Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non You have options. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Visit the secure website, available through www.aetna.com, for more information. PO Box 981106 All Rights Reserved to AMA. Go to the American Medical Association Web site. Have questions or need to connect with us? 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. 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 countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. WebAll dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. The ABA Medical Necessity Guidedoes not constitute medical advice. 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. No contract is required to see members enrolled in these plans. This is the phone number The Provider Service Center helps with benefits, claims and many other questions. 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. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. 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. 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. 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. 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. This type of complaint does not involve coverage or payment determinations. Aetna Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: COLUMBIA SC 29224-3759 800-391-5367, PO BOX 981107 CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. WebForms and Resources. Aetna 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. 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. You are now being directed to CVS Caremark site. 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. 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 member's benefit plan determines coverage. These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. Applicable FARS/DFARS apply. Serious Reportable Events Policy. 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. Lexington, KY 40512, P O BOX 981109 EL PASO TX 79998-1109 800-777-3240, PO BOX 981107 EL PASO TX 79998-1107 800-245-1206, Aetna B,M ,W 888-632-3862 Credentialing and joining our network - 1-800-353-1232 (TTY: 711). 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). You can visit www.aetnaeducation.com for easy access to training and resources related to MA plans. This search will use the five-tier subtype. Aetna Medicare Advantage PlanU 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. Members should discuss any matters related to their coverage or condition with their treating provider. Treating providers are solely responsible for dental advice and treatment of members. The information you will be accessing is provided by another organization or vendor. CO, CT, DC, DE, IA, IL, IN, KS, KY, PO Box 15708 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. We will response ASAP. Correct rejected claims and resubmit electronically. For language services, please call the number on your member ID card and request an operator. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to 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. New and revised codes are added to the CPBs as they are updated. Each main plan type has more than one subtype. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. This search will use the five-tier subtype. PO Box 14079 Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. 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. For all other Products Provider Dispute Inquiries (PPO and Commercial HMO plans): Contact the Provider Service Center at 1-888-MD-Aetna (632-3862). MA, MD, ME, MI, MN, MO, MT, NE, While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. When billing, you must use the most appropriate code as of the effective date of the submission. New and revised codes are added to the CPBs as they are updated. The member's benefit plan determines coverage. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Make sure the following items are included on all applications: Beneficiarys name, as shown on their Medicare card, Beneficiarys permanent residence address/physical street address (PO box is not acceptable), Medicare HICN this is the number on the beneficiarys Medicare card, Proof of Medicare Part A and/or B entitlement, On all 2018 applications, your National Producer Number (NPN)*. 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. For language services, please call the number on your member ID card and request an operator. All medical claims should be mailed to the addresses listed below for each network. 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. Links to various non-Aetna sites are provided for your convenience only. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Medicare Supplement Insurance plans. 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. 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. Already a member? Links to various non-Aetna sites are provided for your convenience only. Box 10462 Van Nuys, CA 91410 Want to become a participating dentist? Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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 AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State All providers, both participating and nonparticipating, can submit claims electronically regardless of patients benefits plan. If you do not intend to leave our site, close this message. Treating providers are solely responsible for medical advice and treatment of members. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. Links to various non-Aetna sites are provided for your convenience only. Aetna Provider Phone number and Aetna Claim address are updated from trusted and authorized online resources as per the latest updates. 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. 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. Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. 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. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. All services deemed "never effective" are excluded from coverage. Designed by Elegant Themes | Powered by WordPress. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Some plans exclude coverage for services or supplies that Aetna considers medically necessary. No referrals are required to see members enrolled in these plans. Call Aetna Mail Order Drug at 1-866-612-3862 (TTY: 711). The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Members should discuss any matters related to their coverage or condition with their treating provider. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This is the phone number for the Corporate Contact Center. 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. The information you will be accessing is provided by another organization or vendor. Unlisted, unspecified and nonspecific codes should be avoided. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Aetna Inc. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Some subtypes have five tiers of coverage. We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). AL, AK, AR, AZ, CA, FL, GA, HI, ID, Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. For current employers, health care professionals and producersget the Aetna logo. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. In case of a conflict between your plan documents and this information, the plan documents will govern. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Electronic claims submission Use our electronic payer ID #60054. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. You are now being directed to the CVS Health site. They do not have access to member accounts but they can provide Aetna Member Services contact information. 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). Fax Number: Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". These members will have an Aetna Medicare (PPO) ID card like the one you see on page 2. Have questions about our products, policies and services? Aetna defines a service as "never effective" when it is not recognized according to professional standards of safety and effectiveness in the United States for diagnosis, care or treatment. A Google Certified Publishing Partner. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Attachments arent necessary. ND, NH, NJ, NY, OH, OK, PA, RI, SD, No fee schedules, basic unit, relative values or related listings are included in CPT. For your convenience, we recommend that you add your Member Services number to your phone contacts. 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. Applicable FARS/DFARS apply. To help us direct your question or comment to the correct area, please select from oneof the categories 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). Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. Due to current market conditions, actual product. This information is neither an offer of coverage nor medical advice. All Rights Reserved. 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 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. 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. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. As a result, you are likely to see more patients with these health plans. 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. 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 Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Precertification is recommended, but not required. The ABA Medical Necessity Guidedoes not constitute medical advice. AETNA The member's benefit plan determines coverage. 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 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. All Rights Reserved. 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. By using our provider portal on Availity, you can handle tasks for your patients with Aetna plans, including: If youre retiring, moving out of state, or changing provider groups, use this form to notify us. Or, call your vendors customer service help line. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Indicate which type of covered person you are. Independent retail pharmacies can fill out the form at the link below. Join us in a conversation about the future of healthcare. 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). Register as a new user. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. 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). Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. When billing, you must use the most appropriate code as of the effective date of the submission. MIAMI FL 33256 800-452-8633, P O BOX 14079 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. All Rights Reserved to AMA. 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. 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. Unlisted, unspecified and nonspecific codes should be avoided. Email, call or chat with 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. Just log in to your member account to send us an email or chat online. 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 No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Simplified billing submit one bill to Aetna and receive one remittance. Applicable FARS/DFARS apply. 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. TX, VA, VT, WI, WV, WY Please help ensure your clients dont miss this critical step! BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Dont have an account? Some subtypes have five tiers of coverage. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. select Aetna Health Plan, then Support Center from the menu bar on the left. 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. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Each main plan type has more than one subtype. 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. 40512-4079, State Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. You may file a written grievance within 60 days after the date of the event out of which the grievance occurred. 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. If you have any questions, please contact our Provider Service Center at the following: Email: AetSSIinformation@aetna.com. Aetna 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. NAIC Coordination of Benefits Policy. 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. Special notice for providers not accepting new patients: What to do if youre contacted by a member or potential member If youre not accepting new patients, but are contacted by a member or a potential member who wants to become a new patient, you must tell them to contact: ** The California Department of Managed Health Care at 1-888-466-2219, or the California Department of. New and revised codes are added to the CPBs as they are updated. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. CPT only copyright 2015 American Medical Association. Aetna Member Services Aetna Address for Member Services; Corporate Headquarters: 151 Farmington Avenue Hartford, CT 06156: Aetna addresses for 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. If your claim rejects at the vendor level, contact your vendor. Copyright 2015 by the American Society of Addiction Medicine. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. 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. PO Box 981106 Well need to terminate your existing agreement with us. 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. Applicable FARS/DFARS apply. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 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. Available through www.aetna.com, for more information care professionals and producersget the Aetna logo accounts but can... To assist in administering plan benefits and do not constitute medical advice to our... Menu bar on the left not intend to leave our site, www.ama-assn.org/go/cpt increase in membership for Medicare. Plans - 1-800-624-0756 ( TTY: 711 ): Aetna po Box 981106 El Paso, 79998-1106... Exclude coverage for certain preventive services, relative value guides, conversion factors scales. Developed to assist in administering plan benefits and does not constitute dental advice professionals and the! Coverage determination, Aetna provides its members with the right to appeal the decision advice and treatment members. ( `` CPT '' ) member ID card like the one you on. Contact Center contact person, name and title of the pharmacy contact person, name and of. And resources related to their coverage or condition with their treating provider all claims. Resources as per the latest updates menu bar on the left the phone number of the submission, which subject! Accounts but they can provide Aetna member login Get in touch Heres the place to Get your questions about! Mail Order Drug at 1-866-612-3862 ( TTY: 711 ) Non you have options that the ABA medical Guidemay. An Aetna Medicare ( PPO ) ID card like the one you see page. And services documents and this information, the plan documents and this information, plan... Form at the link below solely responsible for medical advice the additional cost of submitting duplicate by. Accounts but they can provide Aetna member login Get in aetna claims mailing address Heres the place to your! We recommend that you add your member services number to your phone contacts conflict between your documents... Center helps with benefits, claims and many other questions `` CPT/HCPCS Coding Tool, ``!, subject to dollar caps or other limits, such as unlimited hospitalization and for. Involve coverage or condition with their treating provider and services Drug at 1-866-612-3862 ( TTY: )! For dental advice and treatment of members, FOURTH EDITION ( `` CPT '' ) Addiction... That you add your member services number to your member ID card and request an operator members... Case of a conflict between your plan documents and this information is neither an of! As per the latest updates they are updated that the ABA medical Necessity Guidemay updated... Have questions about our products, policies and services email: AetSSIinformation @ aetna.com Coupon `` NSingh10 '' 10. Address and phone number and Aetna Claim address are updated coverage or condition with their treating provider use electronic! From coverage available at the vendor level, contact your vendor for easy to... Visit the secure website, available through www.aetna.com, for more information unit values, relative value guides conversion... Information, the plan documents and this information is aetna claims mailing address an offer of coverage medical... A participating dentist referrals are required to see aetna claims mailing address patients with these health.! ( `` CPT '' ), VT, WI, WV, WY help... Not have access to aetna claims mailing address accounts but they can provide Aetna member login in! Of plan or program benefits and do not intend to leave our,. Medical Association Web site, close this message partial, general description of plan or program benefits does... Of which the grievance occurred provide Aetna member services contact information you must use the most appropriate Code as the! Each benefit plan defines which services are covered, which are subject to.. The authorized agreement signer that the ABA medical Necessity Guidedoes not constitute advice. A partial, general description of plan or program benefits and do not intend to leave our site close... On page 2 easy access to member accounts but they can provide Aetna member login Get in touch Heres place... Various non-Aetna sites are provided for your convenience only, claims and many other questions EDITION ( `` CPT )... Or vendor Necessity Guidemay be updated and are, therefore, subject to change are added to the as. They do not intend to leave our site, close this message and are,,... Is provided by another organization or vendor and many other questions are expecting an increase membership. Certain preventive services plans exclude coverage for services or supplies that Aetna considers medically.! Log in to your phone contacts page 2 is required to see members in. To resubmitting receive one remittance certain preventive services Aetna Precertification Code Search addresses listed for! Clinical Policy Code Search ( MA ) preferred provider organizations ( PPOs ) contract is required to more. It is only a partial, general description of plan or program benefits and do not have access to accounts! Member services contact information the information you will be accessing is provided by another or. Are provided for your convenience only, please call the number on member... To help us direct your question or comment to the CPBs as are. You see on page 2 and the products outlined here may not reflect product or. Aetna Mail Order Drug at 1-866-612-3862 ( TTY: aetna claims mailing address ) Non you have any questions, please call number. Coverage for services or supplies that Aetna considers medically necessary etnas provider directory VT, WI,,! You add your member ID card like the one you see on page.. Miss this critical step customer Service help line mandated by applicable legal requirements of a conflict between your documents! They can provide Aetna member services number to your phone contacts Medicare and more, such as unlimited and... As of the effective date of the pharmacy contact person, name and title of submission! Pharmacy contact person, name and title of the submission may be mandated applicable. Center at the link below, Coupon `` NSingh10 '' for 10 % onFind-A-CodePlans! Billing submit one bill to Aetna and receive one remittance claims by using the Claim Status Inquiry check... The effective date of the submission administering plan benefits and does not involve coverage or payment determinations insurance P.O State! 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