Review reports promptly to identify any items that require attention. This information is neither an offer of coverage nor medical advice. Aetna Inc. 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 WebForms and Resources. 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. If you have any questions, please contact our Provider Service Center at the following: 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. B. Dont forget to include the primary care physician (PCP) on the enrollment application We encourage all applicants to select a PCP when enrolling for a plan. Correct rejected claims and resubmit electronically. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. 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). All Rights Reserved. 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. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. Some subtypes have five tiers of coverage. 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. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Aetna 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. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health 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). The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 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. Medicare Supplement Insurance plans. Disclaimer of Warranties and Liabilities. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) Links to various non-Aetna sites are provided for your convenience only. 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. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Applicable FARS/DFARS apply. 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). 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". If necessary, use the following claims billing addresses If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider Dispute Resolution process, and Aetna Payment Policies. Members should discuss any matters related to their coverage or condition with their treating provider. All the articles are getting from various resources. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. For your convenience, we recommend that you add your Member Services number to your phone contacts. CPT is a registered trademark of the American Medical Association. 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. All Rights Reserved to AMA. If you do not intend to leave our site, close this message. Applicable FARS/DFARS apply. 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. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Copyright 2015 by the American Society of Addiction Medicine. Copyright 2015 by the American Society of Addiction Medicine. PO BOX 981204 Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Lexington, KY 40512-4079 Links to various non-Aetna sites are provided for your convenience only. If you are a nonparticipating provider in our Medicare PPO plan. 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. 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. 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 all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). Make sure the following items are included on all applications: Beneficiarys name, as shown on their Medicare card, Beneficiarys permanent residence address/physical street address (PO box is not acceptable), Medicare HICN this is the number on the beneficiarys Medicare card, Proof of Medicare Part A and/or B entitlement, On all 2018 applications, your National Producer Number (NPN)*. You can also call your insurance companys member services (their phone number is on the back of your insurance card). 2. The information you will be accessing is provided by another organization or vendor. PO Box 14067 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. El Paso, TX 79998-1106. Mail the claim to Meritain Healths claims address listed on the members ID card. WebMail Claims to: Aetna Pharmacy Management. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Remember to include the patient-paid amount on claims and encounters submitted to us. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. 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. Precertification is recommended, but not required. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team This Agreement will terminate upon notice if you violate its terms. MIAMI FL 33256 800-452-8633, P O BOX 14079 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. This section relates to information about the covered person. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Biometric Screenings. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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). 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Aetna claims phone number: For Medical coverage decision Mailing Address: Medical Service: PO Box 14079 Lexington, KY 40512-4079 For Medical Appeal Mailing Address: Aetna Medicare Part C Appeal and No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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 member's benefit plan determines coverage. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. In case of a conflict between your plan documents and this information, the plan documents will govern. If you do not intend to leave our site, close this message. Aetna Health benefits and health insurance plans contain exclusions and limitations. Email: AetSSIinformation@aetna.com. Join us in a conversation about the future of healthcare. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Go to the American Medical Association Web site. 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. For others, request to use the Aetna logo. The AMA is a third party beneficiary to this Agreement. 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. 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 AMA is a third party beneficiary to this Agreement. 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 The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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) No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Visit the secure website, available through www.aetna.com, for more information. Treating providers are solely responsible for medical advice and treatment of members. All the information are educational purpose only and we are not guarantee of accuracy of information. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". PO Box 15708 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. Treating providers are solely responsible for medical advice and treatment of members. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). 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. This form will also update your information in the online provider directory. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. All services deemed "never effective" are excluded from coverage. 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. TX, VA, VT, WI, WV, WY We want to make it easier for you to live healthier. This information is neither an offer of coverage nor medical advice. Links to various non-Aetna sites are provided for your convenience only. 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. A Google Certified Publishing Partner. 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Aetna HMO 800-624-0756, PO BOX 30545 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. We will response ASAP. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 Reprinted with permission. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. Special notice for providers not accepting new patients: What to do if youre contacted by a member or potential member If youre not accepting new patients, but are contacted by a member or a potential member who wants to become a new patient, you must tell them to contact: ** The California Department of Managed Health Care at 1-888-466-2219, or the California Department of. Call Aetna Member Services: 1-855-339-9731 (TTY: 711) Monday through Friday, 7 AM to 5 PM CT Health T1-11 siding is perfect for use on barns and sheds. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. We're here to help. 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). If you missed Open Enrollment, please contact your HR representative immediately. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. Box 14079 I may or may not be employed by an Aetna-contracted provider. El Paso, TX For language services, please call the number on your member ID card and request an operator. If you do not intend to leave our site, close this message. PO Box 981106 This search will use the five-tier subtype. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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 When Others are Responsible for Injuries. 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. Aetna Medicare Advantage PlanU Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Use the Contact Us link on our website at www.aetna.com. El Paso, TX 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). 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. 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. 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. Aetna Better Health of Kentuckys standard contacts are listed below: Aetna Better Health contacts Toll-free Fax Provider Services CICR (Claims Inquiry and claims research) 1-855-300-5528, Behavioral Health 1-888-604-6106 1-855-301-1564, Retrospective Review 1-888-470-0550, #4, #3, #7 1-855-336-6054, Concurrent Review 1-888-470-0550, #4, #3, #6 1-855-454-5043, Prior Authorization Medical 1-888-725-4969 1-855-454-5579, Prior Authorization Behavioral Health 1-888-604-6106 1-855-301-1564, Prior Authorization Pharmacy 1-855-300-5528 1-855-799-2550, Provider Relations 1-855-454-0061 1-855-454-5584, Care/Disease Management 1-888-470-0550 1-855-454-5044, Lock-In Program 1-855-300-5528 1-866-415-2818. 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. AETNA Treating providers are solely responsible for medical advice and treatment of members. Claims Inquiries To confirm the recorded date of claims receipt or to make other inquiries about claims, you may call Aetna at 1-800-624-0756 for Medicare HMO Products / 1-888-MD-Aetna (632-3862) for All Other Products, or contact your clearinghouse vendor. Unlisted, unspecified and nonspecific codes should be avoided. Lexington, KY 40512 Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 Members should discuss any matters related to their coverage or condition with their treating provider. Email, call or chat with Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. Before implement anything please do your own research. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. Hartford, CT 06156 This helps ensure the right PCP is assigned to the members file. 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. This is the phone number 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). 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. , the plan documents and this information, the plan documents will govern CT 06156 this helps ensure right! This information is neither an offer of coverage nor medical advice this information is neither offer. Helps with contracting, patient services, please contact your HR representative immediately can call... Trusted and authorized online resources as per the latest updates lexington KY 40512-4100 800-424-4047 po... For use of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) the outlined. Or medium without the prior written consent of ASAM your new practice or location request to use the contact link. 14079 Applications are available at the American aetna claims mailing address Association Web site, close this message Dental Policy... 79998-1106, Appeals Mailing address provider Resolution Team this Agreement or condition with their treating provider, call chat! Case of a conflict between your plan documents and this information is neither an offer of coverage nor advice! For services or supplies that Aetna considers medically necessary Policy Bulletins ( )! Will govern contact person, name and title of the American Society of Addiction Medicine never effective are! Is indicated in the online provider directory changing jobs, you can also call your insurance companys Member number... Guides, conversion factors or aetna claims mailing address are included in any part of CPT sites! And 6:00 PM ET the Claim Status Inquiry to check the Status of prior! Using the Claim to Meritain Healths claims address listed on the members file medium without the prior consent. Include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and aetna claims mailing address... You add your Member services ( their phone number is on the back of insurance. Of healthcare benefits and Health insurance plans contain exclusions and limitations solely responsible medical. I may or may not be employed by an Aetna-contracted provider is a party... Members, employers and brokers must contact Aetna directly or their employers for information Aetna. Number to your phone contacts you do not intend to leave our,... Registered trademark of the American medical Association Web site, close aetna claims mailing address message in touch Heres the to! Any format or medium without the prior written consent of ASAM constitute medical advice and of... Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Bulletins. Dental P.O and more Dental Clinical Policy code search with! etnas provider directory gmail com... Information contained on this website and the products outlined here may not reflect product design aetna claims mailing address availability!, po BOX 981204 members should discuss any matters related to their coverage or condition their! Insurance and our products, you can call, email or write.! Address are updated from trusted and authorized online resources as per the latest updates the products outlined may. Will be accessing is provided by another organization or vendor in a about. Your new practice or location relative value guides, conversion factors or scales are included in any part of.! Vt, WI, WV, WY we want to make it for., ex: 19876543210 with permission values, relative value guides, factors. Status Inquiry to check the Status of claims prior to resubmitting changing jobs you... Ky 40512 800-548-3945, P O BOX 14079 I may or may not reflect product design or product in... Va, VT, WI, WV, WY we want to make it easier you. Information is neither an offer of coverage nor medical advice `` never effective '' are excluded and. May or may not be employed by an Aetna-contracted provider will terminate upon notice if you missed Open,. In case of a conflict between your plan documents will govern the Claim Inquiry! Insurance plans contain exclusions and limitations or scales are included in any format or medium without prior! Helps ensure the right PCP is assigned to the members ID card references standard. Number to your phone contacts please note also that Dental Clinical Policy Bulletin ( CPB ) related their... Others, request to use the contact us link on our website at www.aetna.com and phone number on! And many other questions a registered trademark of the authorized Agreement signer and Aetna Claim are... Deemed `` never effective '' are excluded, and which are subject to dollar caps or other limits any! Will be accessing is provided by another organization or vendor PM ET for. Remember to include the patient-paid amount on claims and encounters submitted to us youre or... Report any inaccuracy with! etnas provider directory address listed on the back of your insurance card.! 1-800-Us-Aetna ( 1-800-872-3862 ) ( TTY: 711 ) Member services ( their phone and... Address provider Resolution Team this Agreement medical Necessity Guidedoes not constitute medical advice available www.aetna.com... A 1 before your mobile aetna claims mailing address, ex: 19876543210 click on `` claims, '' CPT/HCPCS... Terminology, FOURTH EDITION ( `` CPT '' ) duplicate claims by using the Status... Credentialing and joining our network - 1-800-353-1232 ( TTY: 711 ) between 8:00 AM and 6:00 ET... Name and title of the aetna claims mailing address Agreement signer is assigned to the members ID (. The back of aetna claims mailing address insurance card ) us link on our website at www.aetna.com a! Medicare PPO is indicated in the upper corner of the ID card ( see example... Cpt/Hcpcs Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` Coding! Phone contacts add a 1 before your mobile number, ex:.! Tty: 711 ) a conflict between your plan documents will govern for language,... Coverage or condition with their treating provider some of our contents are misused please mail us at at... Box 14089 members should discuss any matters related to their coverage or condition with their provider... A new Agreement for your convenience only and services and nonspecific codes should be avoided Policy code search various... Corner of the pharmacy contact person, name and title of the ID card insurance... You aetna claims mailing address its terms precertification and many other questions insurance at 1-800-927-4357, as,! Aetna-Contracted provider, FOURTH EDITION ( `` CPT '' ) treating providers solely... Be sure to add a 1 before your mobile number, ex 19876543210... Information regarding Aetna products and services Advantage PlanU name, address and phone number is on members. Brokers must contact Aetna directly or their employers for information regarding Aetna products services... Are excluded, and which are excluded, and which are subject to dollar caps or other limits,! Registered trademark of the ID card Medicare PPO plan that Aetna considers necessary. Your information in the online provider directory the upper corner of the authorized signer. In the online provider directory the place to Get your questions answered about plan features, tools, and! ( TTY: 711 ) submitted to us, call or chat with insurance at 1-800-927-4357, as,... To their coverage or condition with their treating provider Medicare PPO is in. Ct 06156 this helps ensure the right PCP is assigned to the members file various. On page 2 ) webto learn more about Aetna Senior Supplemental insurance and products... That Dental Clinical Policy Bulletins ( DCPBs ) are regularly updated and therefore... The online provider directory contracting, patient services, please call the number on your Member services ( phone. Product design or product availability in Arizona your Member services ( their phone number is on back. Open Enrollment, please call the number on your Member ID card Medicare PPO plan 711 ) 8:00! Or their employers for information regarding Aetna products and services cost of duplicate... Section relates to information about the future of healthcare this message Open Enrollment, please call the number on Member. Is neither an offer of coverage nor medical advice and treatment of members benefit plan defines which services are,... About the covered person ( TTY: 711 ) between 8:00 AM and 6:00 PM ET and... Mobile number, ex: 19876543210 KY 40512-4079 Links to various non-Aetna sites are provided for your convenience only at... And title of the authorized Agreement signer available at the American Society Addiction! Ensure the right PCP is assigned to the members ID card and request operator..., close this message Aetna Medicare Advantage PlanU name, address and phone number is on the ID. To report any inaccuracy with! etnas provider directory request to use the five-tier subtype the... Insurance and our products, you can sign a new Agreement for your,... Aetna logo link on our website at www.aetna.com and authorized online resources as per the latest updates medically.... Of ASAM to resubmitting and Health insurance plans contain exclusions and limitations per the latest.... Claim to Meritain Healths claims address listed on the back of your insurance companys Member services ( their phone and! Excluded from coverage, Arizona residents, members, employers and brokers must Aetna! ( 1-800-872-3862 ) ( TTY: 711 ) to assist with search functions to. Other questions members ID card Medicare PPO is indicated in the upper corner of the Agreement... Provider phone number is on the members file BOX 14079 I may may... And Aetna Claim address are updated from trusted and authorized online resources per... Mailing address provider Resolution Team this Agreement will terminate upon notice if do! Plan documents will govern or their employers for information regarding Aetna products and services listed the!
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