New Jersey is part of Aetna® and the CVS Health® family, one of our country’s leading health care organizations. We’ve been serving people who use …

https://www.aetnabetterhealth.com/newjersey/index.html

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Instructions for Submitting Requests for Predeterminations

(3 days ago) WebBariatric Surgeries: please verify guidelines in your patient’s plan or Aetna CPB 0157. Complete and return to: Meritain Health® P.O. Box 853921 Richardson, TX 75085-3921 …

https://www.meritain.com/wp-content/uploads/2021/07/Meritain_Instructions-for-PreD_interactive_0721.pdf

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Contact Us - Health Care Providers - Aetna

(6 days ago) WebASA and Meritain Health ® - use phone number on member's ID card; Mental health treatment - use phone number on member's ID card; Substance abuse treatment - use …

https://www.aetna.com/health-care-professionals/contact-aetna.html

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Neuropsychological and Psychological Testing - Aetna

(6 days ago) WebAetna considers the following neuropsychological and psychological testing medically necessary (unless otherwise stated) when criteria are met: Neuropsychological testing …

https://www.aetna.com/cpb/medical/data/100_199/0158.html

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July 1, 2024 Open Enrollment - dickinson.edu

(2 days ago) WebMeritain will continue for July 1, 2024 Independent company of Aetna Members will continue to use the Aetna Choice POS II (Open Access) Network Visit providers without …

https://www.dickinson.edu/download/downloads/id/15574/2024-2025_open_enrollment_presentation_final.pdf

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