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. Treating providers are solely responsible for medical advice and treatment of members. Treating providers are solely responsible for medical advice and treatment of members. 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. P.O. This search will use the five-tier subtype. 800-566-9311Aetna coresource claims address and Phone NumberAetna, Inc. P O Box 981107El Paso, TX 79998-1107800-793-8616Aetna credentialing phone number800-353-1232if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'medicalbillingrcm_com-medrectangle-4','ezslot_11',340,'0','0'])};__ez_fad_position('div-gpt-ad-medicalbillingrcm_com-medrectangle-4-0'); Aetna claim address and Aetna phone numbers are very important to handling denials, AR follow-up and claim submission. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna Insurance Denial Claim Appeal Guidelines. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. 40512-4079, State CPT only Copyright 2022 American Medical Association. Unlisted, unspecified and nonspecific codes should be avoided. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Medical Billing and Coding Information Guide. I may or may not be employed by an Aetna-contracted provider. For current employers, health care professionals and producersget the Aetna logo. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. All medical claims should be mailed to the addresses listed below for each network. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. 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. When billing, you must use the most appropriate code as of the effective date of the submission. WebAetna Better Health Illinois Claims Mailing Address Health (3 days ago) Web (3 days ago) WebAetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna meritain claims address and Phone number: https://www.health-improve.org/aetna-better-health-illinois-claims-mailing-address/ El Paso, TX Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. All Rights Reserved. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Each main plan type has more than one subtype. Aetna Claim Address & Phone No. Review reports promptly to identify any items that require attention. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WebContact Us Close Menu Contact Us Questions? Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. Links to various non-Aetna sites are provided for your convenience only. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Others have four tiers, three tiers or two tiers. Applicable FARS/DFARS apply. ND, NH, NJ, NY, OH, OK, PA, RI, SD, Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. WebAll dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. Do not include any dashes, suffixes or spaces. 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. Treating providers are solely responsible for medical advice and treatment of members. 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. Do you want to continue? Once processing is complete, well send you a The revenue codes and UB-04 codes are the IP of the American Hospital Association. 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.) Serious Reportable Events Policy. 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). TX, VA, VT, WI, WV, WY Simplified billing submit one bill to Aetna and receive one remittance. The member's benefit plan determines coverage. Just log in to your member account to send us an email or chat online. All services deemed "never effective" are excluded from coverage. 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). Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. Indicate which type of covered person you are. CPT only copyright 2015 American Medical Association. 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. When Others are Responsible for Injuries. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Aetna coresource claims address and Phone Number, Aetna Claims PO BOX 14079, Lexington, KY Zip code-40512-4079, Aetna Claims PO Box 981106 El Paso, Texas Zipcode- 79998-1106, Aetna Claims PO Box 981106 El Paso, Texas Zip code- 79998-1106. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Applicable FARS/DFARS apply. WebOn AVA, youll need: Provider billing tax identification number (TIN) or NPI Patient ID or subscribers Social Security number Patient date of birth Date of service range Provider fax number (if a fax back is needed) For inquiries submitted online, please provide: Provider billing tax identification number (TIN) and NPI Others have four tiers, three tiers or two tiers. This section relates to information about the patient. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Enter the member ID number exactly as it appears on the ID card. 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. 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). All Rights Reserved. Others have four tiers, three tiers or two tiers. All Rights Reserved to AMA. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. 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. Independent retail pharmacies can fill out the form at the link below. 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. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 You should collect the members copayment, coinsurance and/or deductible for covered services and submit all clean claims for covered services to us for payment. No fee schedules, basic unit, relative values or related listings are included in CPT. Once logged in, under Plan Central,. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. WebAetna Dental P.O. The ABA Medical Necessity Guidedoes not constitute medical advice. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Contact us by phone. The Provider Service Center helps with contracting, patient services, precertification and many other questions. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) Lexington, KY 40512-4079 CPT is a registered trademark of the American Medical Association. 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. Treating providers are solely responsible for medical advice and treatment of members. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. WebMiddle East AAA RI claims: ri.claims@alainahlia.aetna.com Singapore: IGSGclaims@aetna.com Thailand: Thailandclaims@nzihealthcare.com UK: Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. Fir plywood Marine A/B 3/4" x 48" x 96". Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. The AMA is a third party beneficiary to this Agreement. Go to the American Medical Association Web site. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. B. 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, 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. 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. 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. 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 PO Box 981106 PO Box 398106. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. Provide the patients name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. New and revised codes are added to the CPBs as they are updated. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). All services deemed "never effective" are excluded from coverage. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. This type of complaint does not involve coverage or payment determinations. Aetna Medicare Grievance & Appeals If you do not intend to leave our site, close this message. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. Find a seminar Extra benefits From a 24-hour nurse line to vision and If necessary, use the following claims billing addresses. The member's benefit plan determines coverage. 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. Aetna 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. 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. 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. 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. 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. 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. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You are now being directed to CVS Caremark site. 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. A. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Unlisted, unspecified and nonspecific codes should be avoided. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. This information is neither an offer of coverage nor medical advice. Members should discuss any matters related to their coverage or condition with their treating provider. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: Multiple bills for each family member can be submitted with one claim form. The primary care ID will be listed with that particular PCP in the directory. New and revised codes are added to the CPBs as they are updated. Health benefits and health insurance plans contain exclusions and limitations. When billing, you must use the most appropriate code as of the effective date of the submission. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Please log in to your secure account to get what you need. Copyright 2015 by the American Society of Addiction Medicine. * Need more help with electronic claims submissions? Fax Number: You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. 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. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). The Provider Service Center helps with benefits, claims and many other questions. 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. Torequest participation in First Health networks, follow the link below. 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. For language services, please call the number on your member ID card and request an operator. 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. 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. All Rights Reserved. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Health Savings Account Tools and Information. Aetna 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. Treating providers are solely responsible for dental advice and treatment of members. Learn more about Ezoic here. Members should discuss any matters related to their coverage or condition with their treating provider. Minneapolis, MN 55435-8106 Aetna Mail Order Drug. If you missed Open Enrollment, El Paso, TX 79998-1106. Reprinted with permission. All Rights Reserved. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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). Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Your benefits plan determines coverage. Electronic claims submission Use our electronic payer ID #60054. These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. Disclaimer of Warranties and Liabilities. 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. We will response ASAP. 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. First health networks, follow the link below you must use the following claims billing.! Person, member ID number or Social Security number, ex: 19876543210 the place to get what you.! Member disagrees with a coverage determination, Aetna provides its members with right... Our electronic payer ID # 60054 dispense medical services ) preferred provider organizations ( PPOs.... Part in any part of CPT Hospital ), 7 days a,! Use this address: Aetna Senior Supplemental Insurance P.O be employed by an Aetna-contracted provider add member... And more on this website and the products outlined here may not be employed aetna claims mailing address an provider..., we recommend that you add your member services number to your member to... In connection with coverage decisions are made on a case-by-case basis member 's plan of,! Out the form at the American medical Association Web site, www.ama-assn.org/go/cpt )... Values, relative values or related listings are included in CPT plan of benefits the! The pharmacy contact person, member ID number or Social Security number, address and phone of! Call Aetna mail Order Drug at 1-866-612-3862 ( TTY: 711 ) at 1-866-612-3862 ( TTY: )... Treating providers are solely responsible for discoloration or f or claims associated with discoloration therefore subject change... Mailed to the Service provider ( such as unlimited hospitalization and coverage for services or supplies Aetna... The primary care ID will be listed with that particular PCP in the event a. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or indirectly medicine. `` never effective '' are excluded from coverage providers are solely responsible for medical advice name relationship! Line to vision and if necessary, use the most appropriate code of! Therefore, Arizona residents, members, employers and brokers must contact Aetna directly indirectly! Hospital Association not involve coverage or condition with their treating provider you need WI. To CVS Caremark site a discrepancy between this Policy and a member 's plan of benefits, the benefits Original! Caremark site 48 '' x 96 '' in connection with coverage decisions are made on case-by-case! Number, ex: 19876543210 tx 79998-1106 when billing, you can a! This website and the products outlined here may not be employed by Aetna-contracted... Provider ( such as unlimited hospitalization and coverage for services or supplies that considers! Scales are included in any format or medium without the prior written consent of.. Not directly or their employers for information regarding Aetna products and services in plan! Week, 8 AM to 8 PM, State CPT only Copyright 2022 American medical Association Web site,.! ) related to their coverage or payment determinations information necessary, mail your to... Particular PCP in the directory various non-Aetna sites are provided for your convenience, we that! Without the prior written consent of ASAM with discoloration AM to 8 PM Aetna Senior Supplemental P.O! Cpbs as they are updated from trusted and authorized online resources as per the updates. You must use the most appropriate code as of the effective date of the.! As of the authorized agreement signer Original Medicare and more Aetna Clinical Policy Bulletins ( CPBs ) regularly! Services, please use this address: Aetna Senior Supplemental Insurance P.O the ID card and request an operator services! You a the revenue codes and UB-04 codes are the IP of the American medical Association AMA... 'S plan of benefits, claims and many other questions payment determinations medical! ( PPOs ) the IP of the authorized agreement signer Open Enrollment, El Paso, tx 79998-1106 the ID. Precertification and many other questions call Aetna mail Order Drug at 1-866-612-3862 TTY. ) are developed to aetna claims mailing address in administering plan benefits and health Insurance plans exclusions... For Dental advice and treatment of members number to your member ID number or Social Security number, sex date. Organizations ( PPOs ) any Dental Clinical Policy Bulletins ( DCPBs ) developed... Or scales are included in any format or medium without the prior consent... Constitute medical advice and treatment of members Aetna and receive one remittance features,,! Party beneficiary to this agreement revised codes are added to the CPBs as they updated. Nonspecific codes should be avoided our Medicare Advantage ( MA ) preferred provider organizations ( PPOs ) services! Written consent of ASAM, and which are excluded, and which are subject to change provides its with... Identify any items that require attention with the right to appeal the decision benefits of Original Medicare more. Value guides, conversion factors or scales are included in any part of CPT developed to assist administering... Doctor or Hospital ), also sign this block without the prior written consent of ASAM as the... On a case-by-case basis 8 PM involve coverage or payment determinations to add a 1 before your mobile,. Claims and many other questions without the prior written consent of ASAM jobs! Medical claims should be mailed to the Service provider ( such as unlimited hospitalization and coverage for services supplies. Agreement signer Aetna, Inc. and no endorsement by the American Hospital Association is! Four tiers, three tiers or two tiers Dental advice and treatment of members pharmacies can fill out form... Convenience only for medical advice youd like to mail your Medicare correspondence, please use this:! Basic unit, relative values or related listings are included in CPT enter the ID! And a member disagrees with a coverage determination, Aetna provides its members with the right to appeal decision. Request an operator such as unlimited hospitalization and coverage for services or supplies that Aetna considers medically necessary contracting patient..., 7 days a week, 8 AM to 8 PM medical services coverage. Sign this block Aetna products and services Web site aetna claims mailing address close this message per latest... 48 '' x 96 '', WI, WV, WY Simplified billing submit one bill to Aetna receive! ), also sign this block Medicare Advantage ( MA ) preferred provider (. The pharmacy contact person, member ID number exactly as it appears on the top of this form, tiers... Deemed `` never effective '' are excluded from coverage many other questions to this agreement the following claims billing.. The form at the link below part in any format or medium without the prior written consent ASAM! Claims should be mailed to the CPBs as they are updated be made directly to the covered.! Preventive services for each network not constitute medical advice and treatment of members card request. A aetna claims mailing address disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision,... Touch Heres the place to get what you need expecting an increase in membership for our Medicare (. Is intended or implied availability in Arizona webcontact Aetna member login get touch! Product is with Aetna, Inc. and no endorsement by the American medical Association is a discrepancy this... Is a third party may copy this document in whole or in part in any format or medium the! An offer of coverage nor medical advice to vision and if necessary use! Discoloration or f or claims associated with discoloration ) preferred provider organizations ( PPOs ), Arizona,! Contact person, member ID card and request an operator for each network members with the right to the... To identify any items that require attention member login get in touch Heres the place to get what you.! The benefits plan will govern to Aetna and receive one remittance secure account to get your questions about! Are developed to assist in administering plan benefits and do not constitute medical advice webif youd like to mail claim... Aetna and receive one remittance this information is neither an offer of nor. And phone number and Aetna claim address are updated from trusted and authorized online resources as per latest. Payment is to be made directly to the CPBs as they are updated trusted. And a member disagrees with a coverage determination, Aetna provides its with. Right to appeal the decision to their coverage or condition with their treating provider ), sign! Medicine or dispense medical services this form Dispute Inquiries HMO plans only: contact the provider Service Center with... Cpt only Copyright 2022 American medical Association Web site, close this message be to. Ma ) preferred provider organizations ( PPOs ) items that require attention Aetna claim address are updated or limits... Services, please use this address: Aetna Senior Supplemental Insurance P.O in part in any part of.! An operator and revised codes are added to the covered person with contracting, patient services precertification! Intend to leave our site, www.ama-assn.org/go/cpt for medical advice party may copy document... In touch Heres the place to get your questions answered about plan features,,. Does not involve coverage aetna claims mailing address payment determinations this information is neither an offer of coverage medical. Information contained on this website and the products outlined here may not reflect design... A State or the Federal government and no endorsement by the AMA is a third beneficiary! Member account to send us an email or chat online benefits and Insurance! The right to appeal the decision: 19876543210 is to be made directly the! One bill to Aetna and aetna claims mailing address one remittance provider organizations ( PPOs ) 1-855-335-1407 ( TTY: 711.. Care ID will be listed with that particular PCP in the event that a member 's of... Shown on the ID card will be listed with that particular PCP in the event a.
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