Find a Dentist. You'll find these doctors with the label "Quality Care," "Effective Care" or both in your search. Do you want to continue? Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers and Rural Health Centers. INVALID - CPT or HCPCS code entered was invalid, not found. What's covered? You start saving within 72 hours of joining a plan (no long waits before you qualify for discounted care!) The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Members should show their DSNPmember ID cardand their state-issued Medicaid card. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Find a Doctor :: State of Illinois - Aetna Unlisted, unspecified and nonspecific codes should be avoided. Find an Aetna Dentist in Your Area | Aetna Dentists Near Me The ABA Medical Necessity Guidedoes not constitute medical advice. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. The information you will be accessing is provided by another organization or vendor. Were a health care company thats building a healthier world. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Note not all plans and offers available in all markets. Or they can help you find a provider. You can use the links below to find in-network providers and pharmacies nearyou. Treating providers are solely responsible for medical advice and treatment of members. Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. Provider/Facility Name OR Specialty is required to continue, Please enter first and last name of Provider, or the name of the facility. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Links to various non-Aetna sites are provided for your convenience only. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Find a Provider. 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. Participating Providers: To determine if prior authorization (PA) is required, enter Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Medicaid your for low-income and working humans or families, their . Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. CPT only copyright 2015 American Medical Association. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Applicable FARS/DFARS apply. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Choose the type of plan you're interested in to search for health care providers that accept it. New and revised codes are added to the CPBs as they are updated. Please refer to your Summary Plan Description (SPD) for an outline of your plan's covered benefits . . We update our provider directory nightly.You can get a copy of the provider directory by mail. Our directory PDF (or printed directory) is updated monthly.You can get a copy of the provider directory by mail. This information is neither an offer of coverage nor medical advice. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. By clicking on I accept, I acknowledge and accept that: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Better Health of Louisianais not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. For children and other Medicaid members, dental providers are available through MCNA. Your Plan: Your Plan: ProPAT CPT Code Lookup : Aetna Better Health Enter a zip code to search for dental care professionals in your area. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Important information for Provider Search users who live in California , Colorado , Connecticut , Delaware , Florida . Request a medical application. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. If you have any questions about authorization requirements or need help with the search tool, contact Aetna Better Health Provider Relations at 1-855-364-0974. Find the information and resources you need to meet your clients' needs. If services are not covered by the Medicare plan, Aetna Better Health of Ohio may cover these services. Find a Dentist. Unlisted, unspecified and nonspecific codes should be avoided. 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. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. You can get a copy of the provider directory by mail. Geographic Search. This search will use the five-tier subtype. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. New and revised codes are added to the CPBs as they are updated. 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. 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. Aetna's 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). Of course you can use our directories to find doctors and hospitals that take your insurance. Members should always contact the provider's office in advance to confirm availability. NJ FIDE-SNP members will have one member ID card for both Medicare and Medicaid. Each main plan type has more than one subtype. The member's benefit plan determines coverage. Note not all Aetna dental plans and offers available in all markets. You can all Member Services at 1-866-638-1232, TTY PA Relay 7-1-1 , TTY 711, for help finding a provider. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Dentists and dental office professionals, log in to Aetna Dental to handle claims, find forms, stay ahead of policy changes and more. 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. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. Dr. Shannitta Bridgers is a pediatric dentist at Highland Pediatric Dental in Fayetteville, SC. This Aetna provider directory includes all Aetna participating providers, including both medical providers and dental providers. In-network coverage only (except emergency . In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Please enable it to continue. Your benefits plan determines coverage. Health (3 days ago) Webfor a provider. Avsis provides vision and dental claim and administrative services by agreement with Aetna Inc. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The provider network is subject to change. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. All rights reserved | Email: [emailprotected], North country health care university flagstaff. Select a Plan * Select a Plan: 2. Just call Member Services at 1-866-827-2710 (TTY: 711) to learn more about these services. Let Customer Service know the providers you called. Click here to let us know so we can fix it. 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.
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