Meritain Health Aetna Pre Auth List

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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 – …

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

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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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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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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 interchange (EDI), through our secure …

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

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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: …

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

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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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What is Precertification and Why Do I Need It?

(1 days ago) WEBQuestions? If 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 …

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

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Understanding prior authorization - Aetna

(4 days ago) WEBPrior authorization is needed for the site of a service when all the following apply: The member has an Aetna® fully insured commercial plan. The member will get …

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

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Precertification and Preauthorization

(9 days ago) WEBmember. accolade.com • Acute • Use Disorder Long-Term Acute Care • Hospice Care • Rehabilitation • Mental Health / Substance • Transplant • Skilled Nursing Facility • …

https://cache.hacontent.com/ybr/R516/03177_ybr_ybrfndt/downloads/MeritainHealthPreReq.pdf

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Procedures, programs and drugs that require precertification

(2 days ago) WEBRybrevant (amivantamab-vmjw) — precertification required effective 8/6/2021 Ryplazim (plasminogen, human-tvmh) — precertification required effective 8/1/2021 Saphnelo …

https://www.aetna.com/content/dam/aetna/pdfs/health-care-professionals/2021-precert-list.pdf

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Prior authorization: What you need to know - Aetna

(4 days ago) WEBCall our 24/7 Nurse Line at. 1-855-493-7019 (TTY: 711) to speak with a registered nurse, 24 hours a day, 7 days a week. If it’s an emergency, dial 911. Call a nurse. 2. Check in with your doctor about …

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

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Microsoft Word - Meritain_Instructions-for-PreD_0820.docx

(3 days ago) WEBInstructions for Submitting Requests for Predeterminations. Complete and return to: Meritain Health® P.O. Box 853921 Richardson, TX 75085-3921 Fax: 716.541.6735. Email:

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

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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 …

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

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Resources for Members - Meritain Health insurance and provider …

(3 days ago) WEBAbout Meritain Health’s Claims Appeal. Appeal Request Form. Meritain Health’s claim appeal procedure consists of three levels: Level 1-Internal appeal. If a member submits …

https://www.meritain.com/resources-for-members-meritain-health-insurance/

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Homepage Aetna State of New Jersey SHBP & SEHBP Members

(5 days ago) WEBMake a plan change. Go to MyNJBenefitsHub.nj.gov to register and log in. Questions? Call your Concierge Team at 1-877-782-8365. Aetna medical and dental plans for the state …

https://aetnastatenj.com/

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Prior Authorization Process & Guidelines - Aetna

(8 days ago) WEBThis is called prior authorization. It’s also known as “preapproval” or “precertification.”. The Aetna® clinical team will review your doctor’s request. They make sure the treatment is …

https://www.aetna.com/individuals-families/prior-authorization-guidelines.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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For providers - Meritain Health provider portal - Meritain Health

(Just Now) 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. …

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

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QUICK REFERENCE GUIDE - Horizon NJ Health

(7 days ago) WEBBehavioral Health Services. [email protected] Facility When a resident that is auto-assigned or self-selected the MCO and needs a NJ Choi. Assessment …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Medical Exception/Prior Authorization/Precertification* - Aetna

(6 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/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/precertification-request-for-prescription-drugs.pdf

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Meritain Health's Aetna DocFind site

(Just Now) WEBWelcome to Meritain Health's Aetna DocFind site. This site has been specially designed to provide quick and easy access to the Aetna provider directory. This Aetna provider …

https://www.aetna.com/docfind/jsp/rdIndex.jsp?site_id=mymeritain&langpref=en

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