You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Please review the plan benefit coverage documentation under the link below. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. CPT only copyright 2015 American Medical Association. 2020 Avsis Incorporated. Use of any robot, spider or other intelligent agent to copy content from Provider Search, extract any portion of it or otherwise cause Provider Search to be burdened with unwarranted high access or transaction activity . Provider site; Please america; Search. Some subtypes have five tiers of coverage. In case of a conflict between your plan documents and this information, the plan documents will govern. CMS requires providers to take the Model of Care training course (PDF). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Smart Compare is a designation we give to doctors in our network who have proven time and again that they provide high-quality, effective care. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. All rights reserved | Email: [emailprotected], North country health care university flagstaff. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Category: Health Detail Health. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Join our team. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Aetna Better Health of Maryland Medicaid Dental Provider Search - Avesis The AMA is a third party beneficiary to this Agreement. . Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. #2020-93661 (exp. Click here to find an in-network pharmacy provider thats close to you. Pharmacy, dental or vision providers? Need a new dental office home? 2023 LIBERTY Dental Plan, All Rights Reserved. If you are in New Jersey, check your status by going to the Aetna Assure Premier Plus provider search page. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. For children and other Medicaid members, dental providers are available through MCNA. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. Want to help transform health care? The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Dental Provider Login | Aetna The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Links to various non-Aetna sites are provided for your convenience only. For non-participating health care professionals. CPT is a registered trademark of the American Medical Association. Aetna has one of the nation's largest dental networks, with more than 200,000 participating dental practices, making it easy to find a great dentist or specialist near you. Go to the American Medical Association Web site. Aetna Better Health of Maryland Medicaid Dental Provider Search. You can get a copy of the provider directory by mail. Oncology treatment plans must be submitted to NantHealth via their web portal, Eviti Connect, which will expedite clinical review of any chemotherapy, radiation therapy, or supportive medications that require prior-authorization. Learn about Aetna Smart Compare. Links to various non-Aetna sites are provided for your convenience only. By providing us with your email address, you agree to receive email communications from Aetna until you opt out of further emails. CPT is a registered trademark of the American Medical Association. If you wish to make a standing request to receive all materials in a language other than English or in an alternate format, you can call Aetna Better Health ofLouisiana Member Services at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. Click here to find an in-network vision provider thats close to you. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. Aetna offers health insurance, as well as dental, vision and other plans, to meet the needs of individuals and families, employers, health care providers and insurance agents/brokers. The information you will be accessing is provided by another organization or vendor. Each main plan type has more than one subtype. ProPAT CPT Code Lookup : Aetna Better Health of Kansas Request an Office Transfer. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Disclaimer of Warranties and Liabilities. To see if your doctor is in our network, click a plan link below. If you are looking for a specific provider and cannot find them online, need more information,help, or would like a printed copy of the provider directory mailed to you,callus at 1-855-242-0802, TTY 711, 24 hours a day, 7 days a week. ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. PA requirement results are valid as of todays date only. You can also get the materials you need in a different language or format. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Please be sure to add a 1 before your mobile number, ex: 19876543210. Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. Our providers | Aetna Medicaid Members must choose a PCP* to guide their treatment and coordinate all specialist care which all takes place in a quality network to keep costs in check. Working with providers, our advanced care management techniques help increase quality, improve efficiency . Aetna dental plans are not considered to be qualified health plans under the Affordable Care Act. Medicaid your for low-income and working humans or families, their . LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Links to various non-Aetna sites are provided for your convenience only. Vision Provider Locator CPT is a registered trademark of the American Medical Association. Pediatric Dentists: provide dental care for children and young adults. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. ALL inpatient confinements require PA and usually ALL services provided . While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. It is only a partial, general description of plan or program benefits and does not constitute a contract. Treating providers are solely responsible for medical advice and treatment of members. Please feel free tocontact us to provide any new information. Request a medical application. System (HCPCS) codes or a CPT group and select SEARCH. Or they can help you find a provider. Some subtypes have five tiers of coverage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Guardian is a registered trademark of The Guardian Life Insurance Company of America, New York, NY. Members should discuss any matters related to their coverage or condition with their treating provider. Check your participation status using the provider search tool. Aetna Better Health - LIBERTY Dental Plan Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. #2020 . No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Each main plan type has more than one subtype. The provider network is subject to change. Orthodontists: correct the position of misaligned teeth and jaws, typically this is done with braces although treatments using other dental devices (such as retainers) are also utilized. What's covered? * Enter Provider ID : * Enter NPI : *Provider Type : Select a Provider Type Medical (Includes Behavioral Health) Dental Facilities. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. 2022 Dual Eligible Special Needs Plans (DSNPs) information, Required Centers for Medicare & Medicaid Services (CMS) training, Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, OfficeLink Updates Newsletters Medicare Updates, Aetna Better Health of Virginia provider search page, Aetna Assure Premier Plus provider search page. Or they can help you find a provider. Find a Provider | Aetna Medicaid Illinois The member's benefit plan determines coverage. The five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical Association (AMA).CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. 1. Members must select a primary care physician. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. If you are in Virginia, check your status by going to the Aetna Better Health of Virginia provider search page. The member's benefit plan determines coverage. This information is neither an offer of coverage nor medical advice. If you do not intend to leave our site, close this message. Thanks! Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. You can further filter the search results by adding a specific dentist . Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 1999- Street Address: City: State: County: Zip Code: Radius: . Besides treating dental conditions, she educates her young patients on the importance of proper dental health and dispenses practical advice on maintaining dental hygiene. You can also get the materials you need in a different language or format. All Rights Reserved. You can further filter the search results by adding a specific dentists name and/or the type of dental specialist you wish to see. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Aetna Inc. and itsaffiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Endodontists: help heal infections of the soft tissue inside the tooth and are typically the dental specialist youd see if you need a root canal treatment. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play.
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