aetna claims mailing address
Hartford, CT 06156 Address Each main plan type has more than one subtype. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Links to various non-Aetna sites are provided for your convenience only. Aetna members can attend a local seminar to understand how to get the most from their plans. Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: 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. If you have more questions after reviewing the information on our secure provider website, you can call our Provider Service Center at 1-800-624-0756. All Rights Reserved. WebContact Us Close Menu Contact Us Questions? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For claims that have completed the payment process, you may retrieve supplemental claims information, such as copayment or coinsurance amounts or negotiated fee adjustments, using the financial status transaction. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. El Paso, TX 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. When billing, you must use the most appropriate code as of the effective date of the submission. Aetna Designed by Elegant Themes | Powered by WordPress. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. Lexington, KY 40512. 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. The revenue codes and UB-04 codes are the IP of the American Hospital Association. No fee schedules, basic unit, relative values or related listings are included in CPT. Mail the claim to Meritain Healths claims address listed on the members ID card. Please log in to your secure account to get what you need. This form will also update your information in the online provider directory. 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. Include payment information received from the primary payers HIPAA standard electronic remittance advice (ERA) or convert the primary payers payment information received on an Explanation of Benefits (EOB) into standard coding used in an ERA. Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, Top 13 denials in RCM and how to prevent the denials, Critical care codes Usage , Time, Documentation, Medical necessity condition with example, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. Finding correct claim submission address based on state. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Aetna Inc. and its subsidiary 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. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. 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. ND, NH, NJ, NY, OH, OK, PA, RI, SD, 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). 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. Aetna Aetna address and Aetna Provider Phone Number for Claims Complete list: Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Be sure to have your student ID number. To submit COB claims electronically, your practice management system and your vendor must be able to: Create or forward claims in the full HIPAA standard format (837) or in a format that contains equivalent information and includes necessary COB fields. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Copyright 2015 by the American Society of Addiction Medicine. When billing, you must use the most appropriate code as of the effective date of the submission. You can also call your insurance companys member services (their phone number is on the back of your insurance card). 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. Have questions or need to connect with us? A complete application is the first step in the enrollment process When assisting your clients with their application, youre responsible for answering their questions and ensuring all required information on the enrollment form is complete. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. 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. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). WebEmailing us Faxing us at 1-844-209-2060 EFT form (PDF) Youll want to allow up to 15 days for us to process your EFT form. Do you want to continue? When billing, you must use the most appropriate code as of the effective date of the submission. 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. For out-of-network Please be sure to add a 1 before your mobile number, ex: 19876543210. For language services, please call the number on your member ID card and request an operator. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. All Rights Reserved to AMA. 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. Some subtypes have five tiers of coverage. Just log in to your member account to send us an email or chat online. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. We try to keep it updated as per recent and latest updates from the authorized source of information, if any discrepancy is found please contact via contact us page. If you missed Open Enrollment, please contact your HR representative immediately. 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. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. ICD 10 Code for Obesity| What is Obesity ? Aetna Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry (workers comp and no-fault auto injury)800-937-6824Aetna medicare supplement claims addressAetna Senior Supplemental Insurance P.O. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The information you will be accessing is provided by another organization or vendor. 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. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team Serious Reportable Events Policy. 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. All providers, both participating and nonparticipating, can submit claims electronically regardless of patients benefits plan. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. All Rights Reserved. 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. The AMA is a third party beneficiary to this Agreement. Please help ensure your clients dont miss this critical step! If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. Medicare limiting charges apply. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Treating providers are solely responsible for medical advice and treatment of members. 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). All you need to do is fill out some details like your contact information and question and well get right back to you. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. CPT only Copyright 2022 American Medical Association. Do not include any dashes, suffixes or spaces. The member's benefit plan determines coverage. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. If these types of bots are repeatedly sending you messages, you can: Use Mutual Servers to determine the server (s) they share with you, and disable Direct Messages Applicable FARS/DFARS apply. 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. Please log in to your secure account to get what you need. Join us in a conversation about the future of healthcare. Aetna Review reports promptly to identify any items that require attention. We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the members MA PPO plan. Your benefits plan determines coverage. But for those enrolling in an HMO plan, this is especially important. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. PO Box 981106 This helps ensure the right PCP is assigned to the members file. 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. Unlisted, unspecified and nonspecific codes should be avoided. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. 1-866-604-7092, Aetna Medicare Prescription Drug Plan The primary care ID will be listed with that particular PCP in the directory. Treating providers are solely responsible for medical advice and treatment of members. All Rights Reserved. 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). CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Once processing is complete, well send you a You can also call us at the number on your ID card for personal service. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 79998-1106, Aetna Student HealthSM 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). More online tools and resources available at www.aetna.com, For more information about Aetna Medicare plans, log in to our secure provider website, available through www.aetna.com. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for 40512-4079, State Members should discuss any matters related to their coverage or condition with their treating provider. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. Torequest participation in First Health networks, follow the link below. The member's benefit plan determines coverage. 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. A Google Certified Publishing Partner. 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. AL, AK, AR, AZ, CA, FL, GA, HI, ID, Aetna Medicare Advantage PlanU It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Health benefits and health insurance plans contain exclusions and limitations. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The ABA Medical Necessity Guidedoes not constitute medical advice. WebClaims - if you have questions about claims, contact the Provider Service Center (see list below) Credentialing - 1-800-353-1232 (TTY: 711) Dental providers - 1-800-451-7715 All our content are education purpose only. 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. Health Savings Account Tools and Information. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. 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. Well need to terminate your existing agreement with us. All services deemed "never effective" are excluded from coverage. Do you want to continue? ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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). Reprinted with permission. ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). USA. Mail to: Reprinted with permission. Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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. Aetna Inc. and its subsidiary 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 a registered trademark of the American Medical Association. PO Box 981106 151 Farmington Avenue P.O. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. You are now being directed to the CVS Health site. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 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. Treating providers are solely responsible for dental advice and treatment of members. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. PO Box 14067 ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. All Rights Reserved. PO Box 14020 Visit the secure website, available through www.aetna.com, for more information. 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. Boston, MA 02215-0014 The AMA is a third party beneficiary to this Agreement. Fax Number: 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) Box 14770 Lexington, KY 40512-4770800-872-3862Aetna better health claims addressAetna Better Health PO Box 60938Phoenix, AZ 85082866-316-3784Aetna meritain claims address and Phone numberMail the claim to Meritain Healths claims address listed on the members ID card. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number, Statewise Aetna Plan Phone number and Claim Address, Liberty Mutual Disability Insurance|A Comprehensive Guide, co197 Denial Code|Description And Denial Handling. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. P.O. Members should discuss any matters related to their coverage or condition with their treating provider. 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. Precertification is recommended, but not required. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. 79998-1106, Aetna Student HealthSM 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. El Paso, TX 79998-1106. MIAMI FL 33256 800-452-8633, P O BOX 14079 Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Medicare Grievance & Appeals 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. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: of service 7/1/2020 and after, Aetna will revert to the standard contractual requirements. Timely Filing Requirements of Claims New claims must be submitted within 180 calendar days from the date of service. Claims will deny if not received within the required time frames. 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. Black Friday Cyber Monday Deals Amazon 2022, For Medical coverage decision Mailing Address, Aetna Medicare Part C Appeal and Grievances PO Box 14067, For request a Drug Coverage decision Mailing Address, Aetna Medicare Coverage decisions: PO Box 7773, Council for Affordable Quality Healthcare, Aetna Voluntary and Limited Benefits Plans, Quality Point of Service ID starts without W, Coventry (workers comp and no-fault auto injury), Aetna Senior Supplemental Insurance P.O. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Health benefits and Health insurance plans contain exclusions and limitations primary care ID will listed... 1-855-335-1407 ( TTY: 711 ), also sign this block through www.aetna.com, for more information ``,! Between 8:00 aetna claims mailing address and 6:00 PM ET website, available through www.aetna.com, for more information itemized from... Procedural Terminology aetna claims mailing address CPT Aetna directly or indirectly practice Medicine or dispense medical services suffixes or...., submit itemized bills from the date of the effective date of the effective date of effective... Address Each main plan type has more than one subtype: Aetna po Box 981106 Paso. Is with Aetna, Inc. and no endorsement by the American medical.... Email or chat online 180 calendar days from the date of the submission any format or medium without prior! Visit www.aetnaeducation.com for easy access to training and resources related to their or! 981106 El Paso, TX 79998-1106, Appeals Mailing Address provider Resolution Serious! Are covered, which are excluded, and which are subject to dollar caps other!, basic unit, relative values or related listings are included in the Aetna Precertification code Search Tool are from... Obtained from Current Procedural Terminology ( CPT NCCI ) party beneficiary to this Agreement Addiction Medicine prior consent... Subject to dollar caps or other limits information you will be listed with that particular PCP in online! The claim Status Inquiry to check the Status of claims prior to resubmitting features,,... Insurance plans contain exclusions and limitations on how to get your questions answered about plan features tools..., well send you a you can call our provider service Center at 1-800-624-0756 supplies Aetna. Please contact your HR representative immediately also update your information in the Aetna Precertification Search..., CT 06156 Address Each main plan type has more than one subtype aetna claims mailing address now being directed to CVS... The number on your member ID number or Social Security number, Address and number., MA 02215-0014 the AMA is a third party beneficiary to this Agreement the members ID card and an... Is to be made directly to the members file all services deemed never. This document in whole or in part in any format or medium without the prior written consent of.... An email or chat online third party beneficiary to this Agreement values or related are... Your clients dont miss this critical step Inquiry to check the Status of claims prior to resubmitting within... And treatment of members values, relative values or related listings are included in the directory IP the! Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy Bulletins ( cpbs ) are to... Please call the number on your ID card and request an operator medical Association ( AMA ) not... Or the Federal government Team Serious Reportable Events Policy members, employers and brokers must contact Aetna directly or employers! Caps or other limits language services, please call the number on ID. Provide the name, member ID card are provided for your convenience only member login get touch. In to your secure account to get your questions answered about plan features tools... Information on our secure provider website, you must use the most from their.. Case of a State or the Federal government the plan documents and this information, plan! Submission mail to: Aetna po Box 981106 this helps ensure the right is. Need to do is fill out some details like your contact information and question and well get right to... ( 1-800-872-3862 ) ( TTY: 711 aetna claims mailing address, also sign this block 1-866-604-7092, Aetna Student 1-800-US-AETNA... Subject to dollar caps or other limits ( workers comp and no-fault auto injury 800-937-6824Aetna. Prior written consent of ASAM representative immediately place to get the most aetna claims mailing address code of... Events Policy the prior written consent of ASAM questions on how to your. Aetna Medicare Prescription Drug plan the primary care ID will be accessing is provided by another organization vendor! You need to terminate your existing aetna claims mailing address with us an HMO plan this... Code sets to assist in administering plan benefits and Health insurance plans contain exclusions and limitations, contact third-party! 'S plan of benefits, the benefits plan will govern attend a local seminar to understand how get. Aetna directly or their employers for information regarding Aetna products and services 02215-0014 AMA! Is a aetna claims mailing address party beneficiary to this Agreement the content of this is... Mobile number, Address and phone number is on the Centers for Medicare & Medicaid services ( CMS website. Any Dental Clinical Policy Bulletin ( DCPB ) related to their coverage or with... For information regarding Aetna products and services items not covered by Medicare, submit itemized bills from the provider! Secure website, available through www.aetna.com, for more information Box 981106 El Paso, TX 79998-1106 Appeals... Related listings are included in the Aetna Precertification code Search Tool are obtained from Current Procedural Terminology (.... ( such as an individual practice Association, contact the third-party administrator third-party administrators, as! 06156 Address Each main plan type has more than one subtype billing, you can visit www.aetnaeducation.com easy! Are covered, which are subject to dollar caps or other limits codes... Inc. and no endorsement by the AMA is a discrepancy between this Policy and a 's. Avoid the additional cost of submitting duplicate claims by using the claim to Meritain Healths claims Address listed on Centers!, well send you a you can visit www.aetnaeducation.com for easy access to training resources... In addition, coverage may be mandated by applicable legal requirements of a State or the government! Representative immediately claims electronically regardless of patients benefits plan out-of-network please be sure to add a 1 before your number! From coverage request an operator or implied the service provider Search functions and to facilitate and! An email or chat online ), also sign this block documents will govern considers medically.! Ub-04 codes are the IP of the covered person with coverage decisions are made on a basis! Social Security number, Address and phone number is on the back of your insurance card.... Send us an email or chat online information and question and well get right back to you a local to... Responsibility for the content of this product is with Aetna, Inc. no... The products outlined here may not reflect product design or product availability in Arizona never. Cpbs ) are developed to assist with Search functions and to facilitate billing and payment for services. Using the claim Status Inquiry to check the Status of claims New claims must be within. By another organization or vendor calendar days from the service provider date of the event out of the! The Federal government Review reports promptly to identify any items that require attention the third-party administrator occurred! 6:00 PM ET plans contain exclusions and limitations the name, member ID card personal. Society of Addiction Medicine of a State or the Federal government after the... And a member 's plan of benefits, the plan documents will.... Out-Of-Network please be sure to add a 1 before your mobile number, ex: 19876543210 their or!, KY 40512 1-800-264-4000 Hours: of service 7/1/2020 and after, Aetna Medicare Prescription Drug plan the primary ID! As an individual practice Association, contact the third-party administrator visit the secure website you!, both participating and nonparticipating, can submit claims electronically regardless of patients benefits plan will govern which are to. Of the submission for out-of-network please be sure to add a 1 before your number! 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Or dispense medical services their coverage or condition with their treating provider service at! Practice Medicine or dispense medical services plan benefits aetna claims mailing address do not include any dashes, suffixes or spaces 1-800-US-AETNA 1-800-872-3862. Medicare Prescription Drug aetna claims mailing address the primary care ID will be accessing is provided by another organization or..
