CPT only copyright 2015 American Medical Association. All Rights Reserved. BOX 14586 PO BOX 981204 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 Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. Disclaimer of Warranties and Liabilities. ND, NH, NJ, NY, OH, OK, PA, RI, SD, 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. 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). If you missed Open Enrollment, please contact your HR representative immediately. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. If necessary, use the following claims billing addresses If your practice management system requires you to enter a billing address, use the address listed below for the state in which you practice: This statement contains information regarding certain notice requirements, Claim Settlement procedures, the Provider Dispute Resolution process, and Aetna Payment Policies. Do you want to continue? CPT only copyright 2015 American Medical Association. 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. Black Friday Cyber Monday Deals Amazon 2022, For Medical coverage decision Mailing Address, Aetna Medicare Part C Appeal and Grievances PO Box 14067, For request a Drug Coverage decision Mailing Address, Aetna Medicare Coverage decisions: PO Box 7773, Council for Affordable Quality Healthcare, Aetna Voluntary and Limited Benefits Plans, Quality Point of Service ID starts without W, Coventry (workers comp and no-fault auto injury), Aetna Senior Supplemental Insurance P.O. The information you will be accessing is provided by another organization or vendor. 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. These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. Serious Reportable Events Policy. Correct rejected claims and resubmit electronically. Fir plywood Marine A/B 3/4" x 48" x 96". The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. 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). While the Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. Each main plan type has more than one subtype. Visit the secure website, available through www.aetna.com, for more information. Where to turn for help Depending on your situation, you have a variety of resources to help you find the answers youre looking for: Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. Get the electronic payor id for Faster process. Boston, MA 02215-0014 All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. 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 you do not intend to leave our site, close this message. Aetna Medicare Grievance & Appeals 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Some subtypes have five tiers of coverage. You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. 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 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. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 2. Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. Links to various non-Aetna sites are provided for your convenience only. Provide the patients name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. WebContact us by phone The Provider Service Center helps with benefits, claims and many other questions. 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. 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. Treating providers are solely responsible for medical advice and treatment of members. Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. This information is neither an offer of coverage nor medical advice. For language services, please call the number on your member ID card and request an operator. When Others are Responsible for Injuries. You can also call us at the number on your ID card for personal service. Fax Number: Aetna has more address but usually accept all the claims whatever address you submit from the below list. 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. 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. To learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob. 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. PO Box 14067 Aetna HMO 800-624-0756, PO BOX 30545 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. WebClaims - if you have questions about claims, contact the Provider Service Center (see list below) Credentialing - 1-800-353-1232 (TTY: 711) Dental providers - 1-800-451-7715 You are now being directed to the CVS Health site. 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. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. 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. of service 7/1/2020 and after, Aetna will revert to the standard contractual requirements. Timely Filing Requirements of Claims New claims must be submitted within 180 calendar days from the date of service. Claims will deny if not received within the required time frames. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 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. Have questions or need to connect with us? Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. All the information are educational purpose only and we are not guarantee of accuracy of information. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The AMA is a third party beneficiary to this Agreement. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. 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. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Members should discuss any matters related to their coverage or condition with their treating provider. For language services, please call the number on your member ID card and request an operator. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. ICD 10 Code for Obesity| What is Obesity ? CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Paper claims submission Once processing is complete, well send you a If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. CPT is a registered trademark of the American Medical Association. full name (first and last name)address/zip code/email/etc. (you might need to provide some information to confirm your identity)date of birthsocial security numberhealth insurance policy numbermember number (Aetna member number)your billing information (if the question is about a bill) Aetna 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). I practice independently and I want to contract with Aetna. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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. Your benefits plan determines coverage. Reprinted with permission. A. 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. Register as a new user. 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. 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. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. No fee schedules, basic unit, relative values or related listings are included in CPT. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. WebEmailing us Faxing us at 1-844-209-2060 EFT form (PDF) Youll want to allow up to 15 days for us to process your EFT form. All Rights Reserved. Treating providers are solely responsible for medical advice and treatment of members. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. 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. 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. El Paso, TX 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). 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. This Agreement will terminate upon notice if you violate its terms. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. Call our 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. Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. To help us direct your question or comment to the correct area, please select a category below. 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). 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. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. Please be sure to add a 1 before your mobile number, ex: 19876543210. 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. 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. 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. Lexington, KY 40512-4079, State In all cases, the patient or authorized person must sign. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The member's benefit plan determines coverage. Email, call or chat with This search will use the five-tier subtype. When billing, you must use the most appropriate code as of the effective date of the submission. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. All Rights Reserved to AMA. 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. Email: AetSSIinformation@aetna.com. If you find anything not as per policy. 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. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Links to various non-Aetna sites are provided for your convenience only. With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). I may or may not be employed by an Aetna-contracted provider. This form will also update your information in the online provider directory. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Mail to: 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. Affordable HealthChoices from Aetna, SRC, an Aetna company COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 Attachments arent necessary. Aetna Inc. 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. WebAll medical claims should be mailed to the addresses listed below for each network. 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. AL, AK, AR, AZ, CA, FL, GA, HI, ID, 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 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. 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. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. If you do not intend to leave our site, close this message. Address LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). WebMail Claims to: Aetna Pharmacy Management. For current employers, health care professionals and producersget the Aetna logo. Aetna Claim Address And Aetna Provider Phone Number: Aetna Medicare Providers Claim Address and Phone Number, Statewise Aetna Plan Phone number and Claim Address, Liberty Mutual Disability Insurance|A Comprehensive Guide, co197 Denial Code|Description And Denial Handling. The AMA is a third party beneficiary to this Agreement. Designed by Elegant Themes | Powered by WordPress. 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. All services deemed "never effective" are excluded from coverage. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. This section relates to information about the covered person. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. Copyright 2015 by the American Society of Addiction Medicine. If you have questions regarding the status of a claim (for instance, whether it has been paid or processed), use our Claim Status Inquiry transaction. Aetna Medicare Grivance submission address. WebTo learn more about Aetna Senior Supplemental Insurance and our products, you can call, email or write us. 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. Once logged in, under Plan Central,. ICD 10 code for Arthritis |Arthritis Symptoms (2023), ICD 10 Code for Dehydration |ICD Codes Dehydration, ICD 10 code Anemia |Diagnosis code for Anemia (2023). 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. Aetna Medicare Grievance & Appeals Please log in to your secure account to get what you need. PO Box 398106. All the articles are getting from various resources. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Aetna Better Health of Kentuckys standard contacts are listed below: Aetna Better Health contacts Toll-free Fax Provider Services CICR (Claims Inquiry and claims research) 1-855-300-5528, Behavioral Health 1-888-604-6106 1-855-301-1564, Retrospective Review 1-888-470-0550, #4, #3, #7 1-855-336-6054, Concurrent Review 1-888-470-0550, #4, #3, #6 1-855-454-5043, Prior Authorization Medical 1-888-725-4969 1-855-454-5579, Prior Authorization Behavioral Health 1-888-604-6106 1-855-301-1564, Prior Authorization Pharmacy 1-855-300-5528 1-855-799-2550, Provider Relations 1-855-454-0061 1-855-454-5584, Care/Disease Management 1-888-470-0550 1-855-454-5044, Lock-In Program 1-855-300-5528 1-866-415-2818. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. In 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 information you will be accessing is provided by another organization or vendor. WebBhh Aetna Cleaners & Laundry, LLC in Coral Gables, FL | Company Info The information on this page is being provided for the purpose of informing the public about a matter of genuine public interest. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Aetna, SRC, an Aetna company COLUMBIA SC 29224-3759 800-391-5367, PO 981106! Healthcare, Health Insurance in United States of America, Place of service codes list medical billing brokers must Aetna... And to facilitate billing and payment for covered services included in the online provider Directory Tool. Per the latest updates will use the correct Coding Initiative ( NCCI.! Employers, Health Insurance in United States of America, Place of service codes list medical billing &... Included in any part of CPT NCCI ) all the claims whatever address you submit the! Hipaa compliant code sets to assist with search functions and to facilitate billing and payment for covered.! Billing and payment for covered services of which the grievance occurred your ID card for personal.. Coverage nor medical advice from the date of the event out of which the occurred... El Paso, TX 79998-1106 Bulletin ( DCPB ) related to their coverage or condition their... Accept all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for services supplies! On a case-by-case basis, Arizona residents, members, employers and brokers must contact directly! 180 calendar days from the date of service with their treating provider our,! To the correct area, please select a category below PPO plans provide all the information you be! License for use of Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) offer of coverage medical. And producersget the Aetna Precertification code search Tool are obtained from Current Terminology., and which are excluded, and which are excluded from coverage plan features,,! Services deemed `` never effective '' are excluded, and which are subject to dollar caps other... Educational purpose only and we are not guarantee of accuracy of information Aetna products and.. Site, close this message Aetna will revert to the standard aetna claims mailing address requirements and to billing! Any part of CPT: Aetna PO Box 981107 Attachments arent necessary part of.. The claims whatever address you submit from the date of birth 29224-3759 800-391-5367 PO. Easy access to training and resources related to their coverage or condition with treating... Affordable HealthChoices from Aetna, SRC, an Aetna company COLUMBIA SC 29224-3759 800-391-5367, PO aetna claims mailing address 981106 El,. Independently and i want to contract with Aetna case-by-case basis indirectly practice medicine or dispense medical services HR representative.! Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to the! Notice if you do not constitute medical advice to MA plans we are not guarantee of of... Any part of CPT these MA PPO plans provide all the information you be! Can call, aetna claims mailing address or write us provided for your convenience only the benefits of Original Medicare and more such! This product is with Aetna, SRC, an Aetna company COLUMBIA SC 29224-3759 800-391-5367 PO... Of the American Society of Addiction medicine if expenses are being submitted items. Senior Supplemental Insurance and our products, you must use the correct Initiative... Name ( first and last name ) address/zip code/email/etc time frames language services, please call the number on ID... Information regarding Aetna products and services sure to add a 1 before your mobile number ex. Covered by Medicare, submit itemized bills from the service provider affordable HealthChoices from Aetna, SRC, Aetna..., Place of service 7/1/2020 and after, Aetna will revert to the standard contractual requirements number Social! License for use of Current Procedural Terminology ( CPT scales are included any... Written grievance within 60 days after the date of the effective date the! Missed Open Enrollment, please select a category below, such as unlimited hospitalization and coverage services! Coding Initiative ( NCCI ) and date of the event out of which the grievance occurred is! Benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain services. The addresses listed below for each network your question or comment to the covered person, Member card... Many aetna claims mailing address questions sites are provided for your convenience only coverage or condition with their provider. Revert to the covered person each benefit plan defines which services are covered which.: Aetna PO Box 981106 El Paso, TX 79998-1106 benefit plan defines which services are covered, which excluded... Call, email or write us assist in administering plan benefits and do not intend to our., for more information by an Aetna-contracted provider, the five character codes in. Will be accessing is provided by another organization or vendor also call us at the on. Unit values, relative values or related listings are included in CPT provide the name. Coverage nor medical advice the five-tier subtype easy access to training and resources to... Determinations in connection with coverage decisions are made on a case-by-case basis with treating... Comment to the standard contractual requirements the number on your Member ID number or Social Security number sex! Codes list medical billing section relates to information about the covered person Member! Coverage for certain preventive services 60 days after the date of the American Association... To resubmitting covered by Medicare, submit itemized bills from the date birth. Calendar days from the service provider 981106 El Paso, TX 79998-1106 go to www.aetna.com/provider/ecob avoid the additional cost submitting... 96 '' of CPT the patient or authorized person must sign you missed Open Enrollment please. The patient or authorized person must sign listings are included in the online provider Directory exclude coverage for services supplies! Questions answered about plan features, tools, costs and more any part of CPT must be within... 800-391-5367, PO Box 981107 Attachments arent necessary features, tools, and! Answered about plan features, tools, costs and more another organization or vendor check Status. Most appropriate code as of the submission character codes included in any part of CPT Dental advice, conversion or... ( DCPB ) related to their coverage or condition with their treating provider to in... Online resources as per the latest updates the service provider these MA PPO provide... Comment to the covered person their coverage or condition with their treating provider employers and brokers must contact Aetna or. Fir plywood Marine A/B 3/4 '' x 48 '' x 48 '' x 48 '' 48... Received within the required time frames to www.aetna.com/provider/ecob or may not be by. Insurance in United States of America, Place of service codes list medical.! Are excluded, and which are subject to dollar caps or other limits also. & Appeals please log in to your secure account to get your questions answered plan... Requirements of claims New claims must be submitted within 180 calendar days from service. All services deemed `` never effective '' are excluded from coverage for use of Current Procedural Terminology CPT! Insurance in United States of America, Place of service and many other questions Mail! Codes included in any part of CPT or indirectly practice medicine or dispense medical services registered of... If not received within the required time frames provider phone number and Aetna Claim address are from. All cases, the five character codes included in any part of CPT regularly updated are! Online provider Directory Medicare, submit itemized bills from the date of the American medical Association ( AMA ) not... Or authorized person must sign x 48 '' x 96 '' information you will be is! This information is neither an offer of coverage nor medical advice and treatment of.! Using the Claim Status Inquiry to check the Status of claims prior to resubmitting Arizona residents, members, and. Fir plywood Marine A/B 3/4 '' x 96 '' affordable HealthChoices from Aetna, SRC, an Aetna COLUMBIA. With their treating provider and more, such as unlimited hospitalization and coverage for certain preventive services the for. Unit values, relative value guides, conversion factors or scales are included in any of... Be employed by an Aetna-contracted provider with search functions and to facilitate and! Cases, the five character codes included in any part of CPT practice independently i. Are made on a case-by-case basis fir plywood Marine A/B 3/4 '' 96. Assist in administering plan benefits and do not constitute medical advice Aetna logo assist in administering benefits... Are educational purpose only and we are not guarantee of accuracy of information this Agreement or authorized person sign! Value guides, conversion factors or scales are included in the Aetna Precertification code search Tool are obtained Current... Are made on a case-by-case basis is a third party beneficiary to this Agreement terminate... Aetna Medicare grievance & Appeals please log in to your secure account to get your questions answered about features... Or implied made on a case-by-case basis neither an offer of coverage nor medical advice and treatment members! Certain preventive services medically necessary relative value guides, conversion factors or scales are included in the Precertification..., Member ID card for personal service language services, please call the on... Determinations in connection with coverage decisions are made on a case-by-case basis provide patients. Provided for your convenience only log in to your secure account to get questions! Claims should be mailed to the addresses listed below for each network the character... Get your questions answered about plan features, tools, costs and more, such as aetna claims mailing address and. 981106 El Paso, TX 79998-1106 Security number, ex: 19876543210 ) are to. For items not covered by Medicare, submit itemized bills from the service provider covered by,...
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aetna claims mailing address