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Find a Provider Aetna Better Health Premier Plan MMAI

Details: Trauma - N. Treatment for Hepatitis C - N. Geographic Service Areas: Medical/Office Group Affiliations: Fitzgibbon Hospital. Ssm Health Depaul Hospital St. 1120 Shackelford Rd Bridgeton, MO 63031. (314) 344-6000. Hospital.

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Find a Provider Aetna Medicaid Illinois

Details: Northwestern Memorial Hospital . Mizuno, Eric, MD Internal Medicine . 901 S Austin Blvd, Chicago, IL 60644 Miles: 6.93 (773) 772-7858 . Ages served 18 - 99 . Accepting new patients. Board certification. More details . Provider Information; Service …

› Verified 6 days ago

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Find a Medical Provider

Details: Cincinnati Children'S Hospital. 7777 Yankee Rd Liberty Campus Clinics ML 16062 Liberty Township,OH 45044 (513) 636-3200. Directions. Cincinnati Children'S Hospital. 3333 Burnet Ave Otolaryngology ML 2018 Cincinnati,OH 45229 (513) 636 …

› Verified 1 days ago

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Find a Provider Aetna Better Health Premier Plan MMAI

Details: 8401 HARCOURT ROAD INDIANAPOLIS,IN 46260. (317) 338-4123. Directions Opens In New Window. Hours Of Operation*. Monday Tuesday Wednesday Thursday Friday Saturday Sunday. *As hours of operation may change, please call the provider to verify the office hours.

› Verified 4 days ago

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Cost of health care

Details: Hospital Costs: $280. Doctor Costs: $70. $350 per ER visit. The cost of each hospital stay if you don’t take your controller medication and become very ill: Hospital Costs: $2,100/day. Doctor Costs: $70/day. Average length of stay: 3 days or $6,510 per hospital stay. Pregnancy.

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Find a Doctor, Pharmacy, or Other Health Care Provider

Details: Provider Directory. We update our provider directory nightly. You can get a copy of the provider directory by mail. You can also get the materials you need in a different language or format. Just call Member Services at 1-855-772-9076 (TTY: 711) to learn more about these services. Or they can help you find a provider. SELECT A COUNTY.

› Verified 8 days ago

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Find a Doctor, Pharmacy, or Other Health Care Provider

Details: Mercy General Hospital; Mercy San Juan Medical Center; Geographic Service Areas: Medical/Office Group Affiliations: Nivano Physicians Inc . Ross, Jamie, MD Nephrology . 1111 Exposition Blvd, Ste 300 Sacramento, CA 95815 Miles: 6.99 (916) 564-6232 . Ages served 0 - 110 . Accepting new patients. Handicap accessible

› Verified 9 days ago

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Find a Provider Aetna Medicaid Illinois

Details: Saturday: Sunday: *As hours of operation may change, please call the provider to verify the office hours. Language: English, Interpreter Service, Spanish. Special training/experience: Swedish Covenant Hospital. Geographic Service Areas: Medical/Office Group Affiliations: Erie …

› Verified 6 days ago

› Url: https://www.aetnabetterhealth.com/Illinois-medicaid/find-provider?provsearch=true&name=&MedicalName=&city=&zip=60706&distance=25&county=&plan=DVZHPQ000000077&language=&specialty=BEHAVIORAL+HEALTH+FACILITY%2CCOUNSELING%2CFAMILY+PRACTICE%2CGENERAL+PRACTICE%2CINTERNAL+MEDICINE%2CLICENSED+PROFESSIONAL+COUNSELOR%2COPHTHALMOLOGY%2CPSYCHOLOGY%2CSUBSTANCE+ABUSE+FACILITY%2C&access=&newpatient=Yes%2C&affiliation=Lutheran+General+Hospital%2CNorthwestern+Memorial+Hospital%2CPresence+Resurrection+Medical+Center%2CRush+University+Medical+Center%2CSwedish+Covenant+Hospital%2C&groupaffiliation=&gender=&agesserved=&certified=&Sorting=3&NumberofProviders=5&extendedHours=&accreditation=&extendedOfficesHours=&telemedicine=False&page=6 Go Now

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Provider directory

Details: Click here to find a participating doctor, hospital, dentist, or other health care provider.. Aetna Better Health of Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

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Find a Provider Aetna Better Health of Virginia

Details: Neighborhood Health At Merrifield Center. 8221 Willow Oaks Corporate Dr Ste 450 Fairfax,VA 22031. (703) 535-5568. Fax: (703) 299-1794. Directions Opens In New Window. Neighborhood Health At Sherwood Hall Lane. 2616 Sherwood Hall Ln Ste 106 Alexandria,VA 22306. (703) 360-0300. Fax: (703) 799-2527.

› Verified 8 days ago

› Url: https://www.aetnabetterhealth.com/Virginia/find-provider?provsearch=true&name=&MedicalName=&city=&zip=22308&distance=10&county=&plan=&language=&specialty=Pediatrics&access=0&newpatient=0&affiliation=&groupaffiliation=&gender=&agesserved=0&certified=0&Sorting=3&NumberofProviders=5&asamlevel=&page=6 Go Now

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Provider Search Results

Details: Directions Opens In New Window. Hours of Operation*. Monday Tuesday Wednesday Thursday Friday Saturday Sunday. 8:30 AM to 7:00 PM. 8:30 AM to 5:00 PM. 9:00 AM to 5:00 PM. 9:30 AM to 5:30 PM. 8:30 AM to 3:00 PM. *As hours of operation may change, please call the provider to verify the office hours.

› Verified 8 days ago

› Url: https://www.aetnabetterhealth.com/michigan/find-provider?provsearch=true&name=&MedicalName=&city=&zip=48335&distance=10&county=&plan=QMZHPQ000000018&language=&specialty=PCP&access=0&newpatient=1&affiliation=PROVIDENCE+HOSPITAL+AND+MEDICAL+CENTER&groupaffiliation=&gender=F&agesserved=1&certified=0&Sorting=3&NumberofProviders=5&extendedHours=&accreditation=&page=6 Go Now

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Find a Doctor, Pharmacy, or Other Health Care Provider

Details: Hospital Affiliations; Service Area; Group Affiliation Gender: Female. County/Service Areas: SACRAMENTO . NPI: 1689605602. State License Number: A56411. Provider ID: CAPRV0002962 . Website: Board Certification: Check your Doctor’s Board Certification at: American Board of Medical Specialties(ABMS)

› Verified 3 days ago

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0543 Hospital Beds and Accessories

Details: hospital bed and limb restraints as they are considered non- covered safety items. Aetna's plans cover medically necessary services and supplies for the "diagnosis, care or treatment" of disease or injury. Although restraints, helmets, safety straps, etc., may prevent injury, they are not considered

› Verified 2 days ago

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Find a Doctor, Pharmacy, or Other Health Care Provider

Details: Mercy General Hospital; Geographic Service Areas: Medical/Office Group Affiliations: Med 7 Urgent Care Center . Baljic, Christel, MD Family Practice . 4112 E Commerce Way, Sacramento, CA 95834 Miles: 2.09 (916) 447-6337 . Ages served 0 - 110 . …

› Verified 6 days ago

› Url: https://www.aetnabetterhealth.com/california/find-provider?provsearch=true&name=&MedicalName=&city=&zip=95835&county=&SpecialtyList=Community+Clinic(PCP)%2CFamily+Practice(PCP)%2CFederally+Qualified+Health+Center(PCP)%2CGeneral+Practice(PCP)%2CInternal+Medicine(PCP)%2CRural+Health+Clinic(PCP)%2C&NumberofProviders=5&Sorting=3&plan=QMZHPQ000000069%2CQMZHPQ000000071&npilicense=&telemedicine=False&language=&specialty=COMMUNITY%20CLINIC,FAMILY%20PRACTICE,FEDERALLY%20QUALIFIED%20HEALTH%20CENTER,GENERAL%20PRACTICE,INTERNAL%20MEDICINE,&distance=25&gender=Female,&newpatient=Yes,&agesserved=&transportation=&affiliation=Mercy%20General%20Hospital,&access=&certified=Yes,&extendedHours=&groupaffiliation=Davis%20Community%20Clinic,Dignity%20Community%20Care,Elica%20Health%20Centers,Med%207%20Urgent%20Care%20Center,One%20Community%20Health,&accreditation=&ipa=&handicapAccessibility=&specialtraining=&opioidExpertise= Go Now

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Provider Search Results

Details: Accepting new patients Not accepting new patients Easy access to public transportation Board certification(s) Handicap Accessible> More Info. Results Per Page11

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Find a Provider Aetna Medicaid Illinois

Details: Provider Directory. We update our provider directory nightly. You can get a copy of the provider directory by mail. You can also get the materials you need in a different language or format. Just call Member Services at 1-866-329-4701 (TTY: 711) to learn more about these services. Or they can help you find a provider. SELECT A DIRECTORY.

› Verified 5 days ago

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Find a Doctor, Pharmacy, or Other Health Care Provider

Details: Methodist Hospital Of Sacramento; Geographic Service Areas: Medical/Office Group Affiliations: Hill Physicians Medical Group . Baljic, Christel, MD Family Practice . 4112 E Commerce Way, Sacramento, CA 95834 Miles: 2.09 (916) 447-6337 . Ages served 0 - 110 . Accepting new patients. Handicap accessible

› Verified 7 days ago

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(Acute In-patient, LTAC, Rehabilitation, or Hospital Name

Details: northwestern lake forest hospital rehabilitation 660 n westmoreland rd lake forest 60045 847-926-5600 northwestern memorial hospital acute inpatient 251 e huron chicago 60611 312-926-2000 northwestern memorial hospital behavioral health 251 e huron chicago 60611 312-926-2000. ltac. rehabilitation. ltac.

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Prior Authorization Aetna Medicaid Maryland

Details: Prior authorization (PA) Aetna Better Health ® of Maryland requires PA for some outpatient care as well as for planned hospital admissions. PA is not needed for emergency care. A current list of the services that require authorization is available on ProPAT, our online prior authorization search tool. Search ProPAT.

› Verified 7 days ago

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New policy updates (CLINICAL PAYMENT, CODING AND …

Details: ient hospital during an inpatient admission are not separately billable as they are included in the inpatient facility payment. Bundled Services Policy- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Bundled to the Inpatient Admission-According to CMS policy, Durable Medical equipment/supply items are for use by a member

› Verified 6 days ago

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Inpatient Stay Readmission Policy Effective 1/1/2021

Details: hospital admission occurring within thirty days of the initial admission’s date of discharge to assess the criteria in MAB 01-11-41, Revised Payment Policy for Hospital Re admissions, is met. For the MCO to accurately illustrate a hospital related readmission, the MCO should submit the

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AETNA BETTER HEALTH® Observation bed claim submission

Details: • The time receiving observation services (and hospital billing) ends when all clinical or medical interventions have been completed, including follow-up care furnished by hospital staff and physicians that may take place after a physician has ordered the patient be released or admitted as an inpatient.

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(Acute In-patient, LTAC, Hospital Name Rehabilitation, or

Details: norwegian american hospital children's acute inpatient 1044 n francisco ave chicago 60622 773-292-8200 oak forest hospital acute inpatient 15900 s cicero ave oak forest 60452 708-687-7200 palos community hospital acute inpatient 12251 s 80th ave palos heights 60463 708-361-4500. ltac. rehabilitation.

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ABHFL Interim Billing for Inpatient Hospital Services

Details: process and policy for submission of interim billing for inpatient hospital services. An interim claim is billed when a patient receives a continuous course of treatment in an inpatient department of a hospital which is expected to cover multiple months of care. These interim claims need to

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Find a Medical Provider

Details: Cincinnati Children'S Hospital. 3333 Burnet Ave Otolaryngology ML 2018 Cincinnati,OH 45229. (513) 636-4355. Directions Opens In New Window. Cincinnati Children'S Hospital. 7777 Yankee Rd Liberty Campus Clinics ML 16062 Liberty Township,OH 45044. (513) 636-3200.

› Verified 2 days ago

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Medical Transport Hospital-Based Ambulances

Details: hospital-based ambulance transport is paid only in certain circumstances as outlined in the manual. • hospital-based ambulances are designed to transport patients to their own facility only. • hospitals wishing to provide general ambulance services, including transferring patients

› Verified 7 days ago

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Billing and Claims Quick Reference Guide 4

Details: Inpatient Hospital Services. 10/1/2018 • APR DRG Version 36 • Inpatient services with discharges on or after October 1, 2018. 10/1/2019 • APR DRG Version 37 • Inpatient services with discharges on or after October 1, 2019. Claim Submission Format.

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Admission Criteria By ASAM Level

Details: active treatment but not the full resource of an acute care hospital); • Emotional, behavioral or cognitive conditions and complications – Moderate to severe conditions and complications. These symptoms may not be severe enough to meet diagnostic criteria but interfere or distract from recovery efforts (for example,

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Aetna Better Health of Ohio Dual Preferred (HMO SNP)

Details: hospital. 20% coinsurance for this benefit. Check with Medicaid plan for cost pick up. 18 : Supplemental Benefits (cont’d) Fitness Membership OTC Assistance Smoking Cessation Health Education Remote Access Technologies Worldwide Emergency/ Urgent Coverage Outpatient Blood Services Vendor Silver Sneakers : InComm . Aetna :

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Family Health Plan

Details: ST BERNARD HOSPITAL Cook 326 W 64th Street Chicago IL 60621 (773) 962-4188 ST JAMES HOSPITAL AND HEALTH CENTERS Cook 1423 Chicago Road Chicago Heights IL 60411 (708) 756-1000 SWEDISH COVENANT HOSPITAL Cook 5145 N California Avenue Chicago IL 60625 (773) 878-8200 SWEDISHAMERICAN HOSPITAL Winnebago 1401 E State Street Rockford …

› Verified 8 days ago

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Submitting Transportation/Ambulance Claims

Details: GR – Hospital based dialysis facility (hospital or hospital-related to Residence SD – Scene of accident or acute event to Notes Diagnostic or therapeutic site other than “P” (physician) or “H” (hospital) SH – Scene of accident or acute event to Hospital

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Aetna Provider Search Definitions

Details: Hospital Compare is a data source compiled by the Centers for Medicare & Medicaid Services (CMS), in collaboration with organizations representing consumers, hospitals, doctors, employers, accrediting organizations, and other federal agencies. Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals

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Provider Search Results

Details: Miami Lakes Home Health Care Inc. Compare Providers. 6710 Main St, Ste 236 Ste 236 Hialeah, FL 33014. (305) 512-3388. Ages Served. Home Health Agency. 5 stars 4 stars 3 stars 2 stars 1 star. Rate this Provider. The star rating information is provided in accordance with the requirements of Aetna’s contract with the State of Florida, and does

› Verified 8 days ago

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Medicare Outpatient Observation Notice Requirement

Details: receive more than 24 hours of observation services that their hospital stay is outpatient, not inpatient. You must provide the MOON to these patients no later than 36 hours after services begin. How to comply • Providers should have begun issuing the MOON effective March 8, 2017. Provider compliance with this notification requirement is

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Reimbursement Policy Statement Louisiana Medicaid

Details: Inpatient Hospital (POS 21) -a facility, other than psychiatric, which primarily provides F diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services by, or under, the supervision of physicians to patients admitted for a variety of medical conditions.

› Verified 6 days ago

› Url: https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/providers/pdf/Place%20of%20Service%20Policy-Inpatient%20Only%20Services%20(Outpatient%20Hospital%20Facility)_LA.pdf Go Now

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Billing and Claims Provider Training

Details: one of the following places of service: outpatient hospital-off campus (19), inpatient hospital (21), outpatient hospital -on campus (22), emergency room hospital (23), or ambulatory surgical center (24), according to Medicare’s designation.

› Verified 5 days ago

› Url: https://www.aetnabetterhealth.com/florida/assets/pdf/provider/May%202020%20-%20Monthly%20Provider%20Billing%20Claims%20Training%20-%20COVID-19,%20HH,%20and%20EIS.pdf Go Now

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Provider Search Results

Details: The star rating information is provided in accordance with the requirements of Aetna’s contract with the State of Kansas, and does not constitute a recommendation or necessarily

› Verified 8 days ago

› Url: https://www.aetnabetterhealth.com/kansas/find-provider?provsearch=true&name=&MedicalName=&city=&zip=66062&county=&SpecialtyList=GENERAL+DENTISTRY+PRACTITIONER%2CORTHODONTIST%2CORAL+SURGEON%2CGENERAL+PRACTITIONER%2C&NumberofProviders=5&Sorting=3&plan=&onecare=False&language=&specialty=GENERAL%20PRACTITIONER,GENERAL%20DENTISTRY%20PRACTITIONER,ORTHODONTIST,&distance=50&gender=Female,&newpatient=&agesserved=&transportation=&affiliation=Adventhealth%20Shawnee%20Mission,Menorah%20Medical%20Center,Overland%20Park%20Regional%20Medical%20Center,Saint%20Lukes%20South%20Hospital,&access=&certified=&extendedHours=&groupaffiliation=&accreditation=&ipa=&handicapAccessibility=&specialtraining=&opioidExpertise=&extendedOfficesHours= Go Now

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AETNA BETTER HEALTH® AETNA BETTER HEALTH® KIDS …

Details: Hospital . An institution t hat provides medical, surgical or psychiatric care and treatment for the sick or the injured. Provider type . The grouping of providers into broad categories. Name . Name of primary care provider, specialist, hospital or medical group. Gender . Male or female primary care provider or specialist. Specialty

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The purpose of the Non-Formulary Management policy is to

Details: member upon hospital discharge or after emergency department treatment, for a 5 day supply. Decision and Notification Standards. 11 . Aetna Better Health makes pharmacy authorization decisions and notifies prescribing providers, and/or members in a timely manner, according to the standards defined below unless other

› Verified 5 days ago

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The Webinar will begin shortly

Details: •Part A (Hospital Insurance) -Inpatient hospital stays -Care in a skilled nursing facility -Hospice Care -Some home health care •Part B (Medical Insurance) -Certain doctors’ services -Outpatient Care -Medical supplies -Preventative services ©2018 Aetna Inc. 17

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