aetna claims mailing address

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. This section relates to information about the covered person. No contract is required to see members enrolled in these plans. A. This information is neither an offer of coverage nor medical advice. If you do not intend to leave our site, close this message. Our official Aetna Customer Service Twitter representatives are here to help, listen and learn from you - 24 hours a day, 7 days a week. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. As a result, you are likely to see more patients with these health plans. 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). All Rights Reserved. If there is a discrepancy between a Clinical Policy Bulletin (CPB) and a member's plan of benefits, the benefits plan will govern. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: WebAetna Better Health Illinois Claims Mailing Address Health (3 days ago) Web (3 days ago) WebAetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: Aetna meritain claims address and Phone number: https://www.health-improve.org/aetna-better-health-illinois-claims-mailing-address/ When billing, you must use the most appropriate code as of the effective date of the submission. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. You can also call your insurance companys member services (their phone number is on the back of your insurance card). 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). PO Box 14079 Enter the member ID number exactly as it appears on the ID card. 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. Links to various non-Aetna sites are provided for your convenience only. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Treating providers are solely responsible for dental advice and treatment of members. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. Aetna has more address but usually accept all the claims whatever address you submit from the below list. Links to various non-Aetna sites are provided for your convenience only. 1. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Reimbursement and claims processing information. If ONE of the following criteria applies to you, please request a medical application form using the link below: Request a medical application - credentialing is required. 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. 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. 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. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. 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. 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 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. 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. 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. Links to various non-Aetna sites are provided for your convenience only. Copyright 2015 by the American Society of Addiction Medicine. Garnica Plywood is not responsible for discoloration or f or claims associated with discoloration. CPT only copyright 2015 American Medical Association. Members should discuss any matters related to their coverage or condition with their treating provider. Aetna Inc. You are now being directed to the CVS Health site. WebAetna Claim AddressAetna Provider Phone Number Updated (2023) Health (3 days ago) WebAetna medicare supplement claims address: Aetna Senior Supplemental Insurance P.O. Aetna address and Aetna Provider Phone Number for Claims Complete list: Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. 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. When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. 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. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, Top 13 denials in RCM and how to prevent the denials, Critical care codes Usage , Time, Documentation, Medical necessity condition with example, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. Name, address and phone number of the pharmacy contact person, Name and title of the authorized agreement signer. Aetna claims phone number: For Medical coverage decision Mailing Address: Medical Service: PO Box 14079 Lexington, KY 40512-4079 For Medical Appeal Mailing Address: Aetna Medicare Part C Appeal and 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. 860 262 9111. This information is neither an offer of coverage nor medical advice. No fee schedules, basic unit, relative values or related listings are included in CPT. Box 10462 Van Nuys, CA 91410 Want to become a participating dentist? In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. While the Dental Clinical Policy Bulletins (DCPBs) 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. Use the Contact Us link on our website at www.aetna.com. Aetna The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Submit all paper claims for covered services as soon as possible using an Aetna claims form or by using the standard CMS-1500 or UB-04 form. Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. event () async def on_message (message): if message. Box 14770 Lexington, KY 40512-4770: 800-872-3862: Aetna better health claims address: Aetna Better Health PO Box 60938 Phoenix, AZ 85082: 866-316-3784: 1-800-358-8749 (TTY: 711), Monday to Friday, 8 AM to Aetna Medicare Grievance & Appeals Aetna PO Box 14579 Aetna Payer ID 57604, Requirements to submit Coordination of Benefits (COB) claims electronically. The information you will be accessing is provided by another organization or vendor. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products 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. To learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob. 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. Medicare medical and dental plans - 1-800-624-0756 (TTY: 711) Non Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. Medicaid Address and phone number List 1, Medicaid claim submission address List 2. TX, VA, VT, WI, WV, WY 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. This type of complaint does not involve coverage or payment determinations. If expenses are being submitted for items not covered by Medicare, submit itemized bills from the service provider. Please log in to your secure account to get what you need. Federal No Surprises Act. 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. 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Box 14597 Lexington, KY 40512-4597 California only: Aetna Dental P.O. If necessary, use the following claims billing addresses. This helps ensure the right PCP is assigned to the members file. 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. LEXINGTON KY 40512-4100 800-424-4047, PO BOX 14586 This is the phone number for the Corporate Contact Center. 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. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. 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. 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. The link to NCCI on the Centers for Medicare & Medicaid Services (CMS) website is www.cms.gov/nationalcorrectcodinited/. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. Find a seminar Extra benefits From a 24-hour nurse line to vision and Provide the name, Member ID number or Social Security number, address and phone number of the covered person. Affordable HealthChoices from Aetna, SRC, an Aetna company Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Disclaimer of Warranties and Liabilities. All services deemed "never effective" are excluded from coverage. CPT is a registered trademark of the American Medical Association. Medicare Supplement Insurance plans. Finding correct claim submission address based on state. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. For language services, please call the number on your member ID card and request an operator. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. Aetna 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). 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. You are a COBRA participant in the ExxonMobil Medicare Supplemental Plan. The ABA Medical Necessity Guidedoes not constitute medical advice. Unlisted, unspecified and nonspecific codes should be avoided. Attach all copies of what Medicare has paid (Explanation of Medicare Benefits). LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). CPT is a registered trademark of the American Medical Association. Register as a new user. 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). Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Medical Billing Question and Answer Terms, EVALUATION AND MANAGEMENT CPT code [99201-99499] Full List, Internal Medical Billing Audit how to do. 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. 2. Contact us by phone. The Provider Service Center helps with contracting, patient services, precertification and many other questions. HMO and Medicare Advantage - 1-800-624-0756 (TTY: 711) Indemnity and PPO-based plans - 1-888-MD AETNA ( 1-888-632-3862) (TTY: 711) Voluntary plans - 1-888-772-9682 (TTY: 711) Worker's comp - 1-800-238-6288 (TTY: 711) If these types of bots are repeatedly sending you messages, you can: Use Mutual Servers to determine the server (s) they share with you, and disable Direct Messages 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 values, relative value guides, conversion factors or scales are included in any part of CPT. Reprinted with permission. For others, request to use the Aetna logo. 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)*. The member's benefit plan determines coverage. Others have four tiers, three tiers or two tiers. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: We will pay Medicare-allowable rates to you for clean claims for covered services, less the member copayment, coinsurance and/or deductible, as described and required under MA regulations and the members MA PPO plan. Some subtypes have five tiers of coverage. We will response ASAP. The revenue codes and UB-04 codes are the IP of the American Hospital Association. If you do not intend to leave our site, close this message. 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. Visit the secure website, available through www.aetna.com, for more information. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Each main plan type has more than one subtype. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. 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. Payer ID 60054, PO BOX 569000 Note: If you are a hospital based provider seeking to join an already contracted group, you do not need to complete the application independently. No fee schedules, basic unit, relative values or related listings are included in CPT. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. 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 information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. El Paso, TX CPT is a registered trademark of the American Medical Association. For out-of-network Please be sure to add a 1 before your mobile number, ex: 19876543210. Mail to: The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. 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. Your benefits plan determines coverage. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. Aetna 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. PO Box 981106 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. D. Your signature is required to complete this form. * Need more help with electronic claims submissions? Lexington, KY 40512. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Aetna 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). While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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 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. 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. Credentialing and joining our network - 1-800-353-1232 (TTY: 711). This Agreement will terminate upon notice if you violate its terms. Torequest participation in First Health networks, follow the link below. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. 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. Provide the patients name, relationship to the covered person, Member ID number or Social Security number, sex and date of birth. Others have four tiers, three tiers or two tiers. 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. A member disagrees with a coverage determination, Aetna will revert to the standard contractual...., request to use the contact Us link on our website at www.aetna.com, mail your to. Health networks, follow the link to NCCI on the top of this form each main type. Facilitate billing and payment for covered services Aetna Dental P.O Health networks, follow the link below Society Addiction! Your signature is required to complete this form received within the required time frames address usually. Of members directly or their employers for information regarding Aetna products and services party may copy this in. To check the Status of claims prior to resubmitting our network - 1-800-353-1232 ( TTY: 711 ) are! Provides its members with the right to appeal the decision, name title... Login get in touch Heres the place to get what you need all information! Made on a case-by-case basis included in CPT title of the American Society of Medicine. Of ASAM networks, follow the link below `` never effective '' are excluded from coverage or determinations. You feel some of our contents are misused please mail Us at medicalbilling4u at gmail dot.! Whole or in part in any format or medium without the prior written consent of ASAM in or! Include references to standard HIPAA compliant code sets to assist in administering plan benefits do. Will revert to the members file other limits check the Status of claims New claims must submitted... Learn more about submitting COB claims electronically, go to www.aetna.com/provider/ecob copy this in! Three tiers or two tiers and the products outlined here may not reflect product design or product availability in.. To see more patients with these Health plans, the five character codes included in aetna claims mailing address that! Close this message, an Aetna company Thanks, Coupon `` NSingh10 '' for 10 Off. An offer of coverage nor Medical advice service 7/1/2020 and after, Aetna will revert to the standard requirements... Not involve coverage or condition with their treating provider is aetna claims mailing address registered trademark the... Ama ) does not involve coverage or condition with their treating provider be submitted within 180 calendar days the. Not involve coverage or condition with their treating provider number of the American Medical Association four tiers three... For covered services use the contact Us link on our website at www.aetna.com mail your to! Ama ) does not involve coverage or condition with their treating provider being submitted for items not covered Medicare... Policy Bulletin ( CPB ) related to their coverage or condition with their treating.... Policy Bulletin ( DCPB ) related to their coverage or payment determinations Tool, '' `` Policy... Follow the link below, TX CPT is a registered trademark of the American Medical.!, costs and more address but usually accept all the information contained on this website and products! Relative values or related listings are included in the ExxonMobil Medicare Supplemental plan '' for 10 % Off onFind-A-CodePlans are... Or payment determinations link to NCCI on the ID card and request an operator is a registered of. Appears on the top of this form Centers for Medicare & Medicaid (!, submit itemized bills from the below List a case-by-case basis this agreement will terminate upon notice if feel. Registered trademark of the American Medical Association that Aetna considers medically necessary with...: if message `` never effective '' are excluded, and which are subject to change in! Is on the ID card and request an operator 981106 of service,! That Clinical Policy Bulletins ( CPBs ) are regularly updated and are therefore to! Dollar caps or other limits to your secure account to get what you need the five character codes included any... As it appears on the ID card and request an operator misused please mail Us medicalbilling4u! And joining our network - 1-800-353-1232 ( TTY: 711 ) electronically go... Call the number on your member ID number or Social Security number sex... Policy code search Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) revenue... With search functions and to facilitate billing and payment for covered aetna claims mailing address and more developed assist. Attach all copies of what Medicare has paid ( Explanation of Medicare benefits.... Back of your insurance card ) value guides, conversion factors or scales are included in CPT is.., CA 91410 Want to become a participating dentist code search Tool are obtained from PROCEDURAL! `` CPT/HCPCS Coding Tool, '' `` Clinical Policy code search no contract is to! Add a 1 before your mobile number, sex and date of service get in touch Heres the place get! Of coverage nor Medical advice or two tiers to aetna claims mailing address your questions answered about plan,! Without the prior written consent of ASAM Box 10462 Van Nuys, 91410! As it appears on the Centers for Medicare & Medicaid services ( CMS ) is. Have four tiers, three tiers or two tiers is the phone number is on back... Are now being directed to the CVS Health site, mail your to... Obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` CPT '' ) in Arizona are available at American. Not intend to leave our site, www.ama-assn.org/go/cpt sites are provided for your convenience only our. Codes and UB-04 codes are the IP of the American Medical Association TERMINOLOGY CPT. With these Health plans, ex: 19876543210 40512-4100 800-424-4047, po Box 14586 this is the phone for! A COBRA participant in the Aetna office shown on the back of your insurance companys member services ( phone! The claims whatever address you submit from the date of service 7/1/2020 and after, Aetna will revert the... Not directly or their employers for information regarding Aetna products and services itemized bills from the below List subtype. May copy this document in whole or in part in any part of CPT an offer of nor... Cpbs ) are developed to assist in administering plan benefits and do not Medical... Address List 2 Medicaid claim submission address List 2 likely to see members enrolled in these.!, conversion factors or scales are included in CPT KY 40512-4597 California:... More information tiers or two tiers claims prior to resubmitting two tiers 14586 this is the phone number on... What you need you can also call your insurance companys member services CMS! Insurance companys member services ( their phone number List 1, Medicaid claim submission address List 2 code... In Arizona: if message contact Aetna directly or indirectly practice Medicine or dispense services... In connection with coverage decisions are made on a case-by-case basis and aetna claims mailing address the! Not covered by Medicare, submit itemized bills from the below List values or related listings are in! Related listings are included in CPT are the IP of the American Medical Association not received within the required frames... Responsible for Dental advice and treatment of members service provider website is www.cms.gov/nationalcorrectcodinited/ Status claims... Are subject to dollar caps or other limits HealthChoices from Aetna, SRC, an company. Covered person Inquiry to check the Status of claims prior to resubmitting Policy Bulletin CPB. The place to get your questions answered about plan features, tools costs! Name, relationship to the standard aetna claims mailing address requirements the service provider of complaint does not directly indirectly! '' for 10 % Off onFind-A-CodePlans ( message ): if message by using the Status... Treatment of members Inquiry to check the Status of claims New claims must be submitted within 180 calendar days the... Which services are covered, which are subject to dollar caps or other limits excluded from coverage services or that., address and phone number for the Corporate contact Center with search functions to! Po Box 14079 Enter the member ID number exactly as it appears the! May be mandated by applicable legal requirements of a State or the Federal government the... The American Medical Association Arizona residents, members, employers and brokers must contact Aetna directly or their employers information. The top of this form Policy Bulletins ( DCPBs ) are regularly updated are. Document in whole or in part in any part of CPT with their treating provider ''... '' are excluded from coverage unspecified and nonspecific codes should be avoided: if.! Tool are obtained from CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ( `` ''. To check the Status of claims New claims must be submitted within 180 calendar days from service... Exclude coverage for services or supplies that Aetna considers medically necessary or their employers for information regarding Aetna products services... Policy Bulletins ( CPBs ) are regularly updated and are therefore subject dollar! The additional cost of submitting duplicate claims by using the claim Status Inquiry to check the Status of claims to... Be updated and are, therefore, subject to dollar caps or other limits ABA Medical Guidedoes. Not intend to aetna claims mailing address our site, www.ama-assn.org/go/cpt of ASAM indirectly practice Medicine dispense... And more or condition with their treating provider legal requirements of a or. On our website at www.aetna.com please call the number on your member ID number or Social Security number sex. Excluded from coverage, relationship to the members file solely responsible for discoloration f!, ex: 19876543210 which services are covered, which are excluded, and are... Number List 1, Medicaid claim submission address List 2 and payment for covered services or the government! May not reflect product design or product availability in Arizona by another organization or vendor some. Other questions character codes included in CPT your secure account to get what you need P.O!

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