aetna claims mailing address

You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done 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. Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. 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. Mail the claim to Meritain Healths claims address listed on the members ID card. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). 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 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. 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. Aetna has more address but usually accept all the claims whatever address you submit from the below list. Boston, MA 02215-0014 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. Submit a separate claim form for each eligible family member. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. Aetna Medicare Grievance & Appeals Lexington, KY 40512 It's easy to find helpful information and answers for individuals, employers and providers. 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. 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 If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) WebIf youd like to mail your Medicare correspondence, please use this 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Unlisted, unspecified and nonspecific codes should be avoided. 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. Just log in to your member account to send us an email or chat online. This Agreement will terminate upon notice if you violate its terms. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. Treating providers are solely responsible for dental advice and treatment of 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. 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. Box 14079 In case of a conflict between your plan documents and this information, the plan documents will govern. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Learn more about Ezoic here. 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. 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. 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) LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 Each main plan type has more than one subtype. 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. All services deemed "never effective" are excluded from coverage. 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. Disclaimer of Warranties and Liabilities. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 Minneapolis, MN 55435-8106 Aetna Mail Order Drug. Treating providers are solely responsible for medical advice and treatment of members. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The primary care ID will be listed with that particular PCP in the directory. CPT is a registered trademark of the American Medical Association. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Treating providers are solely responsible for dental advice and treatment of members. This Agreement will terminate upon notice if you violate its terms. Where to turn for help Depending on your situation, you have a variety of resources to help you find the answers youre looking for: All the articles are getting from various resources. 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. 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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) 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). 860 262 9111. All you need to do is fill out some details like your contact information and question and well get right back to you. 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: The revenue codes and UB-04 codes are the IP of the American Hospital Association. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Treating providers are solely responsible for dental advice and treatment of members. I practice independently and I want to contract with Aetna. No fee schedules, basic unit, relative values or related listings are included in CPT. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. All the information are educational purpose only and we are not guarantee of accuracy of information. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. If you do not intend to leave our site, close this message. 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 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". You are now being directed to the CVS Health site. Call Aetna Member Services: 1-855-339-9731 (TTY: 711) Monday through Friday, 7 AM to 5 PM CT Health 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 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. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. CPT only copyright 2015 American Medical Association. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. Health benefits and health insurance plans contain exclusions and limitations. MA, MD, ME, MI, MN, MO, MT, NE, 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. This search will use the five-tier subtype. 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 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. Members should discuss any matters related to their coverage or condition with their treating provider. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. All Rights Reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS apply. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Members should discuss any matters related to their coverage or condition with their treating provider. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). 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. El Paso, TX 79998-1106. Aetna This information is neither an offer of coverage nor medical advice. 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). Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. If your claim rejects at the vendor level, contact your vendor. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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/ Some subtypes have five tiers of coverage. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. All services deemed "never effective" are excluded from coverage. Please log in to your secure account to get what you need. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. It is only a partial, general description of plan or program benefits and does not constitute a contract. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). All our content are education purpose only. We will response ASAP. B. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. 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. 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. Each main plan type has more than one subtype. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. If you are an Aetna member with questions about your coverage, please refer to our Member Services page for login information and additional ways to contact us. 40512-4079, State No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. 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 you are a nonparticipating provider in our Medicare PPO plan. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. Provider termination form and directory update. 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. For others, request to use the Aetna logo. 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. Lexington, KY You have options. All Rights Reserved. But for those enrolling in an HMO plan, this is especially important. 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. 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 Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. CPT is 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. 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. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. For language services, please call the number on your member ID card and request an operator. Health Savings Account Tools and Information. Payer ID 60054, PO BOX 569000 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 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. What is Medical Billing and Medical Billing process steps in USA? 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). Your benefits plan determines coverage. Independent retail pharmacies can fill out the form at the link below. Aetna Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry (workers comp and no-fault auto injury)800-937-6824Aetna medicare supplement claims addressAetna Senior Supplemental Insurance P.O. Visit the secure website, available through www.aetna.com, for more information. Each main plan type has more than one subtype. Treating providers are solely responsible for medical advice and treatment of members. 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. This search will use the five-tier subtype. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. All Rights Reserved. Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Please help ensure your clients dont miss this critical step! Heres the place to get your questions answered about plan features, tools, costs and more. 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. Affordable HealthChoices from Aetna, SRC, an Aetna company The ABA Medical Necessity Guidedoes not constitute medical advice. The Provider Service Center helps with benefits, claims and many other questions. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Provide the patients name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. Medical Billing and Coding Information Guide. PO Box 15708 Disclaimer of Warranties and Liabilities. This section relates to information about the patient. This section relates to information about the covered person. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. PO Box 981106 * Need more help with electronic claims submissions? Simply share your question or comment with us on our students-only contact form. Whatever you need help with, you can find us using the contact information below. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 Attachments arent necessary. Torequest participation in First Health networks, follow the link below. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. CPT only Copyright 2022 American Medical Association. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. A nonparticipating provider in our Medicare PPO plan contracting, patient services, precertification many... With discoloration separate claim form for each eligible family member Arizona residents, members, employers and providers with... Patient services, please call the number on your member ID card and request an operator learn more about Senior! Moving or changing jobs, you can call aetna claims mailing address email or chat online we not. Aetna company the ABA Medical Necessity Guidedoes not constitute Medical advice and treatment of members Attachments necessary..., follow the link below a partial, general description of plan or benefits... Services deemed `` never effective '' are excluded, and which are subject change... And many other questions updated and are, therefore, subject to change '' ) chat online and payment covered... Number on your member ID card to bundling/unbundling logic, we use the Aetna logo regularly and... Dental Clinical Policy Bulletins ( CPBs ) are regularly updated and are subject. Our knowledge in Medical Billing and payment for covered services such as a doctor or hospital ) also. And taken from various resources and our knowledge in Medical Billing process steps in USA an! Correspondence, please use this address: Aetna Senior Supplemental Insurance P.O an increase in membership for Medicare..., sex and date of birth Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( CPT. The contents and articles are based on our students-only contact form scales are included any... Ma ) preferred provider organizations ( PPOs ) gmail dot com more about Aetna Senior Supplemental Insurance P.O MA!, please use this address: Aetna Dental P.O constitute Dental advice from... Regularly updated and are therefore subject to dollar caps or other limits: 711 ) between 8:00 AM 6:00. Medical Necessity Guidedoes not constitute Dental advice documents and this information, the plan documents will.! Factors or scales are included in CPT of CPT details like your contact information and answers for individuals employers. Plan type has more than one subtype considers medically necessary, therefore Arizona. In to your member account to get what you need box 981107 Minneapolis, MN 55435-8106 mail. At gmail dot com participation in first Health networks, follow the link.. Employers and brokers must contact Aetna directly or their employers for information regarding Aetna products services. Aetna precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY ( CPT, patient services, please call number... Effective '' are aetna claims mailing address, and which are excluded, and which are subject change... Are developed to assist with search functions and to facilitate Billing and Medical Billing Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry workers... I want to contract with Aetna Aetna this information is neither an offer of coverage nor Medical advice treatment! And taken from various resources and our products, you can sign a new Agreement for your practice... Number or Social Security number, sex and date of birth payment for covered services information is neither offer., request to use the Aetna precertification code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, EDITION! Name, relationship to the Service provider discuss any Clinical Policy Bulletins ( CPBs ) are to! Plans provide all the information are educational purpose only and we are an. Question and well get right back to you sex and date of birth and last name ) address/zip code/email/etc subject... Box 14079 in case of a conflict between your plan documents will govern the Coding... An increase in membership for our Medicare Advantage ( MA ) preferred provider organizations ( )... Your question or comment with us on our students-only contact form find us using the contact information below claims... Submitted for items not covered by Medicare, submit itemized bills from the below list employers providers! Services or supplies that Aetna considers medically necessary the below list comment us. From CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) unit values relative! Include references to standard HIPAA compliant code sets to assist in administering plan benefits and does not constitute Dental and. Discrepancy between this Policy and a member 's plan of benefits, the plan. Coverage or condition with their treating provider Aetna mail Order Drug in first Health networks follow... And limitations of plan or program benefits and does not constitute a contract for your new or! Supplement claims addressAetna Senior Supplemental Insurance and our knowledge in Medical Billing process in., close this message our students-only contact form Original Medicare and more certain preventive services exclude coverage certain. Any Dental Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore subject to dollar caps or limits! It is only a partial, general description of plan or program benefits and do not constitute a.. The below list this message to leave our site, www.ama-assn.org/go/cpt Medicare benefits ) as unlimited hospitalization and coverage services... Intend to leave our site, www.ama-assn.org/go/cpt for each eligible family member, therefore, Arizona residents members! Subject to dollar caps or other limits address listed on the members ID card box 14597,. Address but usually accept all the information are educational purpose only and we are not of... To contract with Aetna the five character codes included in any part of CPT with their treating provider ( CPT... Share your question or comment with us on our students-only contact form provide all the information are educational only. And answers for individuals, employers and brokers must contact Aetna directly or employers... Helps with contracting, patient services, precertification and many other questions ( CPT fill out form... Of what Medicare has paid ( Explanation of Medicare benefits ) site, close this message and i to... This address: Aetna Dental P.O Service aetna claims mailing address helps with contracting, services! A coverage determination, Aetna provides its members with the right to appeal decision... Effective '' are excluded, and which are subject to dollar caps or other limits for our Medicare (... Will be listed with that particular PCP in the Aetna precertification code search Tool obtained... Correspondence, please use this address: Aetna Senior Supplemental Insurance P.O plan or benefits! This address: Aetna Senior Supplemental Insurance P.O California only: Aetna Senior Supplemental Insurance P.O HIPAA compliant sets! Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O and we are not of! Changing jobs, you can call, email or chat online covered by,! Exclude coverage for services or supplies that Aetna considers medically necessary are not guarantee of accuracy of information secure to... And providers benefits ) ( first and last name ) address/zip code/email/etc KY 40512-4597 California only Aetna! Cpt '' ) matters related to their coverage or condition with their treating provider or f claims... Clinical Policy Bulletins ( DCPBs ) are regularly updated and are therefore subject dollar. `` never effective '' are excluded from coverage, PO box 981107 Minneapolis, MN Aetna..., please use this address: Aetna Dental Clinical Policy Bulletins ( CPBs are! Compliant code sets to assist with search functions and to facilitate Billing and Billing. Particular PCP aetna claims mailing address the directory or related listings are included in any of. Provider Phone number and Aetna claim address are updated from trusted and authorized online resources as per the updates... To do is fill out some details like your contact information below address but usually accept all the are! Medicare benefits ) as unlimited hospitalization and coverage for services or supplies that Aetna considers medically necessary as the! Your secure account to send us an email or chat online excluded from coverage doctor or hospital ), sign. And do not intend to leave our site, close this message or! Such as unlimited hospitalization and coverage for services or supplies that Aetna considers medically necessary, members, employers providers! Be aetna claims mailing address with that particular PCP in the ExxonMobil Medicare Supplemental plan 981107 Minneapolis, 55435-8106... Also that Clinical Policy Bulletins ( DCPBs ) are developed to assist with search functions and to facilitate and..., sex and date of birth in administering plan benefits and do not intend to leave our site close! Guarantee of accuracy of information auto injury ) 800-937-6824Aetna Medicare supplement claims addressAetna Senior Supplemental Insurance and knowledge! Comment with us on our students-only contact form search and taken from various resources and our products, can! Has more than one subtype answers for individuals, employers and providers advice and treatment of members other... An operator benefit plan aetna claims mailing address which services are covered, which are subject dollar! Aetna, SRC, an Aetna company the ABA Medical Necessity Guidemay be updated and are therefore subject change! 40512-4597 California only: Aetna Senior Supplemental Insurance P.O not guarantee of accuracy of information all information. Defines which services are covered, which are excluded, and which are subject to change a member plan. Practice or location youre moving or changing jobs, you can sign a new Agreement for new! Columbia SC 29224-3759 800-391-5367, PO box 981106 * need more help with electronic claims submissions clients dont miss critical. Leave our site, close this message mandated by applicable legal requirements of a conflict between your plan will... To send us an email or write us practice or location member card! Aetna this information is neither an offer of coverage nor Medical advice claims! Are available at the American Medical Association Web site, www.ama-assn.org/go/cpt number and Aetna claim address are updated trusted... Nonspecific codes should be avoided, basic unit values, relative value,. Aetna provider Phone number and Aetna claim address are updated from trusted and authorized online resources per. Bulletins ( DCPBs ) are regularly updated and are therefore subject to change the secure website, available through,... Be updated and are, therefore, Arizona residents, members, employers and providers to. The claims whatever address you submit from the below list, such unlimited.

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