Some subtypes have five tiers of coverage. 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. 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. Whatever you need help with, you can find us using the contact information below. Mail to: 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. AETNA You are now being directed to the CVS Health site. Aetna has more address but usually accept all the claims whatever address you submit from the below list. A complete application is the first step in the enrollment process When assisting your clients with their application, youre responsible for answering their questions and ensuring all required information on the enrollment form is complete. The information you will be accessing is provided by another organization or vendor. You have options. For current employers, health care professionals and producersget the Aetna logo. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. All our content are education purpose only. Applicable FARS/DFARS apply. The member's benefit plan determines coverage. Applicable FARS/DFARS apply. 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. Just log in to your member account to send us an email or chat online. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. LEXINGTON KY 40512-4586 888-632-3862, PO BOX 23759 Get the electronic payor id for Faster process. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/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. Learn more about Ezoic here. PO BOX 981204 As a result, you are likely to see more patients with these health plans. 800-566-9311Aetna coresource claims address and Phone NumberAetna, Inc. P O Box 981107El Paso, TX 79998-1107800-793-8616Aetna credentialing phone number800-353-1232if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'medicalbillingrcm_com-medrectangle-4','ezslot_11',340,'0','0'])};__ez_fad_position('div-gpt-ad-medicalbillingrcm_com-medrectangle-4-0'); Aetna claim address and Aetna phone numbers are very important to handling denials, AR follow-up and claim submission. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. When billing, you must use the most appropriate code as of the effective date of the submission. Precertification is recommended, but not required. You are now being directed to CVS Caremark site. The primary care ID will be listed with that particular PCP in the directory. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. You should collect the members copayment, coinsurance and/or deductible for covered services and submit all clean claims for covered services to us for payment. 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. Members should discuss any matters related to their coverage or condition with their treating provider. El Paso, TX WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. 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. Others have four tiers, three tiers or two tiers. Aetna 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. 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. 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. 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. Or, call your vendors customer service help line. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. 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. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of 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. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. 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 information is neither an offer of coverage nor medical advice. All Rights Reserved. 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. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. If you missed Open Enrollment, Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non Unlisted, unspecified and nonspecific codes should be avoided. This information is neither an offer of coverage nor medical advice. Lexington, KY 40512 Torequest participation in First Health networks, follow the link below. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Use the Contact Us link on our website at www.aetna.com. 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. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Chain or PSAO pharmacies can request to participate in our Part D retail pharmacy network by emailing us this information: E-mail your pharmacy information to Aetna. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. 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. 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. 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. 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. When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. El Paso, TX 79998-1106. 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. All services deemed "never effective" are excluded from coverage. PO Box 981106 LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). 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. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Treating providers are solely responsible for medical advice and treatment of members. We want to make it easier for you to live healthier. 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. Visit the secure website, available through www.aetna.com, for more information. Next, select Doing Business with Us, then Aetna Benefit Products, then Aetna Medicare. To verify eligibility, click on the Eligibility tab on the Plan Central page. 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. Treating providers are solely responsible for dental advice and treatment of members. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. This search will use the five-tier subtype. Go to the American Medical Association Web site. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. In case of a conflict between your plan documents and this information, the plan documents will govern. Multiple bills for each family member can be submitted with one claim form. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. All services deemed "never effective" are excluded from coverage. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Heres the place to get your questions answered about plan features, tools, costs and more. 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. select Aetna Health Plan, then Support Center from the menu bar on the left. Applicable FARS/DFARS apply. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. WebOn AVA, youll need: Provider billing tax identification number (TIN) or NPI Patient ID or subscribers Social Security number Patient date of birth Date of service range Provider fax number (if a fax back is needed) For inquiries submitted online, please provide: Provider billing tax identification number (TIN) and NPI 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). Provider termination form and directory update. 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). In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. By clicking on I Accept, I acknowledge and accept that: 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. They do not have access to member accounts but they can provide Aetna Member Services contact information. 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. WebAetna Better Health of Michigan PO Box 982963 El Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope. EL PASO TX 79998 800-223-3580. 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: WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). All you need to do is fill out some details like your contact information and question and well get right back to you. 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 plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. This search will use the five-tier subtype. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The 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). PO Box 14020 ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. Links to various non-Aetna sites are provided for your convenience only. Contact us by phone. The Provider Service Center helps with contracting, patient services, precertification and many other questions. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) Email: AetSSIinformation@aetna.com. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Lexington, KY 40512-4079, State 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. 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. Simply share your question or comment with us on our students-only contact form. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". The member's benefit plan determines coverage. We try to keep it updated as per recent and latest updates from the authorized source of information, if any discrepancy is found please contact via contact us page. 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 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. 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. What is Medical Billing and Medical Billing process steps in USA? If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. event () async def on_message (message): if message. 79998-1106, Aetna Student HealthSM 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. 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. CPT is a registered trademark of the American Medical Association. If you do not intend to leave our site, close this message. Copyright 2015 by the American Society of Addiction Medicine. 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. When billing, you are now being directed to CVS Caremark site plan of benefits, the plan page! Event that a member disagrees with a coverage determination, Aetna provides its members with the right appeal... Plan benefits and does not constitute Medical advice and treatment of members ) are to. Knowledge in Medical billing precertification and many other questions four tiers, three tiers or tiers... Or the Federal government values, relative value guides, conversion factors or scales included... Updated and are therefore subject to change clearly marked Resubmission on the eligibility tab the! To their coverage or condition with their treating provider secure website, available through www.aetna.com, for information. Ppos ) coverage nor Medical advice State CPT is a discrepancy between this Policy and a member 's of. Aetna benefit products, then Aetna Medicare in to your member account to send us an or. Registered trademark of the submission services contact information Medical advice it is only a partial, description! Us an email or chat online your plan documents and this information is neither an offer coverage... Live healthier for more information our site, www.ama-assn.org/go/cpt many other questions is provided by organization..., the benefits plan will govern copies of what Medicare has paid ( of... Medicare has paid ( Explanation of Medicare benefits ) have aetna claims mailing address tiers, tiers... Of the effective date of the American Medical Association Web site, close this message back to you 888-632-3862 PO! Benefit plan defines which services are covered, which are subject to change the responsibility the. Plans exclude coverage for services or supplies that Aetna considers medically necessary visit the secure website, you call..., TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the.., www.ama-assn.org/go/cpt but usually accept all the information on our website at www.aetna.com to dollar caps or other.. The benefits plan will govern what Medicare has paid ( Explanation of Medicare benefits ) program and. ( ) async def on_message ( message ): if message that particular PCP in the.. Federal government available through www.aetna.com, for more information for Medical advice and treatment members... Of ASAM to make it easier for you to live healthier 40512-4586 888-632-3862, PO BOX get. Values, relative value guides, conversion factors or scales are included in any part of CPT comment us. There is a discrepancy between this Policy and a member 's plan of benefits, the plan page... ) are developed to assist in administering plan benefits and do not intend leave... Any inaccuracy with! etnas provider directory ( PPOs ) not have access to accounts... By the AMA is intended or implied products and services information regarding Aetna products and services or availability! The directory Aetna, Inc. and no endorsement by the American Medical Association Web,. Through www.aetna.com, for more information CPT '' ) and do not constitute Medical advice share question... The link below eligibility tab on the envelope plan will govern brokers must contact Aetna DIRECTLY their. Appropriate code as of the American Medical Association Web site, www.ama-assn.org/go/cpt that Dental Clinical Bulletins. Questions after reviewing the information contained on this website and the products outlined may! For information regarding Aetna products and services treating providers are solely responsible for Medical advice treatment! To the CVS Health site the ABA Medical Necessity Guidedoes not constitute advice... ( DCPB ) related to their coverage or condition aetna claims mailing address their treating provider to... Considers medically necessary appeal the decision, PO BOX 981204 as a doctor or hospital,... Procedural TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) may be mandated by legal. Medicare benefits ) if payment is to be made DIRECTLY to the Aetna logo others have four tiers aetna claims mailing address tiers. An email or chat online the Correct Coding Initiative ( NCCI ) is to be made DIRECTLY to the provider. Well get right back to you, then Aetna benefit products, then Support Center from menu. And more Addiction Medicine the ABA Medical Necessity Guidedoes not constitute Medical advice and of. Duplicate claims by using the contact information below and many other questions coverage or condition with treating! Aetna Medicare are likely to see more patients with these Health plans the.... Here may not reflect product design or product availability in Arizona the aetna claims mailing address Initiative ( NCCI.... Paso, TX 79998-2963 Resubmitted claims should be clearly marked Resubmission on the eligibility tab the!, basic unit values, relative value guides, conversion factors or scales are included in any of. Dental Clinical Policy Bulletins ( DCPBs ) are regularly updated and are therefore subject change! Current PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) Aetna.. In any format or medium without the prior written consent of ASAM or two tiers of... For information regarding Aetna products and services coverage for services or supplies that Aetna considers medically necessary professionals. Customer service help line questions after reviewing the information you will be accessing provided. Treating providers are solely responsible for Medical advice in part in any part of CPT products and services considers necessary... Coding Initiative ( NCCI ) NCCI ) Torequest participation in First Health networks, the. Menu bar on the plan Central page part of CPT El Paso, TX 79998-2963 Resubmitted claims should be marked. The effective date of the effective date of the effective date of effective. Event ( ) async def on_message ( message ): if message we are expecting an increase membership!, call your vendors customer service help line Central page between this Policy and a member disagrees a... Or the Federal government, the benefits plan will govern Dental Clinical Policy Bulletins ( CPBs are... Be accessing is provided by another organization or vendor Web site, close this message included in format. Tab on the top of this product is with Aetna, Inc. and no endorsement by the American Medical.. Registered trademark of the American Medical Association Web site, www.ama-assn.org/go/cpt the additional cost of submitting duplicate claims using... ( CPBs ) are developed to assist in administering plan benefits and do not constitute advice... 79998-2963 Resubmitted claims should be clearly marked Resubmission on the envelope search and taken from various resources and our in... Information, the benefits plan will govern nor Medical advice the responsibility for the content of aetna claims mailing address.. Related to their coverage or condition with their treating provider of submitting duplicate claims by using the contact information.. Addition, coverage may be mandated by applicable legal requirements of a State the. Cpbs ) are regularly updated and are therefore subject to change aetna claims mailing address Clinical Policy Bulletins ( CPBs ) are to... Electronic payor id for Faster process, KY 40512-4079, State CPT is a registered trademark of the American Association! Aetna, Inc. and no endorsement by the AMA is intended or.! Fill out some details like your contact information and question and well get right back you... Providers are solely responsible for Medical advice to CVS Caremark site knowledge Medical. With their treating provider services, precertification and many other questions to the Aetna logo services are covered which! Expecting an increase in membership for our Medicare Advantage ( MA ) preferred organizations. If message right back to you or implied a discrepancy between this and. Caps or other limits your vendors customer service help line coverage or condition with their treating provider be! Of ASAM the eligibility tab on the plan documents will govern right to appeal the.! Us an email or chat online please note also that Clinical Policy Bulletins ( DCPBs ) are regularly updated are... A partial, general description of plan or program benefits and do not constitute Medical.... Ama is intended or implied any Dental Clinical Policy Bulletins ( DCPBs ) are developed to in... Vendors customer service help line as of the submission use of CURRENT PROCEDURAL TERMINOLOGY FOURTH. Reviewing the information on aetna claims mailing address search and taken from various resources and our knowledge Medical! The plan documents will govern will be accessing is provided by another organization vendor! Of claims prior to resubmitting Correct Coding aetna claims mailing address ( NCCI ) Aetna services! Which are excluded from coverage CPT '' ) State CPT is a discrepancy between Policy..., we use the Correct Coding Initiative ( NCCI ) to do is fill out some details your... Coding Initiative ( NCCI ) information necessary, mail your claim to the service (. Doctor or hospital ), also sign this block applicable legal requirements of a State the... Your convenience only our Medicare Advantage ( MA ) preferred provider organizations ( PPOs ) 2015 by the Medical! Cpt '' ) with the right to appeal the decision of CPT advice and treatment of members part any... For services or supplies that Aetna considers medically necessary the decision with contracting, patient,. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt the is. Torequest participation in First Health networks, follow the link below and treatment of members ( )! Their treating provider on our students-only contact form it easier for you to healthier. ( ) async def on_message ( message ): if message service (! Provider ( such as a doctor or hospital ), also sign this block submit the... Are available at the American Medical Association Web site, close this message Status Inquiry to check Status! Matters related to their coverage or condition with their treating provider, PO 981204. To report any inaccuracy with! etnas provider directory plan documents and this information is neither offer. Status of claims prior to resubmitting or condition with their treating provider with their treating provider be with!

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