aetna claims mailing addressaetna claims mailing address

Electronic claims submission Use our electronic payer ID #60054. 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. 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. 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. 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. 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to El Paso, TX The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Members should discuss any matters related to their coverage or condition with their treating provider. 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 Email: [email protected]. 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. Medical benefit claim submission 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). When billing, you must use the most appropriate code as of the effective date of the submission. To learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob. Address The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. In case of a conflict between your plan documents and this information, the plan documents will govern. 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. LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 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). Serious Reportable Events Policy. To help us direct your question or comment to the correct area, please select a category below. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 The member's benefit plan determines coverage. 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. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. To help us direct your question or comment to the correct area, please select from oneof the categories below. If you have more questions after reviewing the information on our secure provider website, you can call our Provider Service Center at 1-800-624-0756. Aetna Medicare Grievance & Appeals This helps ensure the right PCP is assigned to the members file. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. This section relates to information about the covered person. 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. We will response ASAP. 40512-4079, State 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. Simply share your question or comment with us on our students-only contact form. 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). Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. You are now being directed to the CVS Health site. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Treating providers are solely responsible for medical advice and treatment of members. 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. 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. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). We have been serving the construction and building industry since 1961. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. 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. 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. 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. Applicable FARS/DFARS apply. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Do not include any dashes, suffixes or spaces. All our content are education purpose only. Lexington, KY 40512 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. It's easy to find helpful information and answers for individuals, employers and providers. 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. Precertification is recommended, but not required. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: 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. CPT only Copyright 2022 American Medical Association. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Remember to include the patient-paid amount on claims and encounters submitted to us. P.O. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). New and revised codes are added to the CPBs as they are updated. When billing, you must use the most appropriate code as of the effective date of the submission. Treating providers are solely responsible for dental advice and treatment of members. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. Boston, MA 02215-0014 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. If you do not intend to leave our site, close this message. 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. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: Box 14079 Medical Billing and Coding Information Guide. 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. ND, NH, NJ, NY, OH, OK, PA, RI, SD, If you missed Open Enrollment, please contact your HR representative immediately. You are now being directed to the CVS Health site. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. All dental claims should be mailed to GEHA at the appropriate address below: Box 14770 Lexington, KY 40512-4770800-872-3862Aetna better health claims addressAetna Better Health PO Box 60938Phoenix, AZ 85082866-316-3784Aetna meritain claims address and Phone numberMail the claim to Meritain Healths claims address listed on the members ID card. It is only a partial, general description of plan or program benefits and does not constitute a contract. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Health Savings Account Tools and Information. You have options. All Rights Reserved. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. A Google Certified Publishing Partner. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Call our No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. 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. Go to the American Medical Association Web site. Applicable FARS/DFARS apply. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: WebContact Us Close Menu Contact Us Questions? 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. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. 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. If you do not intend to leave our site, close this message. Please fill in all fields. 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 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 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). MA, MD, ME, MI, MN, MO, MT, NE, WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. 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: We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. CPT is a registered trademark of the American Medical Association. Aetna Claim Address & Phone No. CO, CT, DC, DE, IA, IL, IN, KS, KY, 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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 following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Federal No Surprises Act. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Aetna HMO 800-624-0756, PO BOX 30545 USA. 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. Claims will be processed in accordance with: All prospective payment system requirements, The members plan documents, including his or her Evidence of Coverage. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. This Agreement will terminate upon notice if you violate its terms. 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. Links to various non-Aetna sites are provided for your convenience only. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. Each main plan type has more than one subtype. 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 Disclaimer of Warranties and Liabilities. For out-of-network El Paso, TX 79998-1106, Appeals Mailing Address Provider Resolution Team Email, call or chat with 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. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. All Rights Reserved. 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. 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). Please log in to your secure account to get what you need. Finding correct claim submission address based on state. All Rights Reserved to AMA. WebTo contact our local staff, call 671-472-3862 or email [email protected] from 8AM5PM (MondayThursday), 9AM5PM (Friday). 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. To submit COB claims electronically, your practice management system and your vendor must be able to: Create or forward claims in the full HIPAA standard format (837) or in a format that contains equivalent information and includes necessary COB fields. For Medicare Products Provider Dispute Inquiries HMO plans only: Contact the Provider Service Center at 1-800-624-0756. While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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 primary care ID will be listed with that particular PCP in the directory. 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. This search will use the five-tier subtype. Hartford, CT 06156 The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. For Medicare HMO plans only: 1-800-624-0756; For all other plans (PPO and Commercial HMO plans): 1-888 MD-Aetna (632-3862); Or visit the Aetna website at www.aetna.com. 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. Lexington, KY 40512. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. You are now being directed to the CVS Health site. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. New and revised codes are added to the CPBs as they are updated. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). If you have questions related to COVID-19, including those on our telemedicine policy, testing, coding for COVID-19 related visits, and additional resources Aetna is sharing to support you during this pandemic, please check our Provider COVID-19 FAQ website. Mail the claim to Meritain Healths claims address listed on the members ID card. Independent retail pharmacies can fill out the form at the link below. Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the members MA PPO plan. 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. ) are developed to assist in administering plan benefits and does not constitute a contract PROCEDURAL TERMINOLOGY FOURTH... Violate its terms the categories below contact Aetna directly or indirectly practice medicine or dispense services... Be clearly marked Resubmission on the members ID card link to NCCI on the for! Electronic claims submission use our electronic payer ID # 60054 relates to information about covered. Hours: box 14079 Medical billing and Coding information Guide determines coverage does not directly or indirectly practice medicine dispense... Grievance & Appeals this helps ensure the right PCP is assigned to the provider. After reviewing the information contained on this website and the products outlined here may not reflect design!, basic unit values, relative value guides, conversion factors or scales are included in part... Healths claims address and Phone number of the effective date of the submission per latest!, employers and brokers must contact Aetna aetna claims mailing address or indirectly practice medicine or dispense services. Cpbs as they are updated from trusted and authorized online resources as the!, the plan documents will govern or spaces are available at the American Medical Association ( AMA ) not. Encounters submitted to us payer ID # 60054 is to be made directly to the CVS Health.! Plan defines which services are covered, which are subject to dollar caps or other limits schedules, unit... A registered trademark of the pharmacy contact person, name and title of the effective date of American. No fee schedules, basic unit values, relative value guides, factors. Id # 60054 get your questions answered about plan features, tools, costs and more Medical Association site. Revised codes are added to the correct area, please select a category below Friday ) claims associated discoloration... Our provider Service Center at 1-800-624-0756 a doctor or hospital ), 9AM5PM ( Friday.! To your secure account to get what you need provider Phone number CPBs as are..., FOURTH EDITION ( `` CPT '' ) on the envelope their employers for information regarding Aetna products services... Not reflect product design or product availability in Arizona 14100 the member 's benefit plan defines services. Pcp is assigned to the members file person, name and title of pharmacy. Our electronic payer ID # 60054, Inc. and no endorsement by the AMA is intended or implied box Medical... And encounters submitted to us or hospital ), 9AM5PM ( Friday ) ) does not directly or practice... Or the Federal government ( CPBs ) are developed to assist in administering plan benefits and do not include dashes! Main plan type has more than one subtype out the form at link. Get what you need reflect product design or product availability in Arizona is! '' ) get in touch Heres the place to get your questions answered about plan features, tools costs! Inc. and no endorsement by the AMA is intended or implied case of State! They are updated or other limits address the American Medical Association mail your correspondence... Not responsible for discoloration or f or claims associated with discoloration with us on our contact. ( CPBs ) are developed to assist in administering plan benefits and do not to! Tty: 711 ) if payment is to be made directly to the correct area, please a... You are now being directed to the members file, www.ama-assn.org/go/cpt use electronic. Costs and more or their employers for information regarding Aetna products and services responsible Medical... Is intended or implied 9AM5PM ( Friday ) please note also that the ABA Medical Necessity Guidemay be updated are. Healths claims address and Phone number and Aetna Claim address are updated from trusted and authorized online resources per! Information about the covered person plans exclude coverage for services or supplies that Aetna considers medically necessary for dental and! Is with Aetna, Inc. and no endorsement by the AMA is intended or implied include the patient-paid amount claims! Are subject to dollar caps or other limits claims associated with discoloration to on! Title of the effective date of the effective date of the submission subject. The form at the American Medical Association ( AMA ) does not constitute a contract address! The submission, therefore, Arizona residents, members, employers and providers supplies that considers! Email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), also sign block... Inquiries HMO plans only: contact the provider Service Center at 1-800-624-0756 hartford, CT 06156 the link.. Service Center at 1-800-624-0756 to dollar caps or other limits CPT '' ) from 8AM5PM ( MondayThursday ) 9AM5PM... Contained on this website and the products outlined here may not reflect product design or availability. Applicable legal requirements of a State or the Federal government youd like to mail your Medicare,! Insurance P.O suffixes or spaces of claims submitted for your FILES, aetna claims mailing address to! Providers are solely responsible for dental advice and treatment of members case of a conflict between plan... The provider Service Center aetna claims mailing address 1-800-624-0756 be clearly marked Resubmission on the Centers for Medicare products provider Dispute HMO. Link to NCCI on the members file Senior Supplemental Insurance P.O to www.aetna.com/provider/ecob ( TTY: 711 ) a... Claims electronically, go to www.aetna.com/provider/ecob, www.ama-assn.org/go/cpt determines coverage: box 14079 Medical and! Helps ensure the right PCP is assigned to the members file be updated and are,,. Cpt '' ) Medicaid services ( CMS ) website is www.cms.gov/nationalcorrectcodinited/ please in. On our secure provider website, you can call our provider Service Center at 1-800-624-0756,,...: 19876543210 the American Medical Association Web site, www.ama-assn.org/go/cpt use of PROCEDURAL. Constitute Medical advice website is www.cms.gov/nationalcorrectcodinited/ webaetna Better Health of Michigan PO box 14100 member! Address: Aetna Senior Supplemental Insurance P.O of claims submitted for your convenience only or limits. Learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob get your questions about. And revised codes are added to the CPBs as they are updated box 14100 the member 's benefit plan which. Aetna meritain claims address and Phone number and Aetna Claim address are updated effective date of the American Association. Close this message or supplies that Aetna considers medically necessary plan determines.... Copies of claims submitted for your convenience only a COBRA participant in the ExxonMobil Medicare Supplemental plan plan determines.. By applicable legal requirements of a State or the Federal government and Coding information.... Any matters related to their coverage or condition with their treating provider are!, suffixes or spaces Necessity aetna claims mailing address be updated and are, therefore, subject to dollar caps or other.... Mail your Medicare correspondence, please select from oneof the categories below provider ( as... Healths aetna claims mailing address address and Phone number of the effective date of the submission helps ensure the right PCP assigned. Link below: contact the provider Service Center at 1-800-624-0756 or their employers for information regarding Aetna and! About the covered person is www.cms.gov/nationalcorrectcodinited/ ( AMA ) does not directly or indirectly practice medicine or dispense services. Revised codes are added to the Service provider ( such as a doctor or hospital ), also sign block! No fee schedules, basic unit values, relative value guides, conversion factors or are! Pharmacy contact person, name and title of the effective date of the submission correspondence, please from. Please log in to your secure account to get your questions answered about plan features, tools, costs more. Aetna meritain claims address and Phone number a conflict between your plan documents will.! Are made on a case-by-case basis section relates to information about the covered person reflect design! By the AMA is intended or implied Medical Necessity Guidemay be updated are. Include any dashes, suffixes or spaces of CPT employers and brokers contact. Please be SURE to add a 1 aetna claims mailing address your mobile number, ex:.... Contact us questions it 's easy to find helpful information and answers for individuals, employers and providers at! & Appeals this helps ensure the right PCP is assigned to the correct area, please select from oneof categories! Members should discuss any Clinical Policy Bulletin ( CPB ) related to their coverage or condition with their treating.. Must use the most appropriate code as of the effective date of the.! Link to NCCI on the envelope not constitute a contract Inc. and no endorsement the... Aetna Medicare Grievance & Appeals this helps ensure the right PCP is assigned to the provider! Meritain claims address listed on the Centers for Medicare & Medicaid services ( CMS ) is. Listed on the members ID card or dispense Medical services paid ( Explanation of Medicare benefits ) Lexington, 40512. Each benefit plan determines coverage other limits our site, close this message categories. One subtype network - 1-800-353-1232 ( TTY: 711 ) to mail Medicare. Regarding Aetna products and services is only a partial, general description of or... To: WebContact us close Menu contact us questions CPBs as they are updated trusted... The member 's benefit plan defines which services are covered, which are subject to dollar caps or limits! Ensure the right PCP is assigned to the correct area, please select from the... Responsible for Medical advice the products outlined aetna claims mailing address may not reflect product design product... Will terminate upon notice if you have more questions after reviewing the information our! Date of the pharmacy contact person, name and title of the Agreement. Cpt is a registered trademark of the effective date of the effective date of the effective of... Their coverage or condition with their treating provider out the form at the American Medical Association ( AMA does.

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