Meritain Prior Authorization List (2024)

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

  • 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.

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

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.

4. [PDF] Precertification

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.

6. [PDF] Precertification

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

7. [PDF] Participating provider precertification list for Aetna

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

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

  • obtain authorization from the Plan for ... Prior to effective date. ... The Plan Sponsor will maintain a list of those persons and that list is incorporated into ...

9. [PDF] Welcome to Meritain Health Pharmacy Solutions

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

  • Those who require prior authorization for ... Below is a list of the most common customer questions. ... meritain health authorization form Meritain MN booklet ...

  • Fill Meritain Health Authorization Form, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller ✔ Instantly. Try Now!

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

11. [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 ...

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

  • Updating your HIPAA Authorization Settings ... prior year only. If an account was ... Click on User Documentation to view the list of user documents available.

13. 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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14. 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.

15. Prior Authorization Lookup: Home Page

  • For further predetermination research, you can use the following resources in the AZ Blue secure provider portal: eligibility and benefits inquiry (includes ...

  • Find out if prior authorization is required by entering the member’s group number (from ID card) and procedure code.

16. [PDF] Meritain Health! - Saginaw Chippewa Indian Tribe

  • 6 jan 2017 · Prescription drugs that need approval are flagged in the pharmacy's computer with a message saying your prescription needs prior authorization.

Meritain Prior Authorization List (2024)

FAQs

What is the phone number for Meritain prior authorization? ›

If you have any questions about precertification, just call our Meritain Health Medical Management team at 1.800. 242.1199.

Are Aetna and Meritain the same? ›

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®.

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.

What specialty pharmacy does Meritain use? ›

Exclusive: Members fill specialty medication exclusively through the CVS specialty pharmacy or their local CVS pharmacy. Open: Members fill specialty medication at any pharmacy.

How do I submit a prior authorization on availity? ›

How to access and use Availity Authorizations:
  1. Log in to Availity.
  2. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations*
  3. Select Payer BCBSOK, then choose your organization.
  4. Select a Request Type and start request.
  5. Review and submit your request.

What is prior authorization from insurance? ›

A pre-authorization is a restriction placed on certain medications, tests, or health services by your insurance company that requires your doctor to first check and be granted permission before your plan will cover the item.

How long does Aetna take to approve prior authorization? ›

We will make a decision within 5 business days, or 72 hours for urgent care. If we deny your service, we will explain why in the letter. If we deny a service, you or your provider, with your written permission, can file an appeal.

What kind of insurance is meritain? ›

Meritain Health offers medical plans through the Aetna national network of doctors and hospitals.

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.

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.

Does Aetna use CVS as a specialty pharmacy? ›

Aetna®, CVS Pharmacy® and CVS Specialty® are part of the CVS Health family of companies. Prices for specialty pharmacy services are established by Aetna affiliates and may exceed Aetna's cost for these services.

What is the phone number for Aetna specialty pharmacy prior authorization? ›

Submit the request through our secure Availity provider website. Call the Aetna Pharmacy Precertification Unit: NonSpecialty 1-800-294-5979 (TTY: 711) or Specialty 1-866-814-5506 (TTY: 711).

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 kind of insurance is Meritain? ›

Meritain Health offers medical plans through the Aetna national network of doctors and hospitals.

What is the fax number for BCBS of Illinois prior authorization? ›

Fax each completed Predetermination Request Form to 800-852-1360. If unable to fax, you may mail your request to BCBSIL, PO BOX 805107, Chicago, IL, 60680-3625.

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.

References

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