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26 verified reviews. 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. WebFind A Doctor Common Searches Cardiology Internal Medicine Ortho Sports Medicine Family Medicine Neurology Ortho Surgery Browse All Gastroenterology Ob/Gyn Urology The Best Heart Doctors and Cardiologists in Arizona | US News 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). Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Search . The location you tried did not return a result. Emergency and Trauma at Miami Valley Hospital. Go to the American Medical Association Web site. 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. Disclaimer: The Optum searchable provider directory is While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. WebDr. Treating providers are solely responsible for dental advice and treatment of members. The AMA is a third party beneficiary to this Agreement. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. She has been in practice between 1020 years. Some subtypes have five tiers of coverage. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Best Ambetter Cardiologists Near Me | Zocdoc All Rights Reserved. Find a Doctor | Premier Health In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. WebFind Doctors and Dentists Near You . Steward Health Care - Doctor Finder Find a doctor | Optum Medical Network - OptumCare Links to various non-Aetna sites are provided for your convenience only. The information you will be accessing is provided by another organization or vendor. Reprinted with permission. 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). Best Cardiologists Near Me in Indianapolis, IN | WebMD Cardiologists Chiropractors Dentists 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Dr. Preeti Dube is committed to helping people focus on their hearts. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For those Members belonging to UnitedHealthcare, services related to Durable Medical Equipment (DME) and Home Infusion services are provided by Preferred Homecare. Links to various non-Aetna sites are provided for your convenience only. Lee Health | Cardiology | Robert Cross, M.D. To find a primary care provider from the Premier Physician Network, you can also call (855)-PREMIER (773-6437)(855)-PREMIER (773-6437). Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). No fee schedules, basic unit, relative values or related listings are included in CPT. WebCardiology ProMedicas network of heart-health experts make sure you have the most advanced, state-of-the-art technology and methods of cardiac care. 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. Health benefits and health insurance plans contain exclusions and limitations. at Premier Health hospitals. 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. For the most accurate and up-to-date information, or to confirm specialty provider status, call Toll-free 1-877-901-5336. All Male Female. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Treating providers are solely responsible for medical advice and treatment of members. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Find a Doctor - MultiCare 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. WebPreferred Homecare can be reached at 4601 E. Hilton Ave. Suite 100 Phoenix, Arizona 85034. Best Cardiologists in Tempe, AZ - Cardiologists Reviews Phone 1-877-901-5336. Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. Phone 1-877-901-5336. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. In case of a conflict between your plan documents and this information, the plan documents will govern. This search will use the five-tier subtype. Find the provider whos the best fit for you and your family from our list of employed primary care providers and specialists. Ms. Qumara Hill-Smith is an experienced, friendly, and diligent nurse practitioner. Please enter a valid 5-digit Zip Code. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Let the Emergency Department know you are on your way. Learn More. This information is neither an offer of coverage nor medical advice. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Under certain plans, if more than one service can be used to treat a covered person's dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that certain terms are met. Disclaimer: The Optum searchable provider directory is available for reference only. The member's benefit plan determines coverage. Best Cardiologists in Tempe, AZ. If you do not intend to leave our site, close this message. 2021 Premier Health. CPT is a registered trademark of the American Medical Association. Best Doctors Near Me | Zocdoc This Agreement will terminate upon notice if you violate its terms. WebAccepts New Patients Insurance Distance Years Exp Virtual Visit Profile Type All Results EP Dr. Eric Antonio Pena, MD Cardiovascular Disease, Internal Medicine 17 33 Years Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If you are experiencing an emergency, call 911. 6530 Hull Street Rd, Richmond, VA 23224. WebHelping you find the right doctor for you. WebEach doctor is solely responsible for the completeness and accuracy of the information listed about him or her. The ABA Medical Necessity Guidedoes not constitute medical advice. Web25 of the Best Cardiologists Near Me Location: Radius: 25 miles 255 doctors found Sort By Relevance DB Dr. David M. Brill Cardiology Highly rated in 14 conditions Adventist Best Medicare Cardiologists Near Me | Zocdoc Call our dedicated Compass patient line at 508-630-7280. Your benefits plan determines coverage. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Log in to find doctors, dentists, hospitals, and other providers that accept your plan. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Heart Doctors and Cardiologists Near Me in Temecula, CA | US Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Each main plan type has more than one subtype. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. WebHeart Failure & Transplantation, Interventional Cardiology, Peripheral Endovascular Interventional Cardiology, Vascular Medicine 27450 Ynez Rd, Temecula, CA, 92591 All Accepting New Patients. Do you want to continue? Aetna Inc. and its affiliated 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. As a result, recent changes may not be reflected in the data presented on our website. All Online Scheduling. Find a doctor | Doctor Search | Dignity Health Find Top Specialists near you. - WebMD Disclaimer of Warranties and Liabilities. 1 - 25 of the Best Cardiologists Near Me | MediFind It is based on patient activity (how many patients are being treated and the severity of their injuries) within the last hour, and it is subject 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. Applicable FARS/DFARS apply. While we make every effort to ensure that we present current and accurate data, provider information changes regularly. WebFind the best Cardiologists near you on Yelp - see all Cardiologists open now.Explore other popular Health & Medical near you from over 7 million businesses with over 142 Copyright 2015 by the American Society of Addiction Medicine. Miami Valley Hospital Emergency and Level I Trauma Center, Atrium Medical Center Emergency and Level III Trauma Center, Miami Valley Hospital Austin Boulevard Emergency Center, Miami Valley Hospital Beavercreek Emergency Center, Miami Valley Hospital Jamestown Emergency Center, Miami Valley Hospital North Campus Emergency Center, Miami Valley Hospital South Campus Emergency and Level III Trauma Center, Upper Valley Medical Center Emergency and Level III Trauma Center. 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. WebFinding the Right Care Matters. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. All services deemed "never effective" are excluded from coverage. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Choosing a doctor isnt the same as finding a restaurant for dinner or looking up the nearest dry cleaners. Find a Doctor | Find a Physician - Healthgrades Links to various non-Aetna sites are provided for your convenience only. License to sue 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Aetna Inc. and itsitsaffiliated 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. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. Her passion for sharing her knowledge with 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. Of course, you can use our directories to find doctors and hospitals that take your insurance. Search All Providers - This directory includes contact information for credentialed medical staff who have privileges All Rights Reserved. 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 also can look for more than 25 other types of health care providers, including pharmacies, marriage counselors, urgent care centers, acupuncturists, drug and alcohol counselors, hospice care providers, dialysis centers, vision care providers, flu shot providers and physical therapists. Choose the type of plan you're interested in to search for health care providers that accept it. Unlisted, unspecified and nonspecific codes should be avoided. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. 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. WebYour heart health is too important to wait select the best cardiologist near New Haven for you and begin the treatments and care that can help you live the long, healthy, happy Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. We use cookies and similar tools to give you the best website experience. Dignity Health is not responsible for any loss or damages caused by 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Thats why Healthgrades gives you the full If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. WebGet Directions (239) 424-3660 Overview Clinical Interests: Diagnostic cardiology including left and right cardiac catheterization and peripheral angiography ECG/Holter/MCOT Members should discuss any matters related to their coverage or condition with their treating provider. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). 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. 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. WebFind a health care provider near you using MultiCare's search tool. Links to various non-Aetna sites are provided for your convenience only. WebFind a City Near Me. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Preferred On average, patients who use Zocdoc can search for a Cardiologist who takes Ambetter insurance, book an appointment, and see the Cardiologist within 24 Please log in to your secure account to get what you need. Best Cardiologists Near Me - June 2023: Find Nearby Search by name, keyword or specialty and connect with a provider who matches your needs, location and For language services, please call the number on your member ID card and request an operator. Others have four tiers, three tiers or two tiers. Current wait times as of: 6/28/2023 5:10 AM. New and revised codes are added to the CPBs as they are updated. Best Cardiologists Near Me in Brookings, OR | WebMD Aetna Smart Compare is a designation we give to doctors in our network who have proven time and again that they provide high-quality, Cardiologists Near Me | Schedule Online | Healthline FindCare Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. All Virtual Visits. 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). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The Best Cardiologists Near New Haven It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. You are now being directed to the CVS Health site. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. View Providers > Heart Doctor and Cardiologist Near Me | Virtual Care, New *The current wait time is an estimated wait time before a person sees a physician and is not a guarantee. All rights reserved worldwide. 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. WebAccepts New Patients Insurance Distance Years Exp Virtual Visit Profile Type All Results JB Dr. Jeffrey A. Breall, MD, PhD Cardiologist, Interventional Cardiology 45 1801 N 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. Links to various non-Aetna sites are provided for your convenience only. CPT only Copyright 2022 American Medical Association. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt.
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