Meritain Prior Authorization List (2024)

1. For providers - Meritain Health provider portal

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

9 sep 2021 · Wondering what is precertification? To help make sure you're getting the right care, for the right length of time in the right setting.
Wondering what is precertification? To help make sure you're getting the right care, for the right length of time in the right setting.

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3. Online Certification Process

Meritain Health Online Certification Process. Precertification Request · Clinical Update Request. Welcome to the Meritain Health benefits program. **Please ...
Welcome to the Meritain Health benefits program.

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4. [PDF] Precertification

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

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5. 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.

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6. [PDF] Participating provider precertification list for Aetna

1 jul 2024 · This document is a quick guide for your office to use for precertification with patients enrolled in Aetna health plans.

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7. [PDF] Precertification

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

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

Those who require prior authorization for specific medical treatments ... Below is a list of the most common customer questions. If you can't find an ...
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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

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9. [PDF] The utilization review administrator, [<015Y>Meritain Health Medical ...

the Covered Person's claim without prior express written authorization by the Plan. ... The Plan Sponsor will maintain a list of those persons and that list is ...

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10. [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 ...

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

How to create an eSignature for the meritain prior authorization list. Speed up your business's document workflow by creating the professional online forms ...
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.

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12. [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.

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13. Provider Center - Polk HealthCare Plan

Meritain is the third-party administrator for claims and medical management. ... Referrals should be submitted prior to claim submission. Refer to a ...
Do you need to find a provider center in Polk County, Florida? Polk Healthcare Plan Providers can be found HERE.

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

1 jan 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 ...
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15. Meritain health prior authorization: Fill out & sign online | DocHub

... Meritain Health. You will receive an account statement each time you are ... Learn more. LX140 Claims Payer 837 List - UserManual.wiki. User Manual: LX140 ...
Edit, sign, and share meritain health reimbursem*nt online. No need to install software, just go to DocHub, and sign up instantly and for free.

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

People also ask meritain health medication prior authorization form. Here is a list of the most common customer questions. If you can't find an answer to your ...
Meritain Health Prior Authorization. Get your fillable template and complete it online using the instructions provided. Create professional documents with airSlate SignNow.

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17. 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

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18. Meritain health prior authorization form pdf: Fill out & sign online

Select the right Meritain Health Inc.Travel Authorization Form - wiki bssd version from the list and start editing it straight away! Versions, Form ...
Edit, sign, and share Meritain Health Inc.Travel Authorization Form - wiki bssd online. No need to install software, just go to DocHub, and sign up instantly and for free.

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19. Quantum Health

Fortune Selects Quantum Health to 2023 Best Workplaces in Health Care™ ListEarning a spot on the list means that Quantum Health is one of the best companies to ...
Quantum Health offers a uniquely powerful solution to drive healthcare navigation benefits performance while blending technology, cost savings, utilization, and member satisfaction.

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20. Meritain Health Prior Authorization Apretude

discover Meritain Health Prior Authorization Apretude. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases.
discover Meritain Health Prior Authorization Apretude. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases

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21. [PDF] This Master PD/SPD was converted to Word by John Gilkey, changes were ...

deduction authorization for the Plan Administrator to ... The Plan Sponsor will maintain a list of those persons and that list is incorporated into this.

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22. [PDF] Required Prior Authorization List | CMS

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

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23. [PDF] A Quick Look at Your Health Plan Unified School District #443

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

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24. 2019-2024 Meritain Health Other Insurance Coverage Information Fill ...

Below is a list of the most common customer ... meritain health prior authorization form meritain form forms direct meritain com meritain form pdf meritain ...
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

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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.

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Does Meritain Health require referrals? ›

Do you need a referral to see a specialist? No. You can see the specialist you choose without a referral. All copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies.

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How to look up Meritain claims? ›

On your Claims Summary page, you can enter identifying information to search for specific claims. Simply enter the information in the appropriate boxes. You can search for claims based on claim type, claim status, provider name, claim number or dates of service. Then click the Apply button.

What does a prior authorization consist of? ›

Prior authorization—sometimes called preauthorization or precertification—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

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Who is Meritain associated with? ›

Subsidiary of Aetna® and CVS Health®

Access to over 1.6 million providers nationwide, unmatched network discounts and one of the largest pharmacies.

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What network does Meritain use? ›

Over 90 percent of our plan sponsors choose to offer the Aetna Choice® POS II network, a national network with carrier-level discounts. If you start here, you'll gain access to 1.6 million health care providers nationwide, including over 350,000 behavioral health providers.

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How do I file a claim on 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.

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.

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Does Aetna Meritain have an app? ›

Adding the Meritain Health Application to Your Mobile Device

You can easily access all services related to your benefits with a single sign on. The Meritain Health app makes it easy to track your benefits and get the care you need on the go.

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Why would a prior authorization be denied? ›

If the proposed treatment doesn't meet the threshold for being medically necessary, it won't be reimbursed by the payer. If a provider's office submits a wrong billing code, misspells a name or makes another clerical error, this can result in a denied PA request.

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What happens if a prior authorization is not obtained? ›

If you don't obtain it, the treatment or medication might not be covered, or you may need to pay more out of pocket. Review your plan documents or call the number on your health plan ID card for more information about the treatments, services, and supplies that require prior authorization under your specific plan.

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What are three drugs that require prior authorization? ›

Drugs That May Require Prior Authorization

Drug Class	Drugs in Class
Crysvita	Crysvita
Cystadane	Cystadane, betaine anhydrous
Dalfampridine	Dalfampridine
Daliresp	Daliresp

241 more rows

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When did Aetna buy Meritain? ›

2011: Aetna acquired Prodigy Health Group, parent of third-party administrator Meritain Health.

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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.

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Does Aetna have another name? ›

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.