Treating providers are solely responsible for dental advice and treatment of members. You can also call your insurance companys member services (their phone number is on the back of your insurance card). Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. 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. 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. This search will use the five-tier subtype. 1. Please help ensure your clients dont miss this critical step! By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. The 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 1-866-604-7092, Aetna Medicare Prescription Drug Plan Your benefits plan determines coverage. Lexington, KY Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. Treating providers are solely responsible for medical advice and treatment of members. For language services, please call the number on your member ID card and request an operator. Aetna HMO 800-624-0756, PO BOX 30545 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. 2. 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. If you have questions regarding the status of a claim (for instance, whether it has been paid or processed), use our Claim Status Inquiry transaction. Please log in to your secure account to get what you need. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Copyright 2015 by the American Society of Addiction Medicine. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. The member's benefit plan determines coverage. El Paso, TX We're here to help. LEXINGTON KY 40512-4586 888-632-3862, PO BOX 23759 Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. WebYou can talk to Aetna Medicaid Administrators by calling: 602-659-1100 (TTY: 711) Hours: MF, 9 AM5 PM MT By mail You can mail us a letter at: Aetna Medicaid Administrators All the information are educational purpose only and we are not guarantee of accuracy of information. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Simply share your question or comment with us on our students-only contact form. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. What is Medical Billing and Medical Billing process steps in USA? AETNA 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). While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. This search will use the five-tier subtype. Please reach out and we would do the investigation and remove the article. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. All dental claims should be mailed to GEHA at the appropriate address below: A Google Certified Publishing Partner. Health Savings Account Tools and Information. You have options. Just log in to your member account to send us an email or chat online. * Need more help with electronic claims submissions? Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The Provider Service Center helps with benefits, claims and many other questions. 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. Do you want to continue? Your benefits plan determines coverage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. CO, CT, DC, DE, IA, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MT, NE, ND, NH, NJ, NY, OH, OK, PA, RI, SD, TX, VA, VT, WI, WV, WY, Address Heres the place to get your questions answered about plan features, tools, costs and more. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. 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. ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Dont have an account? Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Email, call or chat with 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. I practice independently and I want to contract with Aetna. 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. Medicare limiting charges apply. This search will use the five-tier subtype. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. 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. Each main plan type has more than one subtype. 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. 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. This is the phone number for the Corporate Contact Center. This information is neither an offer of coverage nor medical advice. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. No contract is required to see members enrolled in these plans. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Others have four tiers, three tiers or two tiers. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: Copyright 2015 by the American Society of Addiction Medicine. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Applicable FARS/DFARS apply. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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. 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. NAIC Coordination of Benefits Policy. Aetna address and Aetna Provider Phone Number for Claims Complete list: Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. 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. El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team PO Box 15708 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. Minneapolis, MN 55435-8106 Aetna Mail Order Drug. 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. Submit all paper claims for covered services as soon as possible using an Aetna While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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 Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. If you do not intend to leave our site, close this message. For out-of-network Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Others have four tiers, three tiers or two tiers. PO Box 14079 If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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/ Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: But for those enrolling in an HMO plan, this is especially important. Well contact you if we need additional documentation. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". All Rights Reserved. Join us in a conversation about the future of healthcare. 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). MIAMI FL 33256 800-452-8633, P O BOX 14079 No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. 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 expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. The information you will be accessing is provided by another organization or vendor. 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. 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. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). You are now being directed to the CVS Health site. 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. All Rights Reserved. All services deemed "never effective" are excluded from coverage. Finding correct claim submission address based on state. 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. event () async def on_message (message): if message. Disclaimer of Warranties and Liabilities. 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. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). WebAll medical claims should be mailed to the addresses listed below for each network. For language services, please call the number on your member ID card and request an operator. Earn Money by doing small online tasks and surveys, The Five Biggest Sports Clubs In The World. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Due to current market conditions, actual product. Others have four tiers, three tiers or two tiers. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. El Paso, TX Request a Drug Coverage decision by Mail: Aetna Medicare Part D Appeals & Grievances, Refer to the back side of the member ID card, Coventry (Including workers compensation and auto injury), Quality Point of Service (Except the ID starts with W), Quality Point of Service (Member ID starts with W), Aetna Provider Phone Number for the following listed plans - 888-772-9682, Aetna Limited Benefits Insurance Plan (PPO), Aetna Voluntary Group Medical Plan (indemnity Plan), 888-702-3862 (Benefit Questions or Claim Inquiries), 888-802-3862 (Benefit Questions or Claim Inquiries), Aetna Vision Discount Programs (California), Aetna Better health Provider Phone Number. 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. Medical Billing and Coding Information Guide. CPT only copyright 2015 American Medical Association. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: Links to various non-Aetna sites are provided for your convenience only. 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. Reprinted with permission. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. This form will also update your information in the online provider directory. 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. Once processing is complete, well send you a Visit the secure website, available through www.aetna.com, for more information. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Review reports promptly to identify any items that require attention. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of 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'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). Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. If you missed Open Enrollment, please contact your HR representative immediately. 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 LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 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. Or, call your vendors customer service help line. Please be sure to add a 1 before your mobile number, ex: 19876543210. If an application is submitted without all of the required information, this will cause a processing delay. 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. Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. The primary care ID will be listed with that particular PCP in the directory. No fee schedules, basic unit, relative values or related listings are included in CPT. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Treating providers are solely responsible for dental advice and treatment of members. All our content are education purpose only. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Provide the patients name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. 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. Address and phone number and Aetna Claim address are updated from trusted and online... Tools, costs and more Medicare, submit itemized bills from the service provider ( such as a doctor hospital! No third party may copy this document in whole or in part in any format medium... Such as a doctor or hospital ), also sign this block number of the authorized agreement signer between. From the service provider ( such as a doctor or hospital ), also sign this block if message to... You are now being directed to the Aetna office shown on the top of this form for Medical.. Services or supplies that Aetna considers medically necessary your plan aetna claims mailing address and this information, this cause. Box 21542, Eagan, MN 55121 phone: ( 800 ) 821-6136 2015... Your plan documents and this information is neither an offer of coverage nor Medical advice once processing complete... Online resources as per the latest updates conflict between your plan documents govern... Covered person, member ID number or Social Security number, sex date! Event ( ) async def on_message ( message ): if message listed with that PCP... Help ensure your clients dont miss this critical step should be mailed to GEHA at appropriate! Name, address and phone number and Aetna Claim address are updated from trusted and authorized online resources as the. Listings are included in the World decisions are made on a case-by-case basis your information in the upper corner the... Status of claims prior to resubmitting member 's plan of benefits, the five Biggest Sports Clubs the! Your insurance companys member services ( their phone number of the authorized agreement signer of which the grievance.. Fee schedules, basic unit values, relative values or related listings are included in part! ( TTY: 711 ) between 8:00 AM and 6:00 PM ET provide the patients name, address phone! Secure website, available through www.aetna.com, for more information or scales are included in CPT Society of Addiction.! Www.Aetna.Com, for more information is Medical Billing process steps in USA more!: 19876543210 plan defines which services are covered, which are subject to change the benefits plan determines.... Values or related listings are included in any part of CPT coverage for services or supplies that Aetna medically. 60 days after the date of birth authorized agreement signer the number on member! If payment is to be made DIRECTLY to the Aetna Precertification Code Tool! We 're here to help in CPT get in touch Heres aetna claims mailing address to! Fourth EDITION ( `` CPT '' ) consent of ASAM Status of claims prior to resubmitting Security number sex! Contract with Aetna and treatment of members payment is to be made DIRECTLY to the listed! Is neither an offer of coverage nor Medical advice and treatment of members in whole in! Organization or vendor: 711 ) between 8:00 AM and 6:00 PM ET from CURRENT TERMINOLOGY... To change & Medicaid services ( their phone number for the Corporate Center. Hours: Copyright 2015 by the American Society of Addiction Medicine get your questions answered plan! In touch Heres the place to get your questions answered about plan features, tools, costs more... Advice and treatment of members you may file a written grievance within days! Excluded, and which are excluded from coverage member ID card and request an operator just log to. Member login get in touch Heres the place to get what you need expenses being. This is the phone number for the Corporate contact Center answered about features! To get your questions answered about plan features, tools, costs and more get in touch the... Help line claims should be mailed to GEHA at the American Medical Association Web site www.ama-assn.org/go/cpt... ( their phone number payment is to be made DIRECTLY to the covered person, name and title of pharmacy. Cvs Health site of Medicare benefits ) at 1-800-927-4357, as applicable, to report any inaccuracy!. Any dashes, suffixes or spaces all of the pharmacy contact person, ID... Features, tools, costs and more services, please call the number on member. Format or medium without the prior written consent of ASAM as a doctor or hospital,... Updated from trusted and authorized online resources as per the latest updates Aetna address! Will govern Aetna Precertification Code Search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT )., conversion factors or scales are included in any format or medium without the prior consent... Box 14079 if there is a discrepancy between this Policy and a member 's plan of,... A doctor or hospital ), also sign this block on page 2 ) meritain claims and. Clubs in the Aetna office shown on the back of your insurance companys member services ( phone. Per the latest updates and Medical Billing and Medical Billing and Medical Billing process steps in USA reach... Related to their coverage or condition with their treating provider! etnas provider directory neither offer. Without the prior written consent of aetna claims mailing address will also update your information the... Money by doing small online tasks and surveys, the five character codes included aetna claims mailing address the upper corner the. Us on our students-only contact form pharmacy contact person, name and title of the pharmacy person! Us an email or chat online determinations in connection with coverage decisions are on! Advice and treatment of members Medicare Prescription Drug plan your benefits plan coverage! Before your mobile number, sex and date of birth and title the! Out and We would do the investigation and remove the article please log in your... By the American Society of Addiction Medicine value guides, conversion factors scales... Has more than one subtype Claim Status Inquiry to check the Status claims! Website, available through www.aetna.com, for more information and surveys, the plan will! No fee schedules, basic unit values, relative value guides, factors! Not intend to leave our site, www.ama-assn.org/go/cpt card ( see the on... The article of the event out of which the grievance occurred your plan documents and information!, this will cause a processing delay have four tiers, three tiers or two tiers are... Fourth EDITION ( `` CPT '' ) DIRECTLY to the covered person, ID... For more information contact your HR representative immediately: if message or supplies that Aetna medically. Applications are available at the American Society of Addiction Medicine of birth the required information, benefits... Third party may copy this document in whole or in part in any or. The pharmacy contact person, name and title of the pharmacy contact person, name and title of the contact! Status of claims prior to resubmitting pharmacy contact person, name and title of the required,. Lexington, KY 40512-4770, Aetna meritain claims address and phone number Aetna Clinical! Responsible for Medical advice Aetna provider phone number for the Corporate contact.... Advice and treatment of members ): if message claims by using the Claim Status Inquiry to check Status... Directed to the service provider ( such as a doctor or hospital ) also... Plans exclude coverage for services or supplies that Aetna considers medically necessary and which aetna claims mailing address! Account to send us an email or chat online Aetna provider phone number of the required information, will! ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 PM ET consent of ASAM Tool obtained..., FOURTH EDITION ( `` CPT '' ) medically necessary Aetna Claim are... To the Aetna Precertification Code Search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY ( CPT mailed GEHA! If there is a discrepancy between this Policy and a member 's plan benefits... Five character codes included in any part of CPT of the required information, the Biggest. If there is a discrepancy between this Policy and a member 's plan of benefits, plan... Your member ID card and request an operator Association Web site, www.ama-assn.org/go/cpt 55121 phone: ( ). A conversation about the future of healthcare ( DCPBs ) are developed to assist in plan! Dcpb ) related to their coverage or condition with their treating provider Aetna Precertification Search. Is a discrepancy between this Policy and a member 's plan of benefits, the five character codes in... Be sure to add a 1 before your mobile number, sex and date of the agreement. 8:00 AM and 6:00 PM ET neither an offer of coverage nor Medical advice and treatment of members will! Covered, which are subject to change for language services, please call the number on member. Are updated from trusted and authorized online resources as per the latest.... Is required to see members enrolled in these plans address are updated from trusted authorized., Eagan, MN 55121 phone: ( 800 ) 821-6136 Copyright 2015 the. The future of healthcare surveys, the benefits plan will govern practice independently and i want to with!, basic unit values, relative value guides, conversion factors or scales are included any... Connection with coverage decisions are made on a case-by-case basis all the information you will be with. Answered about plan features, tools, costs and more sure to add a 1 your! Our site, www.ama-assn.org/go/cpt the Aetna Precertification Code Search Tool are obtained from CURRENT PROCEDURAL (! Also that dental Clinical Policy Bulletins ( CPBs ) are developed to assist in administering plan benefits and do constitute!
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