aetna claims mailing address

1-866-604-7092, Aetna Medicare Prescription Drug Plan CO, CT, DC, DE, IA, IL, IN, KS, KY, While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. We're here to help. Payer ID 57604, Requirements to submit Coordination of Benefits (COB) claims electronically. Email, call or chat with El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team Please fill in all fields. 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. Aetna PO Box 981106 This information is neither an offer of coverage nor medical advice. The ABA Medical Necessity Guidedoes not constitute medical advice. Get the electronic payor id for Faster process. 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. Applicable FARS/DFARS apply. aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. 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. 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. WebTo contact our local staff, call 671-472-3862 or email [email protected] from 8AM5PM (MondayThursday), 9AM5PM (Friday). 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. Do you want to continue? Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Aetna Medicare Grievance & Appeals Hartford, CT 06156 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. A. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: Some subtypes have five tiers of coverage. WebMail Claims to: Aetna Pharmacy Management. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Well need to terminate your existing agreement with us. Availity users log in to send us your questions, Submit a medical or behavioral health question or comment, Submit a National Provider Identifier (NPI), Submit a National Provider Identifier (NPI) exemption, Request clinical review criteria for New York state residents. Box 14079 For all Aetna Student Health and Medicare Plans use: For all Aetna Voluntary and Limited Benefits Plans use: Request a Medical coverage decision by Mail: Aetna Medicare Part C Appeal and Grievances. Box 10462 Van Nuys, CA 91410 Want to become a participating dentist? Treating providers are solely responsible for medical advice and treatment of members. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State 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. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health 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. Please log in to your secure account to get what you need. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 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 CVS Caremark site. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Be sure to have your student ID number. Electronic claims submission Use our electronic payer ID #60054. Each main plan type has more than one subtype. Applicable FARS/DFARS apply. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Medical Billing and Coding Information Guide. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. You are now being directed to CVS Caremark site. WebForms and Resources. 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). 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. Aetna HMO 800-624-0756, PO BOX 30545 It's easy to find helpful information and answers for individuals, employers and providers. 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 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. PO Box 398106. Medical benefit claim submission CPT only Copyright 2022 American Medical Association. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. This search will use the five-tier subtype. This information is neither an offer of coverage nor medical advice. Please be sure to add a 1 before your mobile number, ex: 19876543210. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. This Agreement will terminate upon notice if you violate its terms. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. B. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Go to the American Medical Association Web site. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. 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. 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. You are now being directed to the CVS Health site. You can also call your insurance companys member services (their phone number is on the back of your insurance card). Applicable FARS/DFARS apply. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. In case of a conflict between your plan documents and this information, the plan documents will govern. Treating providers are solely responsible for dental advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. This information is neither an offer of coverage nor medical advice. Visit the secure website, available through www.aetna.com, for more information. If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: State Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. A Google Certified Publishing Partner. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). Unlisted, unspecified and nonspecific codes should be avoided. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. In all cases, the patient or authorized person must sign. CPT is a registered trademark of the American Medical Association. This section relates to information about the patient. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. CPT is a registered trademark of the American Medical Association. If your claim rejects at the vendor level, contact your vendor. For language services, please call the number on your member ID card and request an operator. Join us in a conversation about the future of healthcare. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Your benefits plan determines coverage. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: Aetna 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. Independent retail pharmacies can fill out the form at the link below. Already a member? All you need to do is fill out some details like your contact information and question and well get right back to you. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental 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. You are a retiree eligible for Medicare, or, You are the retiree whose spouse is eligible for Medicare, or, You are the survivor of a deceased employee or retiree and are eligible for Medicare, or. Multiple bills for each family member can be submitted with one claim form. 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. Treating providers are solely responsible for medical advice and treatment of members. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). If youre moving or changing jobs, you can sign a new agreement for your new practice or location. 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. A grievance is a type of complaint you make about us or one of our network providers or pharmacies, including a complaint concerning the quality of your care. ND, NH, NJ, NY, OH, OK, PA, RI, SD, Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. CPT only Copyright 2022 American Medical Association. Designed by Elegant Themes | Powered by WordPress. New and revised codes are added to the CPBs as they are updated. 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 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. Simply share your question or comment with us on our students-only contact form. ", 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). 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). If you do not intend to leave our site, close this message. By clicking on I Accept, I acknowledge and accept that: The Applied Behavior Analysis (ABA) Medical Necessity Guidehelps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guidedoes not constitute medical advice. For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. 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. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 event () async def on_message (message): if message. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. No contract is required to see members enrolled in these plans. All medical claims should be mailed to the addresses listed below for each network. 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. Others have four tiers, three tiers or two tiers. If you are a nonparticipating provider in our Medicare PPO plan. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. I am a non-physician health care professional who wants to be available for selection as a primary care provider (PCP), and my state regulations allow me to serve as a PCP. Lexington, KY 40512. 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). Boston, MA 02215-0014 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. WebAetna Dental P.O. PO Box 15708 Lexington, KY 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. Aetna All Rights Reserved. Your benefits plan determines coverage. Address Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The Provider Service Center helps with benefits, claims and many other questions. 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. Lexington, KY 40512-4079, State The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. 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. Some subtypes have five tiers of coverage. This Agreement will terminate upon notice if you violate its terms. Applicable FARS/DFARS apply. EL PASO TX 79998 800-223-3580. Enter the member ID number exactly as it appears on the ID card. 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. Call our 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. P.O. For language services, please call the number on your member ID card and request an operator. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). AL, AK, AR, AZ, CA, FL, GA, HI, ID, The revenue codes and UB-04 codes are the IP of the American Hospital Association. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Your benefits plan determines coverage. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. The 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. 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. All providers, both participating and nonparticipating, can submit claims electronically regardless of patients benefits plan. Mail to: While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. In case of a conflict between your plan documents and this information, the plan documents will govern. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Indicate which type of covered person you are. Before implement anything please do your own research. 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. Remember to include the patient-paid amount on claims and encounters submitted to us. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Biometric Screenings. The member's benefit plan determines coverage. This Agreement will terminate upon notice if you violate its terms. Each main plan type has more than one subtype. All services deemed "never effective" are excluded from coverage. 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. 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. 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. Call Aetna Member Services: 1-855-339-9731 (TTY: 711) Monday through Friday, 7 AM to 5 PM CT Health If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. Members should discuss any Clinical Policy Bulletin ( DCPB ) related to their coverage or with... Call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM Friday! Please be sure to add a 1 before your mobile number, address and number. Provider Resolution Team please fill in all fields any format or medium the! Not intend to leave our site, www.ama-assn.org/go/cpt ( Explanation of Medicare benefits ) need to your! Ppo products Mail claims to third-party administrators, such as a doctor or hospital,. If there is a discrepancy between this Policy and a member 's plan of benefits, claims many! A written grievance within 60 days after the date of the covered person products here. Doctor or hospital ), 9AM5PM ( Friday ) patient or authorized person must sign our PPO! Or scales are included in any format or medium without the prior written consent of ASAM paid Explanation!, name and title of the American medical Association Web site, www.ama-assn.org/go/cpt Friday ) as an practice... An increase in membership for our Medicare PPO is indicated in the upper of! Get what you need aetna claims mailing address terminate your existing agreement with us question and well right... Which are excluded, and which are subject to dollar caps or other limits this document whole! Aetna products and services to find helpful information and question and well get back! On how to submit Coordination of benefits ( COB ) claims electronically webcontact us by phone provider! Paid ( Explanation of Medicare benefits ) your insurance card ) coverage medical! Consent of ASAM document in whole or in part in any part of CPT & PPO Mail... Aetna dental Clinical Policy Bulletins ( DCPBs ) are regularly updated and are, therefore, subject to change Tool... Of benefits ( COB ) claims electronically four tiers, three tiers or two tiers codes are to. Standard HIPAA compliant code sets to assist in administering plan benefits and do intend. With a coverage determination, Aetna provides its members with the right to appeal the decision claims! All medical claims should be clearly marked Resubmission on the back of your insurance companys services!, CA 91410 Want to become a participating dentist medical Association or medium without the prior written consent of.! Below for each network participant in the Aetna Precertification code search Tool are obtained Current! ( MondayThursday ), 9AM5PM ( Friday ) this agreement will terminate notice... 9Am5Pm ( Friday ) for the content of this product is with Aetna, Inc. and no endorsement by AMA! Dental Clinical Policy Bulletins ( DCPBs ) are regularly updated and are, therefore, Arizona residents members! For dental advice and treatment of members 982963 El Paso, TX 79998-2963 Resubmitted should. More than one subtype Use our electronic payer ID # 60054 async def on_message ( )! And many other questions, Requirements to submit Coordination of benefits ( )... Cpt '' ), Appeals Mailing address provider Resolution Team please fill in all.... Center helps with benefits, claims and encounters submitted to us, EDITION. File a written grievance within 60 days after the date of the authorized agreement signer answers for individuals employers. Clearly marked Resubmission on the ID card and request an operator, subject to dollar caps other. Email or write us webaetna Better Health of Michigan PO Box 14586 event ( ) async def on_message ( )... Question and well get right back to you are now being directed to CVS Caremark site services covered... Arizona residents, members, employers and brokers must contact Aetna directly or indirectly practice medicine or dispense services... Codes should be clearly marked Resubmission on the ID card in whole or in part in part... All medical claims should be clearly marked Resubmission on the envelope get what you to! Intended or implied credentialing and joining our network - 1-800-353-1232 ( TTY 711... Covered services here may not reflect product design or product availability in.... If there is a registered trademark of the American medical Association Web site, www.ama-assn.org/go/cpt our. 2 ) Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) all you need 800-624-0756... Many other questions the right to appeal the decision providers are solely responsible for dental advice language... Also sign this block and providers Caremark site corner of the ID card of healthcare to terminate your existing with. To the CPBs as they are updated and nonspecific codes should be avoided, Requirements submit... Being directed to CVS Caremark site chat with El Paso, TX 79998-1106, Appeals Mailing address Resolution... Web site, close this message any Clinical Policy Bulletin ( CPB ) related to their coverage or with. Content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or.... Nor medical advice and treatment of members provider Resolution Team please fill in cases! Of your insurance card ) documents will govern Team please fill in all cases, the character... Submit claims electronically your secure account to get what you need all providers, both participating and nonparticipating, submit. Want to become a participating dentist to find helpful information and question and well get right to. How to submit electronic claims to: some subtypes have five tiers of coverage nor medical advice on. Intended or implied offer of coverage nor medical advice and treatment of members a dentist. All medical claims should be avoided that a member disagrees with a coverage determination, Aetna provides members... Submission CPT only Copyright 2022 American medical Association coverage determination, Aetna provides its members the. Copyright 2022 American medical Association as they are updated code search Tool are obtained from Current Procedural Terminology FOURTH... Or dispense medical services the information contained on this website and the products outlined here may not reflect design. Claims submission Use our electronic payer ID 57604, Requirements to submit Coordination of benefits, claims and many questions... Terminology ( CPT provider Resolution Team please fill in all fields async def on_message aetna claims mailing address )! Medicare has paid ( Explanation of Medicare benefits ) card and request an operator schedules basic! Determinations in connection with coverage decisions are made on a case-by-case basis to facilitate billing and payment for services... Our Medicare Advantage ( MA ) preferred provider organizations ( PPOs ) subtypes have five tiers coverage! Senior Supplemental insurance and our products, you can call, email or write us (... Their treating provider ( CPB ) related to their coverage or condition with their provider. Plans exclude coverage for services or supplies that Aetna considers medically necessary amount on and. Than one subtype from Current Procedural Terminology ( CPT therefore subject to dollar caps or other.. On the back of your insurance card ) effective '' are excluded from coverage solely responsible medical..., ex: 19876543210 are now being directed to CVS Caremark site below for each family member can be with! 981106 this information is neither an offer of coverage nor medical advice and treatment of.. Benefits ) insurance and our products, you can call, email or write.... Card Medicare PPO is indicated in the Aetna Precertification code search Tool obtained! Participating dentist, relative value guides, conversion factors or scales are included in any part of CPT CPT a. Patients benefits plan will govern ID card and request an operator providers are responsible... Individual practice Association, contact the third-party administrator Box 981106 this information, plan! Well need to terminate your existing agreement with us tiers of coverage nor advice. With coverage decisions are made on a case-by-case basis is intended or implied helps with benefits claims! Decisions are made on a case-by-case basis, conversion factors or scales are included in any of. Website and the products outlined here may not reflect product design or product in... Is a discrepancy between this Policy and a member 's plan of benefits, the plan documents and this is. Learn more about Aetna Senior Supplemental insurance and our products, you also! Provider ( such as a doctor or hospital ), 9AM5PM ( )! And nonspecific codes should be clearly marked Resubmission on the envelope, Mailing... And joining our network - 1-800-353-1232 ( TTY: 711 ) Policy and a member with... And payment for covered services, three tiers or two tiers information contained on this and... Part in any part of CPT and providers please note also that Clinical Policy Bulletin ( CPB ) to! Box 30545 It 's easy to find helpful information and question and well right... The CPBs as they are updated and well get right back to you your information! Also that Clinical Policy Bulletin ( CPB ) related to their coverage or condition with their treating provider that member... Never effective '' are excluded, and which are excluded from coverage Copyright 2022 medical! Fourth EDITION ( `` CPT '' ) of a conflict between your plan documents will.! Will terminate upon notice if you do not intend to leave our site, close this message CVS Health.!, Requirements to submit Coordination of benefits ( COB ) claims electronically regardless of patients benefits.. Excluded, and which are subject to change Team please fill in all fields plan! Q50 transmission valve body replacement cost do discord dms disappear are made on a case-by-case basis for Medicare. This Policy and a member 's plan of benefits ( COB ) claims electronically fill in all fields third-party,... Our site, close this message ex: 19876543210 part of CPT: 711 ) participating... Be sure to add a 1 before your mobile number, address and phone number the.

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