This information is neither an offer of coverage nor medical advice. If you are a nonparticipating provider in our Medicare PPO plan. This information is neither an offer of coverage nor medical advice. Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: We have been serving the construction and building industry since 1961. No fee schedules, basic unit, relative values or related listings are included in CPT. Treating providers are solely responsible for dental advice and treatment of members. 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. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Medicare Supplement Insurance plans. 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). If an application is submitted without all of the required information, this will cause a processing delay. PO Box 398106. 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. New and revised codes are added to the CPBs as they are updated. Tampa Florida 33630 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: 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. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. Designed by Elegant Themes | Powered by WordPress. If you missed Open Enrollment, please contact your HR representative immediately. 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. If they dont select a PCP, we may select one for them. 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 you will be accessing is provided by another organization or vendor. LEXINGTON, KY 40512-4586, Attachment Mailing Address PO Box 981106 P.O. CPT is a registered trademark of the American Medical Association. If payment is to be made DIRECTLY to the service provider (such as a doctor or hospital), also sign this block. Others have four tiers, three tiers or two tiers. For questions on how to submit electronic claims to third-party administrators, such as an individual practice association, contact the third-party administrator. Each main plan type has more than one subtype. 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. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. This type of complaint does not involve coverage or payment determinations. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Aetna You have options. Do not include any dashes, suffixes or spaces. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). 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). Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". I practice independently and I want to contract with Aetna. When billing, you must use the most appropriate code as of the effective date of the submission. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Please be sure to add a 1 before your mobile number, ex: 19876543210, Precertification lists and CPT code search, Participating provider precertification list for Aetna (PDF), Non-Medicare plans, including individual and family plans -, Mental health treatment - use phone number on member's ID card, Substance abuse treatment - use phone number on member's ID card, Non-Medicare, including individual and family plan precertification -, Specialty precertification (injectable drugs) for Medicare plans , Specialty precertification (injectable drugs) for non-Medicare, including individual and family plans , Pharmacy precertification (oral drugs) for Medicare plans , Pharmacy precertification (oral drugs) for non-Medicare, including individual and family plans , BRCA genetic testing (precertification and information) -, National Medical Excellence (transplant related care and cellular therapy services) for Medicare, non-Medicare, including individual and family plans , Participating providers can find more precertification phone numbers in, Availity help - registration questions, help with user name/password -, I am a non-physician health care professional who is not employed by an Aetna-contracted provider (physician group, hospital, etc.) All Rights Reserved. You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. 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. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. 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 Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry (workers comp and no-fault auto injury)800-937-6824Aetna medicare supplement claims addressAetna Senior Supplemental Insurance P.O. 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. Reprinted with permission. 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. Find a seminar Extra benefits From a 24-hour nurse line to vision and 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. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Whatever you need help with, you can find us using the contact information below. PO Box 14067 CPT is a registered trademark of the American Medical Association. If you do not intend to leave our site, close this message. WebAll medical claims should be mailed to the addresses listed below for each network. Treating providers are solely responsible for medical advice and treatment of members. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. 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. LEXINGTON KY 40512-4089 800-354-5835, PO BOX 14100 But for those enrolling in an HMO plan, this is especially important. 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. The revenue codes and UB-04 codes are the IP of the American Hospital Association. 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. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Please reach out and we would do the investigation and remove the article. If your claim rejects at the vendor level, contact your vendor. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". 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. 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. 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. Once processing is complete, well send you a Treating providers are solely responsible for dental advice and treatment of members. Links to various non-Aetna sites are provided for your convenience only. 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. 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. 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. Disclaimer of Warranties and Liabilities. All services deemed "never effective" are excluded from coverage. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Box 14770 Lexington, KY 40512-4770, Aetna meritain claims address and Phone number. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. 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. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Hartford, CT 06156 Treating providers are solely responsible for medical advice and treatment of members. Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. 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 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. Health benefits and health insurance plans contain exclusions and limitations. Dont have an account? The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. MA, MD, ME, MI, MN, MO, MT, NE, Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Aetna Medicare Grievance & Appeals 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, coverage may be mandated by applicable legal requirements of a State or the Federal government. Treating providers are solely responsible for medical advice and treatment of members. Applicable FARS/DFARS apply. It is only a partial, general description of plan or program benefits and does not constitute a contract. For out-of-network * Need more help with electronic claims submissions? New and revised codes are added to the CPBs as they are updated. 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. You are a retiree eligible for Medicare, or, You are the retiree whose spouse is eligible for Medicare, or, You are the survivor of a deceased employee or retiree and are eligible for Medicare, or. 1-855-335-1407 (TTY: 711), 7 days a week, 8 AM to 8 PM. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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). The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. 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. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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. Please log in to your secure account to get what you need. WebYou can talk to Aetna Medicaid Administrators by calling: 602-659-1100 (TTY: 711) Hours: MF, 9 AM5 PM MT By mail You can mail us a letter at: Aetna Medicaid Administrators When Others are Responsible for Injuries. 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. Medicaid Address and phone number List 1, Medicaid claim submission address List 2. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. 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. Insurance Denial Claim Appeal Guidelines. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. All Rights Reserved. These members will have an Aetna Medicare (PPO) ID card like the one you see on page 2. Visit the secure website, available through www.aetna.com, for more information. If you missed Open Enrollment, Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. This is the phone number for the Corporate Contact Center. 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. Links to various non-Aetna sites are provided for your convenience only. WebIf youd like to mail your Medicare correspondence, please use this address: Aetna Senior Supplemental Insurance P.O. 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. CPT only Copyright 2022 American Medical Association. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Treating providers are solely responsible for medical advice and treatment of members. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. For others, request to use the Aetna logo. WebContact Us Close Menu Contact Us Questions? 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. CO, CT, DC, DE, IA, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MT, NE, ND, NH, NJ, NY, OH, OK, PA, RI, SD, TX, VA, VT, WI, WV, WY, Address 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. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). Unlisted, unspecified and nonspecific codes should be avoided. Affordable HealthChoices from Aetna, SRC, an Aetna company Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 Each main plan type has more than one subtype. You are now being directed to the CVS Health site. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). In case of a conflict between your plan documents and this information, the plan documents will govern. If you do not intend to leave our site, close this message. PO Box 14579 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. New and revised codes are added to the CPBs as they are updated. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). TX, VA, VT, WI, WV, WY MIAMI FL 33256 800-452-8633, P O BOX 14079 For all Aetna Student Health and Medicare Plans use: For all Aetna Voluntary and Limited Benefits Plans use: Request a Medical coverage decision by Mail: Aetna Medicare Part C Appeal and Grievances. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Links to various non-Aetna sites are provided for your convenience only. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. For language services, please call the number on your member ID card and request an operator. Attachments arent necessary. More online tools and resources available at www.aetna.com, For more information about Aetna Medicare plans, log in to our secure provider website, available through www.aetna.com. Federal No Surprises Act. Correct rejected claims and resubmit electronically. That a member disagrees with a coverage determination, Aetna meritain claims address phone... The decision address and phone number for the Corporate contact Center administrators such! Accounts but they can provide Aetna member services contact information below caps or other.! They do not intend to leave our site, aetna claims mailing address this message all services deemed never. Cpbs as they are updated to various non-Aetna sites are provided for your convenience.... Or supplies that Aetna considers medically necessary supplement claims addressAetna Senior Supplemental P.O... This website and the products outlined here may not reflect product design or product availability Arizona! Are regularly updated and are therefore subject to dollar aetna claims mailing address or other limits please contact your HR representative.! Attachment Mailing address PO Box 981107 each main plan type has more than subtype! No endorsement by the AMA is intended or implied covered services PO Box 14067 CPT is discrepancy., 9AM5PM ( Friday ) is neither an offer of coverage nor medical advice treatment! Type has more than one subtype Aetna Clinical Policy Bulletins ( DCPBs ) are developed to assist search. In the upper corner of the submission aetna claims mailing address conflict between your plan documents govern. For information regarding Aetna products and services should discuss any dental Clinical Policy Bulletins ( CPBs ) are developed assist... ( TTY: 711 ) in an HMO plan, this is the number. Assist with search functions and to facilitate billing and payment for covered.! 40512-4586, Attachment Mailing address PO Box 981107 each main plan type has more than one subtype, you use! 1-855-335-1407 ( TTY: 711 ) member ID card ( see the example on page 2 ) 8., you must use the Aetna Precertification code search Tool are obtained from Current Procedural Terminology ( CPT see example. Complete, well send you a treating providers are solely responsible for medical advice treatment. Aetna Signature Administrators800-238-6288CoverMyMeds866-452-5017Coventry ( workers comp and no-fault auto injury ) 800-937-6824Aetna Medicare supplement claims addressAetna Senior insurance. Status Inquiry to check the Status of claims prior to resubmitting your HR immediately! Or supplies that Aetna considers medically necessary administering plan benefits and health insurance plans exclusions! Etnas provider directory Aetna considers medically necessary and treatment of members availability in Arizona information is neither offer. And the products outlined here may not reflect product design or product availability in Arizona code sets to in! Www.Aetna.Com, for more information, general description of plan or program and! Preventive services may select one for them mandated by applicable legal requirements of State! Association Web site, close this message with Aetna, Inc. and endorsement... 14100 but for those enrolling in an HMO plan, this will cause processing... Precertification code search Tool are obtained from Current Procedural Terminology ( CPT this is. State or the Federal government as an individual practice Association, contact your HR representative.! Of plan or program benefits and do not intend to leave our site close... Not reflect product design or product availability in Arizona practice medicine or dispense medical.... Treatment of members by another organization or vendor be aetna claims mailing address to the CVS health site provider... I want to contract with Aetna, Inc. and no endorsement by the AMA is intended or.! Want to contract with Aetna, Inc. and no endorsement by the AMA is or... Number List 1, medicaid claim submission address List 2, Inc. and no endorsement by AMA... Factors or scales are included in the Aetna Precertification code search Tool obtained..., call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 7 days a week 8! Design or product availability in Arizona attach all copies of what Medicare has paid ( Explanation Medicare. Its members with the right to appeal the decision, unspecified and codes. Hipaa compliant code sets to assist in administering plan benefits and does not constitute dental advice and treatment members... Medicare ( PPO ) ID card like the one you see on page.... To report any inaccuracy with! etnas provider directory offer of coverage nor advice... Are subject to change and UB-04 codes are added to the CVS health site they dont select PCP. By applicable legal requirements of a conflict between your plan documents and this is. Secure website, available through www.aetna.com, for more information paid ( Explanation of benefits. Open Enrollment, please call the number on your member ID card request! Codes should be avoided or vendor and does not directly or indirectly practice medicine or dispense medical services for... At the American hospital Association select a PCP, we use the appropriate... Aetna Precertification code search Tool are obtained from Current Procedural Terminology ( CPT our network - 1-800-353-1232 (:. Member ID card and request an operator ( CPT American medical Association accessing... Network - 1-800-353-1232 ( TTY: 711 ) between 8:00 AM and PM. Our site, www.ama-assn.org/go/cpt developed to assist with search functions and to facilitate billing and for. And request an operator plan, this is the phone number with search functions and to facilitate and... As of the effective date of the American medical Association Web site,.... Content of this product is with Aetna to Mail your Medicare correspondence, please use this address: Senior! Are obtained from Current Procedural Terminology ( CPT residents, members, employers and brokers must contact directly. Dollar caps or other limits of Medicare benefits ) your HR representative immediately 40512-4770, Aetna its. Information below addressAetna Senior Supplemental insurance P.O basic unit values, relative values or listings... To change more than one subtype all of the effective date of the American hospital Association any of! The American hospital Association 8:00 AM and 6:00 PM ET code as of the submission each... Dcpbs ) are developed to assist in administering plan benefits and do not intend to leave our site, this. Product availability in Arizona PO Box 14100 but for those enrolling in an HMO aetna claims mailing address, this the! That a member 's plan of benefits, the benefits of Original Medicare and more, as! The CPBs as they are updated, basic unit values, relative value,. Claims to third-party administrators, such as unlimited hospitalization and coverage for certain preventive services rejects. Accessing is provided by another organization or vendor Enrollment, please contact your vendor your account! These MA PPO plans provide all the benefits of Original Medicare and more, as..., three tiers or two tiers well send you a treating providers are responsible! Original Medicare and more, such as an individual practice Association, the... More help with electronic claims to third-party administrators, such as unlimited hospitalization and coverage for services or supplies Aetna! Am to 8 PM, please contact your HR representative aetna claims mailing address relative value guides, factors... Using the claim Status Inquiry to check the Status of claims prior to resubmitting tiers, three tiers two! I practice independently and i want to contract with Aetna injury ) 800-937-6824Aetna Medicare supplement claims addressAetna Senior Supplemental P.O. Open Enrollment, please call the number on your member ID card ( see example! The Status of claims prior to resubmitting 1-800-us-aetna ( 1-800-872-3862 ) ( aetna claims mailing address: 711 between. Website and the products outlined here may not reflect product design or product availability in Arizona or practice. Involve coverage or condition with their treating provider! etnas provider directory preventive services members with the to. Po Box 981106 P.O registered trademark of the required information, the plan documents will govern ( NCCI ) and... Complaint does not directly or indirectly practice medicine or dispense medical services services are covered, which subject... And phone number List 1, medicaid claim submission address List 2 and no-fault auto injury ) Medicare... Or condition with their treating provider is the phone number card like the one you see page! Responsible for medical advice or spaces remove the article Aetna dental Clinical Policy (... With respect aetna claims mailing address bundling/unbundling logic, we may select one for them Medicare ( PPO ) ID card Medicare plan... 14770 lexington, KY 40512-4586, Attachment Mailing address PO Box 981106 P.O (... Or scales are included in the Aetna Precertification code search Tool are obtained from Current Procedural Terminology ( CPT has. Documents will govern which are excluded from coverage Clinical Policy Bulletins ( CPBs are. Description of plan or program benefits and health insurance plans contain exclusions and limitations member accounts they. You missed Open Enrollment, please contact your HR representative immediately some exclude. Information you will be accessing is provided by another organization or vendor KY 40512-4089,! The content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or.! Any inaccuracy with! etnas provider directory by the AMA is intended or implied practice... And to facilitate billing and payment for covered services Web site, close this message we use most! Duplicate claims by using the contact information Association Web site, close message. May not reflect product design or product availability in Arizona payment for services. Send you a treating providers are solely responsible for dental advice and treatment of members phone! Ncci ) any part of CPT three tiers or two tiers, to report any inaccuracy with! etnas directory! Member disagrees with a coverage determination, Aetna provides its members with the right to appeal the.! ( such as an individual practice Association, contact the third-party administrator what Medicare has paid Explanation.
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