Meritain Health Prior Authorization List

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For providers - Meritain Health provider portal - Meritain Health

(1 days ago) WEBFind forms for prior authorization, predetermination, appeal and more on the Meritain Health provider portal. Access patient eligibility, claims information and online support …

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

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

(1 days ago) WEBPrecertification is a process that helps ensure you get the right care, for the right length of time, in the right setting. Learn what services require precertification, …

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

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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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Instructions for Submitting Requests for Predeterminations

(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. …

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

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Resources for Members - Meritain Health insurance and provider …

(3 days ago) WEBFind out how to access your benefits, contact customer service, use telemedicine, and more. Learn about wellness programs, price transparency, condition management, and …

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

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Precertification and Preauthorization

(9 days ago) WEBPercertification and preauthorization (also known as “prior authorization”) means that approval is required from your health plan before you receive certain health tests or …

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

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2022 Model Precertification List with High-Cost Drug …

(2 days ago) WEBPrecertification List with High-Cost Drug Management You can help make sure you and your family get quality health care when and where you need it. The Meritain Health® …

https://www.larimer.org/sites/default/files/mh_members-flyer_precertification_model_list_hcdm_0122.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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January 2017 Formulary List - Meritain

(9 days ago) WEBIf your doctor believes you have a specific clinical need for one of these products or is seeking a prior authorization for medical necessity, he or she should contact the …

https://content.meritain.com/DownloadFile.aspx?docid=ADA7D78C-8D6D-420F-AF82-EC13AF6B5D43

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Online Certification Process

(Just Now) WEBSkip To Main Content. Precertification Request Clinical Update Request. Welcome to WebTPA. WebTPA.

https://webtpa.getprecert.com/

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Welcome to Meritain Health - Meritain Health

(3 days ago) WEBWelcome to Meritain Health. At Meritain Health, we create unrivaled connections. We’re a proud subsidiary of Aetna ® and CVS Health ®. This means we …

https://qa.meritain.com/?spb-section=welcome-to-meritain-health

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Meritain Health Provider Services - Meritain Health

(7 days ago) WEBMeritain Health is the benefits administrator for more than 2,400 plan sponsors and close to 1.5 million members. Our trusted partnership will afford you and your practice a …

https://www.meritain.com/providers-2/

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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 …

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

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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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Prior Authorization Check

(6 days ago) WEBIf you are uncertain that prior authorization is needed, please submit a request for an accurate response. For information on MeridianComplete and other options for your …

https://mmp.mimeridian.com/provider/pre-auth-needed.html

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Welcome to Meritain Health Pharmacy Solutions

(7 days ago) WEBMeritain Health partners with Caremark to administer pharmacy solutions to employer groups. Our role is to work with you to ensure your benefits perform to your satisfaction. The team includes experienced, a prior authorization on any compound medication costing more than $299.99. Compounds must meet certain criteria for treating

https://argus.millercares.com/wp-content/uploads/2019/07/CVS-Caremark-Pharmacy-Welcome-Packet.pdf

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Prescription insurance - Pharmacy solutions - Meritain Health

(6 days ago) WEBAt MPS, our mission is simple—to protect and support member health, while achieving savings that lower cost of care. Integrate your medical, pharmacy and medical …

https://www.meritain.com/pharmacy-coverage-prescription-insurance/

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Providers: Authorizations Health First

(5 days ago) WEBOptum can be reached at 1.877.890.6970 (Medicare) or 1.866.323.4077 (Individual & Family Plans) or online: Individual plans Medicare plans . All Other Authorization …

https://hf.org/health-first-health-plans/providers/providers-authorizations

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Understanding prior authorizations Member Priority Health

(1 days ago) WEBService types that commonly require prior authorization. Admissions—all non-acute inpatient, partial and residential admissions, both medical and behavioral health. …

https://www.priorityhealth.com/member/getting-care/prior-authorizations

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