"}}]}}

Meritain Prior Authorization List (2024)

Table of Contents
1. For providers - Meritain Health provider portal 2. What is Precertification and Why Do I Need It? - Meritain Health 3. Online Certification Process 4. Precertification Lists - Aetna 5. [PDF] Precertification 6. [PDF] Instructions for Submitting Requests for Predeterminations 7. Provider services - Meritain Health 8. [PDF] Precertification 9. Resources for Members - Meritain Health insurance and provider search 10. Forms for health care professionals - Aetna 11. [PDF] Instructions for Submitting Requests for Predeterminations 12. Meritain Med Necessity: Edit & Share | airSlate SignNow 13. Meritain Health Authorization Form - Fill Online, Printable, Fillable, Blank ... 14. Provider Center - Polk HealthCare Plan 15. Member services - Meritain Health 16. Medical Insurance | Insurance Benefits | Dickinson College 17. Quantum Health 18. [PDF] Meritain Connect User Manual - Citizens Memorial Hospital 19. Accolade: Personalized Healthcare 20. [PDF] Welcome to Accolade and Meritain Health - PayPal Benefits 21. [PDF] Welcome to Meritain Health Pharmacy Solutions 22. [PDF] Vassar College Group Medical Benefit 23. Prior authorization | Aetna Better Health Premier Plan MMAI 24. [PDF] How to Find an In-Network Provider | Meritain Health 25. [PDF] Required Prior Authorization List | CMS 26. [PDF] A Quick Look at Your Health Plan - Dickinson Center, Inc. 27. Utilization Management | American Health Holding 28. [PDF] Meritain Health® Member Website User Guide 29. Meritain Prior Authorization Form: Complete with ease - SignNow FAQs

1. For providers - Meritain Health provider portal

  • Log in to your Meritain Health provider portal to access patient eligibility, claims information, forms and more.

2. What is Precertification and Why Do I Need It? - Meritain Health

  • Sep 9, 2021 · Before admission to the hospital for elective or non-emergency services. · Within 48 hours (two working days) after an emergency or urgent ...

  • Wondering what is precertification? To help make sure you're getting the right care, for the right length of time in the right setting.

3. Online Certification Process

  • Welcome to the Meritain Health benefits program. **Please select one of the ... PLEASE NOTE: The Precertification Request form is for provider use only.

  • Welcome to the Meritain Health benefits program.

4. Precertification Lists - Aetna

  • See our precertification lists or utilize our CPT code lookup to see whether a procedure or service requires prior approval. Discover the Aetna difference.

5. [PDF] Precertification

  • Meritain Health's Medical Management program is designed to ensure you and your eligible dependents receive the right healthcare while avoiding unnecessary ...

6. [PDF] Instructions for Submitting Requests for Predeterminations

  • 1. Always verify eligibility and benefits first. 2. You must also complete any other pre-service requirements, such as preauthorization, if applicable and ...

7. Provider services - Meritain Health

  • Find more information about how to contact us and learn more through our provider portal. Visit the Meritain Health Provider Services page.

8. [PDF] Precertification

  • It's easy to precertify. Your provider will often handle your precertification, but as an active participant in your health care, you.

9. Resources for Members - Meritain Health insurance and provider search

10. Forms for health care professionals - Aetna

  • Applications and forms for health care professionals in the Aetna network and their patients can be found here. Browse through our extensive list of forms ...

  • Applications and forms for health care professionals in the Aetna network and their patients can be found here. Browse through our extensive list of forms and find the right one for your needs.

11. [PDF] Instructions for Submitting Requests for Predeterminations

  • Missing: list | Show results with:list

12. Meritain Med Necessity: Edit & Share | airSlate SignNow

  • Meritain Health Prior Authorization. Get your fillable template and ... Related links to meritain prior authorization list. A.Medicare Status Codes ...

  • Meritain Health Prior Authorization. Get your fillable template and complete it online using the instructions provided. Create professional documents with airSlate SignNow.

13. Meritain Health Authorization Form - Fill Online, Printable, Fillable, Blank ...

  • The individuals who are required to file a Meritain Health authorization form are typically plan participants or policyholders who are seeking to use certain ...

  • We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. Click here to read our Cookie Policy. By clicking “Accept“ you agree to the use of cookies. ... Read moreRead less

14. Provider Center - Polk HealthCare Plan

  • Meritain is the third-party ... Precertification. The following items require precertification and must be authorized prior to service delivery: ...

  • Do you need to find a provider center in Polk County, Florida? Polk Healthcare Plan Providers can be found HERE.

15. Member services - Meritain Health

  • Need to contact Meritain Health Member Services or find out more about your health care benefits coverage? Contact number and information.

16. Medical Insurance | Insurance Benefits | Dickinson College

  • ... prior authorization or step therapy. Please note the excluded medications list contained in the formulary. If you are currently prescribed one of the ...

  • Details and links for medical, dental, and vision insurance information

17. Quantum Health

  • Quantum Health offers a uniquely powerful solution to drive healthcare navigation benefits performance while blending technology, cost savings, utilization, ...

  • Quantum Health offers a uniquely powerful solution to drive healthcare navigation benefits performance while blending technology, cost savings, utilization, and member satisfaction.

18. [PDF] Meritain Connect User Manual - Citizens Memorial Hospital

  • Updating your HIPAA Authorization Settings ... Click on User Documentation to view the list of user documents available. Click on the PDF icon to.

19. Accolade: Personalized Healthcare

  • Accolade provides access to quality primary care, mental health support, and expert medical opinions all backed by a team of clinical and benefits ...

  • Accolade provides access to quality primary care, mental health support, and expert medical opinions all backed by a team of clinical and benefits specialists.

20. [PDF] Welcome to Accolade and Meritain Health - PayPal Benefits

  • Jan 1, 2023 · UHC will be providing Accolade with a listing of services that have already been prior-authorized. However, you can also provide a copy of ...

21. [PDF] Welcome to Meritain Health Pharmacy Solutions

  • This program is designed to effectively manage specialty medications by implementing a thorough prior authorization process. ... on the list comply with the ...

22. [PDF] Vassar College Group Medical Benefit

  • Aug 1, 2011 · The following 4 items are removed from the required precertification list and moved to a Recommended List ... Step Therapy is a type of prior ...

23. Prior authorization | Aetna Better Health Premier Plan MMAI

  • Tips for requesting authorizations ... ALWAYS verify member eligibility prior to providing services. ... Complete the appropriate authorization form (medical or ...

  • How to obtain prior auth

24. [PDF] How to Find an In-Network Provider | Meritain Health

  • Whether you directly type-and-search the type of provider or select the type of physician, you will be provided with a list of providers within your network ...

25. [PDF] Required Prior Authorization List | CMS

  • May 13, 2024 · REQUIRED PRIOR AUTHORIZATION LIST. As defined in 42 CFR 414.234(c)(1). HCPCS. Description. Effective Date1. E0193. Powered air flotation bed ( ...

26. [PDF] A Quick Look at Your Health Plan - Dickinson Center, Inc.

  • one that can be easily abused, prior authorization may be required. For more information, see your. Plan Document or contact Meritain Health Pharmacy.

27. Utilization Management | American Health Holding

  • American Health's Utilization Review service and iSuite medical management software provides our claims processors with easy access to all the precertification ...

  • How is Utilization Management different at American Health Holding?

28. [PDF] Meritain Health® Member Website User Guide

  • Missing: prior | Show results with:prior

29. Meritain Prior Authorization Form: Complete with ease - SignNow

  • Meritain Health Prior Authorization. Check out how easy it is to ... How to create an eSignature for the meritain prior authorization list. Speed ...

  • Meritain Health Prior Authorization. Check out how easy it is to complete and eSign documents online using fillable templates and a powerful editor. Get everything done in minutes.

Meritain Prior Authorization List (2024)

FAQs

Are Aetna and Meritain the same? ›

Meritain Health is a popular insurance provider and is a subsidiary of its parent company, Aetna.

How do I submit claims to Meritain? ›

Log in to your Meritain Health member portal account and click Submit a Claim. Select the patient the claim is for and choose the claim type of Lifestyle Education Reimbursem*nt from the drop-down menu. Step 2: Complete the online form with the applicable information.

What network does Meritain use? ›

Solutions from Meritain Health®

Our broad network option—Aetna Choice®​ POS II network—gives you access to a full,​ nationwide network with carrier-level discounts. ​We're the only third party administrator (TPA) able to offer this network.

What kind of insurance is Meritain? ›

Meritain Health provides coverage for addiction and mental health treatment to help people recover from substance abuse and co-occurring disorders. People who have Meritain insurance plans may receive partial or full coverage for most substance abuse treatments, though coverage will vary based on the plan.

Who is Meritain owned by? ›

With over 40 years of excellence as a third party health care benefits administrator and a proud subsidiary of Aetna® and CVS Health®, Meritain Health® delivers customized, cost-effective and convenient solutions.

What company did Aetna merge with? ›

The CVS-Aetna merger was a horizontal and a vertical merger. In horizontal mergers, two competitors combine, and CVS-Aetna are significant competitors in numerous Medicare Part D geographic markets and also with respect to pharmaceutical benefit management (PBM) services.

How do I check my Meritain claim status? ›

At meritain.com you can:

Find the status of claims. View your Explanations of Benefits (EOBs). Review your benefit plan document.

Can you submit claims electronically to Aetna? ›

You can submit claims online or resubmissions through ConnectCenter.

What is the payer ID for Meritain? ›

Payer Name: Meritain Health|Payer ID: 64158|Professional (CMS1500)/Institutional (UB04)[Hospitals]

What is the timely filing limit for Meritain? ›

With respect to an Employee or Dependent at the time of the Initial Enrollment Period, You must submit an Enrollment Form within 31 days beginning on the initial date of Your eligibility.

Is Meritain different than Aetna? ›

Meritain Health, an independent subsidiary of Aetna, is one of the nation's largest administrators of health benefits. Meritain Health offers the resources of a national carrier combined with unmatched flexibility and plan options.

Is Meritain a third party administrator? ›

We take pride in being one of the nation's largest third party administrators (TPAs), and a subsidiary of Aetna® and Fortune 6 company CVS Health®.

How long does Meritain health claims take to process? ›

Prompt claims payment

In 2020, we turned around 95.6 percent of claims within 10 business days. Our payment, financial and procedural accuracy is above 99 percent.

Is there another name for Aetna insurance? ›

Remember, Aetna and Coventry are the same company, so you and your patients may see either name or logo on the communications we send to you. We're always working to improve your experience. So if you have any questions or concerns, please call us. You can reach us at the number on your patients' ID cards.

What are the subsidiaries of Aetna? ›

Is Aetna the same as Blue Shield? ›

Aetna and Anthem are different health insurance companies. Aetna has broader availability, especially with Medicare Advantage plans. Aetna sells health insurance in 47 states. Anthem is a brand of the Blue Cross Blue Shield network.

Who owns Aetna First health Network? ›

First Health is a wholly owned subsidiary of Aetna, which helps us enhance our national provider network and further improve savings across the country. Aetna is a wholly owned subsidiary of CVS Health.

Top Articles
Latest Posts
Article information

Author: Wyatt Volkman LLD

Last Updated:

Views: 6286

Rating: 4.6 / 5 (46 voted)

Reviews: 85% of readers found this page helpful

Author information

Name: Wyatt Volkman LLD

Birthday: 1992-02-16

Address: Suite 851 78549 Lubowitz Well, Wardside, TX 98080-8615

Phone: +67618977178100

Job: Manufacturing Director

Hobby: Running, Mountaineering, Inline skating, Writing, Baton twirling, Computer programming, Stone skipping

Introduction: My name is Wyatt Volkman LLD, I am a handsome, rich, comfortable, lively, zealous, graceful, gifted person who loves writing and wants to share my knowledge and understanding with you.