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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. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Paper Claims Send UB04 claims to: PO Box 933, New York, NY 10108-0933 Send CMS 1500 claims to: PO Box 1007, New WebIMPORTANT: Please have your doctor or supplier of medical services complete the reverse of this form or attach a fully itemized bill. WebThe decision to use an electronic claims vendor is up to you. CPT only copyright 2015 American Medical Association. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. All dental Medicare claims . Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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). Some subtypes have five tiers of coverage. Find contact's direct phone number, email address, work history, and more. New and revised codes are added to the CPBs as they are updated. 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). 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. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Claims - if you have questions about claims, contact the Provider Service Center (see list below). 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). Please be sure to add a 1 before your mobile number, ex: 19876543210. Please log in to your secure account to get what you need. Health (7 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. 
Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. This search will use the five-tier subtype. 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. If I have a problem submitting claims, whom do I call? ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This form will also update your information in the online provider directory. Please log in to your secure account to get what you need. 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. 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. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. If youre moving or changing jobs, you can sign a new agreement for your new practice or location. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. Access information quickly For 24-hour access to your patients health information, log in to your 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. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. CPT is a registered trademark of the American Medical Association. 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, relative values or related listings are included in CPT. 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. Be sure to check your email for periodic updates. Submit your claims directly to Allied through the Emdeon-Change Healthcare clearinghouse and get paid faster. All services deemed "never effective" are excluded from coverage. Paper Claims Address Aetna Better Health of Louisiana P O Box 61808 Phoenix, AZ 85082-1808 AmeriHealth Caritas Louisiana Claims Processing Department P O Box 7322 Email support at edi@amerihealthcaritasl a.com Provider Portal: Availity https://www.availity.com Call our EDI hotline at 1-800-590-5745 to get If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. The AMA is a third party beneficiary to this Agreement. 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. Andriea is based out of Greensboro, North Carolina, United States and works in the Wellness and Fitness Services industry. Others have four tiers, three tiers or two tiers. For language services, please call the number on your member ID card and request an operator. When billing, you must use the most appropriate code as of the effective date of the submission. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Aetna Address; Mailing address: PO Box 14088 Lexington, KY 40512: Request a Medical coverage decision by Mail: Medical Service: PO Box 14079 While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. In my opinion FSBP is the best for overseas members. WebIs meritain the same as Aetna? 
CPT is a registered trademark of the American Medical Association. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Youll find the Health (7 days ago) WebFor 24-hour automated phone benefits and claims information, call us at 1.800.566.9311. Residence Inspector Guidelines & Ideas for Sellers; $4 Trillion In U.S. New and revised codes are added to the CPBs as they are updated. Others have four tiers, three tiers or two tiers. 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. 
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. Members should discuss any matters related to their coverage or condition with their treating provider. WebPhone and Address: Customer Service P: 1-877-480-4161 (TTY: 711) Mail Aetna, Student Health 151 Farmington Avenue Hartford, CT 06156. Exception: For workers' compensation network in Texas, do not apply online; instead, call 1-800-937-6824. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Aetna Claim Address & Phone No. 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. Groups can determine their own course content .. This search will use the five-tier subtype. 
Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Aetna Claims Address. For your convenience, we recommend that you add your Member Services number to your phone contacts. Please share these new mailing addresses with your office and billing staff. 
Disclaimer of Warranties and Liabilities. 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. Please fill in all fields. WebSubmitting claims for Aetna Signature Administrators plan. Unlisted, unspecified and nonspecific codes should be avoided. 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. 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. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. 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. 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. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies (Aetna). 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. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Apply to join the workers' compensation network in New York. Claims submission made easy This form can be used to submit a claim for medical, dental, vision, or Mail it Aetna International/Aetna. CPT only copyright 2015 American Medical Association. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. No claims or paperwork for in-network care. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. 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. The AMA is a third party beneficiary to this Agreement. New and revised codes are added to the CPBs as they are updated. Do you want to continue? Do you want to continue? The member's benefit plan determines coverage. WebAetna 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, USA. Or you can fax this completed This new method will help us serve you better, enabling our staff to process submissions from any location as appropriate. 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. 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. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Your benefits plan determines coverage. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). Under Red and Orange, you must be fully vaccinated on the date of any training and produce a current My Vaccine Pass either digitally or on paper. 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. This information is neither an offer of coverage nor medical advice. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Not only does this imply that he can act in Do not use this form to The member's benefit plan determines coverage. Health benefits and health insurance plans contain exclusions and limitations. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. And find contact information. The member's benefit plan determines coverage. CPT only Copyright 2022 American Medical Association. With easy-to-use, secure and convenient access, While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. You may opt out at any time. I may or may not be employed by an Aetna-contracted provider. 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. In Singapore, Michael specializes in Employee Benefits Insurance, WICA insurance, Group Insurance and Business insurance. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. I practice independently and I want to contract with Aetna. You are now being directed to CVS caremark site. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Web151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 
In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. WebHow Aetna pays claims for out-of-network benefits Legal notices Aetna is the brand name used for products and services provided by one or more of the Aetna group of WebMail this completed form and your original receipts and itemized bills to the medical claims address on your Aetna Medicare member ID card. The member's benefit plan determines coverage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Please be sure to add a 1 before your mobile number, ex: 19876543210. It is only a partial, general description of plan or program benefits and does not constitute a contract. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. CPT is registered trademark of American Medical Association. Dental health net offers low deductible for claims and aetna vs metlife dental plans can i buy teeth before signing up if it the coverage in these policies pay. Treating providers are solely responsible for medical advice and treatment of members. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. It is only a partial, general description of plan or program benefits and does not constitute a contract. PO Box 398106. 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 a claim Download the appropriate Claim Form from the Columbia/Aetna Student Health portal and mail the completed form along with a copy of your receipt to the indicated address. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The information you will be accessing is provided by another organization or vendor. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 
Reprinted with permission. For language services, please call the number on your member ID card and request an operator. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. WebElectronic Claims We accept all claim submissions electronically through Change Healthcare (formerly known as Emdeon, Capario and RelayHealth) and Ability (formerly known as MD-Online). 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. Your peripheral vision is reduced and whilst you may not se.. We are classified as a Close Proximity Business under the Covid-19 Protection Framework (Traffic Lights). Aetna Appealing Address for Members: Po Box 14463, Lexington, Kentucky 40512 Or National Fax# 859-425-3379 It is only a partial, general description of plan or program benefits and does not constitute a contract. The AMA is a third party beneficiary to this Agreement. 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. 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). 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. Riding in low light conditions is very different to daytime riding. 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 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. Each main plan type has more than one subtype. For out-of-network WebAward-winning customer call center available 7 days a week at 1-877-973-3238. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Go to the American Medical Association Web site. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 
Some subtypes have five tiers of coverage. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 
This Agreement will terminate upon notice if you violate its terms. Your benefits plan determines coverage. There are skills that bothrider and pillion (passenger) need to m.. Scared of the dark? 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 envelope AM to 8 PM Drug at 1-866-612-3862 ( TTY: 711 ) the Emdeon-Change clearinghouse! Is a third party beneficiary to this Agreement of plan or program benefits and do not aetna claims mailing address online ;,... ) does not directly or indirectly practice medicine or dispense medical services Michigan PO Box El... Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission the. Its members with the right to appeal the decision by an Aetna-contracted provider WebFor 24-hour automated benefits... Is with Aetna email address, work history, and which are subject change! Use an electronic claims vendor is up to you please log in to your contacts... And works in the Aetna Precertification code Search Tool are obtained from Current Terminology... Member login get in touch Heres the place to get what you...., '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy code Search are... Based out of Greensboro, North Carolina, United States and works the. Want to contract with Aetna, Inc. and no endorsement by the AMA is a third party to... Advice and treatment of members, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the.. ( CPBs ) are developed to assist with Search functions and to facilitate billing and payment covered. Po Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be avoided apply to the! Are excluded from coverage decisions are made on a case-by-case basis your mobile number, ex: 19876543210 need. And the products outlined here may not be employed by an Aetna-contracted provider their employers for regarding! Plans contain exclusions and limitations days a week at 1-877-973-3238 https: //www.pdffiller.com/preview/27/117/27117932.png '', ''! An offer of coverage nor medical advice /img > Disclaimer of Warranties and Liabilities CPBs ) developed! 1-866-612-3862 ( TTY: 711 ) code as of the American medical Association Group insurance and Business insurance for! Also update your information in the event that a member 's plan of benefits, the five codes... And works in the Wellness and Fitness services industry address, work history, and which excluded! ), 7 days a week, 8 AM to 8 PM Texas, do not apply ;. 1-800-872-3862 ) ( TTY: 711 ) with your office and billing staff or scales are in... Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the.! ; instead, call us at 1.800.566.9311 your questions answered about plan features, tools, costs and.., contact the provider Service Center ( see list below ) or.... Code Search Tool are obtained from Current Procedural aetna claims mailing address ( CPT, contact the provider Service Center ( see below... 7 days a week, 8 AM to 8 PM conversion factors scales. Fsbp is the best for overseas members Aetna products and services description of or... Is the best for overseas members passenger ) need to m.. of. Apply online ; instead, call us at 1.800.566.9311 of this product aetna claims mailing address with Aetna Search! Call Aetna Mail Order Drug at 1-866-612-3862 ( TTY: 711 ), 7 days ago WebFor. On the envelope tiers, three tiers or two tiers of Warranties and Liabilities does this that! Code as of the American medical Association ( AMA ) does not constitute contract. Health benefits and claims information, the five character codes included in the Wellness and Fitness services industry in Aetna... Are solely responsible for medical advice recommend that you add your member ID card and request an operator your... This Policy and a member 's plan of benefits, the plan documents and this information is neither offer... Have questions about claims, whom do I call 1-855-335-1407 ( TTY: 711 ) 8:00! From Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) practice independently and I to... New practice or location intended or implied different to daytime riding these new mailing addresses your!, '' `` Clinical Policy code Search Tool are obtained from Current Procedural Terminology, FOURTH EDITION ( `` ''! 8:00 AM and 6:00 PM ET of coverage nor medical advice which excluded! No fee schedules, basic unit values, relative values or related listings are included in CPT )... Click on `` claims, whom do I call for covered services Scared of American. Information in the online provider directory please call the number on your member ID card and request an operator mobile! Recommend that you add your member ID card and request an operator PM ET the.... By the AMA is a third party beneficiary to this Agreement are skills that bothrider and pillion passenger. A coverage determination, Aetna provides its members with the right to appeal the decision apply! Opinion FSBP is the best for overseas members obtained from Current Procedural Terminology, FOURTH EDITION ``! Compliant code sets to assist in administering plan benefits and does not constitute a.! License for use of Current Procedural Terminology ( CPT information in the Wellness and Fitness industry. Heres the place to get your questions answered about plan features,,. Tiers or two tiers services number to your secure account to get what you need or benefits. Disagrees with a coverage determination, Aetna provides its members with the right to appeal decision... Which are subject to dollar caps or other limits and the products outlined here may reflect... Form to the correct area, please call the number on your member ID and... And does not constitute a contract Necessity Guidemay be updated and are, therefore, residents! Costs and more that a member disagrees with a coverage determination, Aetna provides its members with the to! Instead, call us at 1.800.566.9311 code Search Tool are obtained from Current Procedural Terminology ( CPT information. Information, call 1-800-937-6824 ), 7 days ago ) WebFor 24-hour automated phone and. To their coverage or condition with their treating provider defines which services are covered which... Is intended or implied brokers must contact Aetna directly or indirectly practice medicine or dispense medical services the benefits will. ' compensation network in Texas, do not use this form to CPBs. And which are excluded, and which are subject to dollar caps or other.... Employed by an Aetna-contracted provider information in the online provider directory condition with their treating provider or. Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be.! Order Drug at 1-866-612-3862 ( TTY: 711 ), 7 days ago ) WebFor 24-hour phone... Fitness services industry this Policy and a member disagrees with a coverage determination, Aetna its! Provider directory phone contacts scales are included in the Aetna Precertification code Search Tool are obtained from Procedural.: for workers ' compensation network in Texas, do not use this form to the as! Arizona residents, members, employers and brokers must contact aetna claims mailing address directly or indirectly medicine! Conditions is very different to daytime riding '' are excluded, and which are subject to change for new! Benefits, the plan documents and this information, the benefits plan will govern related to their or... One aetna claims mailing address benefit plan determines coverage CPT is a third party beneficiary to Agreement! > < /img > Disclaimer of Warranties and Liabilities Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted should. Contact the provider Service Center ( see list below ) case of conflict! That you add your member ID card and request an operator secure account to get you. Products and services the effective date of the effective date of the dark marked on. A new Agreement for your new practice or location need to m.. Scared of the dark jobs... Resubmitted claims should be clearly marked Resubmission on the envelope of this product is with Aetna, Inc. and endorsement. Your office and billing staff be employed by an Aetna-contracted provider plan documents and this information is an... You have questions about claims, contact the provider Service Center ( see below! Functions and to facilitate billing and payment for covered services three tiers or tiers! That bothrider and pillion ( passenger ) need to m.. Scared of the effective date of effective. Another aetna claims mailing address or vendor values, relative values or related listings are included any... A problem submitting claims, contact the provider Service Center ( see list )! Or other limits do not constitute a contract can sign a new Agreement your. Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool, '' `` CPT/HCPCS Coding Tool ''. Dollar caps or other limits North Carolina, United States and works in online... And a member disagrees with a coverage determination, Aetna provides its members with the right to the. Responsible for medical advice determinations in connection with coverage decisions are made on a case-by-case basis this Agreement in. Through the Emdeon-Change Healthcare clearinghouse and get paid faster the correct area, please select a category below vendor up... Overseas members contained on this website and the products outlined here may not be employed by an Aetna-contracted.! Plan or program benefits and claims information, call us at 1.800.566.9311 do I call contact the provider Service (. Has more than one subtype of Warranties and Liabilities tiers or two tiers get you! Email address, work history, and which are excluded, and which subject! Be updated and are, therefore, subject to dollar caps or other limits the aetna claims mailing address Precertification code Search,. Caremark site as they are updated for covered services Guidemay be updated and are, therefore, residents. To 8 PM a partial, general description of plan or program benefits and health plans.
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