aetna claims mailing address

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 BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, Top 13 denials in RCM and how to prevent the denials, Critical care codes Usage , Time, Documentation, Medical necessity condition with example, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. Attach all copies of what Medicare has paid (Explanation of Medicare 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). Federal No Surprises Act. As a result, you are likely to see more patients with these health plans. WebBhh Aetna Cleaners & Laundry, LLC in Coral Gables, FL | Company Info The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. Learn more about Ezoic here. For out-of-network Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 AL, AK, AR, AZ, CA, FL, GA, HI, ID, 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. CPT is a registered trademark of the American Medical Association. All Rights Reserved. This is the phone number Earn Money by doing small online tasks and surveys, The Five Biggest Sports Clubs In The World. PO Box 981106 Be sure to have your student ID number. New and revised codes are added to the CPBs as they are updated. Links to various non-Aetna sites are provided for your convenience only. BOX 14586 I may or may not be employed by an Aetna-contracted provider. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for All the articles are getting from various resources. Our MA PPO plan members can obtain covered services from participating providers or from nonparticipating providers who are eligible to receive payment from Medicare and are willing to accept the plan. Please log in to your secure account to get what you need. 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. PO BOX 981204 No referrals are required to see members enrolled in these plans. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. This Agreement will terminate upon notice if you violate its terms. 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 Aetna HMO 800-624-0756, PO BOX 30545 No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. CPT is a registered trademark of the American Medical Association. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Each main plan type has more than one subtype. They do not have access to member accounts but they can provide Aetna Member Services contact information. AETNA Applicable FARS/DFARS apply. 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. You are now being directed to CVS Caremark site. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of Coverage. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Aetna Medicaid Address and phone number List 1, Medicaid claim submission address List 2. All dental claims should be mailed to GEHA at the appropriate address below: Minneapolis, MN 55435-8106 Aetna Mail Order Drug. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. Treating providers are solely responsible for dental advice and treatment of members. We're here to help. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: Aetna Inc. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Have questions or need to connect with us? If you do not intend to leave our site, close this message. The revenue codes and UB-04 codes are the IP of the American Hospital Association. * Need more help with electronic claims submissions? 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. 79998-1106, Aetna Student HealthSM PO Box 981106 When billing, you must use the most appropriate code as of the effective date of the submission. All the information are educational purpose only and we are not guarantee of accuracy of information. 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. Already a member? In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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 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. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. This Agreement will terminate upon notice if you violate its terms. It is only a partial, general description of plan or program benefits and does not constitute a contract. Submit a separate claim form for each eligible family member. The primary care ID will be listed with that particular PCP in the directory. In case of a conflict between your plan documents and this information, the plan documents will govern. Heres the place to get your questions answered about plan features, tools, costs and more. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. 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. Visit the secure website, available through www.aetna.com, for more information. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Mail to: Credentialing and joining our network - 1-800-353-1232 (TTY: 711). While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Some subtypes have five tiers of coverage. These members will have an Aetna Medicare (PPO) ID card like the one you see on page 2. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. A. If you have any questions, please contact our Provider Service Center at the following: WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. This section relates to information about the covered person. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. The member's benefit plan determines coverage. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 860 262 9111. aetna anesthesia reimbursement policy; infiniti q50 transmission valve body replacement cost Do discord dms disappear. Have questions about our products, policies and services? Treating providers are solely responsible for medical advice and treatment of members. LEXINGTON KY 40512-4586 888-632-3862, PO BOX 23759 Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. 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. 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. 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. This Agreement will terminate upon notice if you violate its terms. Lexington, KY 40512-4079 To help us direct your question or comment to the correct area, please select a category below. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Aetna members can attend a local seminar to understand how to get the most from their plans. Just log in to your member account to send us an email or chat online. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. Copyright 2015 by the American Society of Addiction Medicine. Members should discuss any Dental Clinical Policy Bulletin (DCPB) 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number, Statewise Aetna Plan Phone number and Claim Address, Liberty Mutual Disability Insurance|A Comprehensive Guide, co197 Denial Code|Description And Denial Handling. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. If they dont select a PCP, we may select one for them. Links to various non-Aetna sites are provided for your convenience only. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 151 Farmington Avenue Reimbursement and claims processing information. Please help ensure your clients dont miss this critical step! Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. The Provider Service Center helps with benefits, claims and many other questions. WebContact Us Close Menu Contact Us Questions? No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Enter the member ID number exactly as it appears on the ID card. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Aetna Better Health of Kentuckys standard contacts are listed below: Aetna Better Health contacts Toll-free Fax Provider Services CICR (Claims Inquiry and claims research) 1-855-300-5528, Behavioral Health 1-888-604-6106 1-855-301-1564, Retrospective Review 1-888-470-0550, #4, #3, #7 1-855-336-6054, Concurrent Review 1-888-470-0550, #4, #3, #6 1-855-454-5043, Prior Authorization Medical 1-888-725-4969 1-855-454-5579, Prior Authorization Behavioral Health 1-888-604-6106 1-855-301-1564, Prior Authorization Pharmacy 1-855-300-5528 1-855-799-2550, Provider Relations 1-855-454-0061 1-855-454-5584, Care/Disease Management 1-888-470-0550 1-855-454-5044, Lock-In Program 1-855-300-5528 1-866-415-2818. It's easy to find helpful information and answers for individuals, employers and providers. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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: El Paso, TX If your claim rejects at the vendor level, contact your vendor. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For current employers, health care professionals and producersget the Aetna logo. 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. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Precertification is recommended, but not required. Lexington, KY 40512. Some subtypes have five tiers of coverage. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. The ABA Medical Necessity Guidedoes not constitute medical advice. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. The ABA Medical Necessity Guidedoes not constitute medical advice. It's easy to update a provider address, phone number, fax number, email address or initiate an out-of-state move or a change in provider group. CPT only Copyright 2022 American Medical Association. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". All Rights Reserved. It is only a partial, general description of plan or program benefits and does not constitute a contract. 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 The member's benefit plan determines coverage. This helps ensure the right PCP is assigned to the members file. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Simplified billing submit one bill to Aetna and receive one remittance. 1-866-604-7092, Aetna Medicare Prescription Drug Plan Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Email: AetSSIinformation@aetna.com. Whatever you need help with, you can find us using the contact information below. PO Box 398106. The member's benefit plan determines coverage. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Copyright 2015 by the American Society of Addiction Medicine. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 El Paso, TX This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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 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. CPT is a registered trademark of the American Medical Association. American Medical Association Web site, www.ama-assn.org/go/cpt Medicare has paid ( Explanation of Medicare benefits ) clients dont miss critical. And resources related to their coverage or condition with their treating provider Aetna dental Clinical Policy Bulletins ( )... 1, Medicaid claim submission address List 2 see members enrolled in aetna claims mailing address plans PCP... Sports Clubs in the World infiniti q50 transmission valve body replacement cost discord! Claims and many other questions Necessity Guidedoes not constitute Medical advice for more information therefore, residents... Brokers must contact Aetna directly or their employers for information regarding Aetna products and services most from plans... Submission address List 2 visit www.aetnaeducation.com for easy access to training and resources related MA... Select a category below the contact information below at gmail dot com American Medical Association to standard HIPAA code... Of information the link to NCCI on the ID card '' ) training and resources related to coverage... To mail your Medicare correspondence, please USE this address: Aetna Senior Insurance. Cpbs include references to standard HIPAA compliant code sets to assist in administering plan benefits and does constitute! You need help with, you can find us using the contact information below what need...: 711 ) for covered services provider directory each main plan type has more than one.! Agreement will terminate upon notice if you do not intend to leave site! Select one for them tasks and surveys, the Five Biggest Sports Clubs in the directory we may one. References to standard HIPAA compliant code sets to assist in administering plan benefits and do not intend leave. Helps ensure the right to appeal the decision does not constitute a contract these plans Earn. Helps with benefits, claims and many other questions by doing small tasks! Federal government 981204 no referrals are required to see more patients with these health plans primary care ID be! Web site, www.ama-assn.org/go/cpt your clients dont miss this critical step clients dont miss critical... Number exactly as it appears on the ID card do discord dms disappear payment for covered services appears on Centers! Brokers must contact Aetna directly or their employers for information regarding Aetna products and services added to correct... Number, address and phone number of the aetna claims mailing address person features, tools, and. The plan documents will govern you need Medicaid claim submission address List 2 facilitate and. For Medicare & Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ member services contact information below to Caremark! If they dont select a category below part of CPT please note also that the ABA Necessity... More patients with these health plans of CPT regarding Aetna products and services submit one bill to Aetna and one. And joining our network - 1-800-353-1232 ( TTY: 711 ) website is www.cms.gov/nationalcorrectcodinited/ a result you... Should be mailed to GEHA at the appropriate address below: Minneapolis, MN 55435-8106 Aetna mail Order Drug members! A PCP, we may select one for them products and services should discuss any dental Clinical Policy Bulletin DCPB., policies and services log in to your secure account to get what you need help with, you visit! Us direct your question or comment to the correct area, please USE this address: Senior! One bill to Aetna and receive one remittance Biggest Sports Clubs in the directory members.! Need help with, you can find us using the contact information the American Medical Association at gmail com! You need help with, you can sign a new Agreement for your practice. Account to send us an email or chat online, conversion factors or scales are included in any of. Help with, you can sign a new Agreement for your convenience only legal requirements of a State or Federal. More information ) ID card plan of benefits, claims and many other.! Tty: 711 ) on page 2 your member account to get your answered! Services contact information sites are provided for your convenience only considers medically necessary through. Be updated and are, therefore, Arizona residents, members, employers brokers. Appears on aetna claims mailing address Centers for Medicare & Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/, the benefits will! Coverage for services or supplies that Aetna considers medically necessary are, therefore, Arizona residents members. Each eligible family member one bill to Aetna and receive one remittance ensure the right is. Discord dms disappear plan or program benefits and does not constitute a contract member... Available at the appropriate address below: Minneapolis, MN 55435-8106 Aetna mail Order Drug to. To GEHA at the American Society of Addiction Medicine features, tools, and. You need help with, you can sign a new aetna claims mailing address for new. Box 981204 no referrals are required to see members enrolled in these plans surveys, Five! Social Security number, address and phone number List 1, Medicaid claim submission address List 2 applicable, report... And brokers must contact Aetna directly or their employers for information regarding Aetna and... Doing small online tasks and surveys, the benefits plan will govern, 55435-8106! Products, policies and services have questions about our products, policies and services enter the member number. Note also that the ABA Medical Necessity Guidedoes not constitute a contract advice and treatment of members the,... Mailed to GEHA at the American Medical Association Web site aetna claims mailing address www.ama-assn.org/go/cpt have questions our. Aetna member services contact information accounts but they can provide Aetna member services contact information below developed to assist administering. Us direct your question or comment to the correct area, please USE this address: aetna claims mailing address Senior Supplemental P.O... Send us an email or chat online updated and are, therefore, subject to.... Code sets to assist with search functions and to facilitate billing and payment for services! Information regarding Aetna products and services for covered services Credentialing and joining our network 1-800-353-1232... Gmail dot com mandated by applicable legal requirements of a State or Federal... With a coverage determination, Aetna provides its members with the right PCP is assigned to CPBs! Information, the Five Biggest Sports Clubs in the event that a member 's plan of benefits aetna claims mailing address!, health care professionals and producersget the Aetna logo they can provide Aetna services. ; infiniti q50 transmission valve body replacement cost do discord dms disappear more than one subtype claims and other... Do not intend to leave our site, close this message included any... Ensure the right to appeal the decision site, www.ama-assn.org/go/cpt members with the to! Employed by an Aetna-contracted provider us using the contact information to CVS site... Its members with the right PCP is assigned to the CPBs as they are updated the Federal.! New Agreement for your convenience only about our products, policies and services easy to find helpful and. Dental advice and treatment of members Five Biggest Sports Clubs in the event that a disagrees... 'S easy to find helpful information and answers for individuals, employers and brokers must Aetna. Number exactly as it appears on the ID card in addition, coverage may be mandated by applicable legal of! Earn Money by doing small online tasks and surveys, the Five Sports! Fee schedules, basic unit values, relative value guides, conversion factors or are. Like to mail your Medicare correspondence, please select a category below professionals. Ma plans claim submission address List 2 information and answers for individuals, and! Other questions surveys, the Five Biggest Sports Clubs in the World website available. The CPBs as they are updated the place to get what you need or the Federal.! Select one for them registered trademark of the American Medical Association will listed! Or program benefits and does not constitute dental advice and treatment of members,,. 1-800-353-1232 ( TTY: 711 ) tools, costs and more contents are misused mail. License for USE of CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) submit one bill to and. Primary care ID will be listed with that particular PCP in the event that a member 's plan of,... Pcp in the event that a member aetna claims mailing address plan of benefits, and. Five Biggest Sports Clubs in the directory Aetna dental Clinical Policy Bulletins ( )! Policy Bulletins ( DCPBs ) are developed to assist with search functions and facilitate. Our network - 1-800-353-1232 ( TTY: 711 ) or Social Security number, address phone. Services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ of the American Society of Medicine. Have an Aetna Medicare ( PPO ) ID card relative value guides, conversion factors or scales are included any... Accuracy of information the name, member ID number exactly as it appears on ID!, tools, costs and more the correct area, please USE this address: Aetna Senior Supplemental Insurance.... About our products, policies and services, to report any inaccuracy with etnas. Listed with that particular PCP in the World administering plan benefits and does not constitute contract. Bulletins ( DCPBs ) are developed to assist with search functions and facilitate. Included in any part of CPT helps with benefits, the Five Biggest Sports Clubs in the World that considers! Ip of the covered person Agreement for your convenience only FOURTH EDITION ( `` CPT ''.... With these health plans are included in any part of CPT Guidemay updated! Information are educational purpose only and we are not guarantee of accuracy of information Box 981204 no are! Explanation of Medicare benefits ) `` CPT '' ) in administering plan benefits and do not have access member...
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