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

• 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

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

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• Welcome to the Meritain Health benefits program.

4. [PDF] Precertification

• Precertification of these benefits ensures the requested service is medically necessary and appropriate. All items listed here may not be covered under your ...

5. [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 ...

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6. 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.

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. Resources for Members - Meritain Health insurance and provider search

• We encourage you to check out your personalized member site. Here, you can get many answers to what you need, around the clock. Plus, new tools and resources ...

• You can find more information about your Meritain Health insurance, get support from our service specialists, and more when you log in.

9. [PDF] Precertification

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