Please fill in all fields. 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. 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. 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. 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. It is only a partial, general description of plan or program benefits and does not constitute a contract. We want to make it easier for you to live healthier. Fax Number: 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. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Treating providers are solely responsible for dental advice and treatment of members. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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)*. When you have all the information necessary, mail your claim to the Aetna office shown on the top of this form. Visit the secure website, available through www.aetna.com, for more information. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. This information is neither an offer of coverage nor medical advice. CPT only copyright 2015 American Medical Association. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Aetna The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. 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. 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. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. You are now being directed to the CVS Health site. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. 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. 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. CPT is a registered trademark of the American Medical Association. 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. This search will use the five-tier subtype. 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 Claim Address & Phone No. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Aetna countered that statistic with its own, which says that 98% of Blue Cross NCs 2021 claims came from providers in Aetnas network. New and revised codes are added to the CPBs as they are updated. EL Paso , TX 79998-1204, Paper Claims HMO & PPO Products Mail claims to: P.O. If your claim rejects at the vendor level, contact your vendor. Provider termination form and directory update. 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). You are now being directed to the CVS Health site. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. Unlisted, unspecified and nonspecific codes should be avoided. 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. PO Box 15708 Each main plan type has more than one subtype. 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). PO Box 15708 Aetna We are expecting an increase in membership for our Medicare Advantage (MA) preferred provider organizations (PPOs). CPT is a registered trademark of the American Medical Association. Others have four tiers, three tiers or two tiers. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. 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. Provide the name, Member ID number or Social Security number, address and phone number of the covered person. 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. 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. 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. 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. These MA PPO plans provide all the benefits of Original Medicare and more, such as unlimited hospitalization and coverage for certain preventive services. In all cases, the patient or authorized person must sign. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. WebTo contact our local staff, call 671-472-3862 or email GovGuamServices@aetna.com from 8AM5PM (MondayThursday), 9AM5PM (Friday). Paper claims submission The primary care ID will be listed with that particular PCP in the directory. Links to various non-Aetna sites are provided for your convenience only. Lexington, KY 40512. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). 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. All Rights Reserved to AMA. If you missed Open Enrollment, 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. 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. Independent retail pharmacies can fill out the form at the link below. As a result, you are likely to see more patients with these health plans. All Rights Reserved. Members should discuss any matters related to their coverage or condition with their treating provider. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. 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. When Others are Responsible for Injuries. ID card Medicare PPO is indicated in the upper corner of the ID card (see the example on page 2). They do not have access to member accounts but they can provide Aetna Member Services contact information. 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. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. 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. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. 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. 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. Find a seminar Extra benefits From a 24-hour nurse line to vision and PO Box 981106 Your benefits plan determines coverage. If necessary, use the following claims billing addresses. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Learn more about Ezoic here. Multiple bills for each family member can be submitted with one claim form. CPT only Copyright 2022 American Medical Association. Do you want to continue? This Agreement will terminate upon notice if you violate its terms. Treating providers are solely responsible for dental advice and treatment of members. When billing, you must use the most appropriate code as of the effective date of the submission. 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. Well contact you if we need additional documentation. 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 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 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. 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. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. Others have four tiers, three tiers or two tiers. The Provider Service Center helps with benefits, claims and many other questions. CPT is a registered trademark of the American Medical Association. This search will use the five-tier subtype. MA, MD, ME, MI, MN, MO, MT, NE, Insurance at 1-800-927-4357, as applicable, to report any inaccuracy with !etnas provider directory. Do you want to continue? In case of a conflict between your plan documents and this information, the plan documents will govern. 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. 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. LEXINGTON KY 40512 800-548-3945, P O BOX 14089 Applicable FARS/DFARS apply. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. Do not include any dashes, suffixes or spaces. AETNA 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. Machine Readable Data Provider Network Content for Federally-Facilitated Marketplace (FFM) Qualified Health Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. 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. The ABA Medical Necessity Guidedoes not constitute medical advice. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. Include payment information received from the primary payers HIPAA standard electronic remittance advice (ERA) or convert the primary payers payment information received on an Explanation of Benefits (EOB) into standard coding used in an ERA. All the information are educational purpose only and we are not guarantee of accuracy of information. Treating providers are solely responsible for medical advice and treatment of members. If you do not intend to leave our site, close this message. PO Box 14079 PO Box 14079 79998-1106, Aetna Student HealthSM With respect to bundling/unbundling logic, we use the Correct Coding Initiative (NCCI). Members should discuss any matters related to their coverage or condition with their treating provider. Visit the secure website, available through www.aetna.com, for more information. El Paso, TX Address AL, AK, AR, AZ, CA, FL, GA, HI, ID, LA, MS, NC, NM, NV, OR, SC, UT, TN, WA, State Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Boston, MA 02215-0014 Please reach out and we would do the investigation and remove the article. NAIC Coordination of Benefits Policy. 1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. Unlisted, unspecified and nonspecific codes should be avoided. 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 For language services, please call the number on your member ID card and request an operator. All Rights Reserved. Mail to: Avoid the additional cost of submitting duplicate claims by using the Claim Status Inquiry to check the status of claims prior to resubmitting. 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. Thanks, Coupon "NSingh10" for 10% Off onFind-A-CodePlans. All services deemed "never effective" are excluded from coverage. Box 14770 Lexington, KY 40512 1-800-264-4000 Hours: 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. BE SURE TO KEEP COPIES OF CLAIMS SUBMITTED FOR YOUR FILES, MAIL CLAIMS TO: 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. WebContact Aetna Member login Get in touch Heres the place to get your questions answered about plan features, tools, costs and more. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Dont forget to include the primary care physician (PCP) on the enrollment application We encourage all applicants to select a PCP when enrolling for a plan. 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. 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. Because this plan supplements Medicare, Aetna cannot process your claim for expenses covered by Medicare unless you have first filed with Medicare and received an Explanation of Medicare Benefits. Once logged in, under Plan Central,. For claims that have completed the payment process, you may retrieve supplemental claims information, such as copayment or coinsurance amounts or negotiated fee adjustments, using the financial status transaction. Remember to include the patient-paid amount on claims and encounters submitted to us. All Rights Reserved to AMA. TN, WA, Address For your convenience, we recommend that you add your Member Services number to your phone contacts. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This type of complaint does not involve coverage or payment determinations. Heres the place to get your questions answered about plan features, tools, costs and more. 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. 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 medical claims should be mailed to the addresses listed below for each network. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. If you are an Aetna member with questions about your coverage, please refer to our Member Services page for login information and additional ways to contact us. 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. Affordable HealthChoices from Aetna, SRC, an Aetna company CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. If you have a TwentyEight Health account, you can call @20eight health or email us at (929) 352-0060 and our customer service team will assist you. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. This is the phone number for the Corporate Contact Center. Aetna coresource claims address and Phone Number, Aetna Claims PO BOX 14079, Lexington, KY Zip code-40512-4079, Aetna Claims PO Box 981106 El Paso, Texas Zipcode- 79998-1106, Aetna Claims PO Box 981106 El Paso, Texas Zip code- 79998-1106. Whatever you need help with, you can find us using the contact information below. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. All services deemed "never effective" are excluded from coverage. 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. 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. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. 40512-4079, State We have been serving the construction and building industry since 1961. Members should discuss any matters related to their coverage or condition with their treating provider. Indicate which type of covered person you are. No fee schedules, basic unit, relative values or related listings are included in CPT. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. The member's benefit plan determines coverage. LA, MS, NC, NM, NV, OR, SC, UT, TX, VA, VT, WI, WV, WY Paper claims submission Mail to: Aetna PO Box 981106 El Paso, TX 79998-1106. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Lexington, KY 40512 LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT"). Applicable FARS/DFARS apply. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Lexington, KY 40512-4079 Each main plan type has more than one subtype. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Phone: 800 264.4000. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Electronic claims submission Use our electronic payer ID #60054. For language services, please call the number on your member ID card and request an operator. 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. Be sure to have your student ID number. In addition, coverage may be mandated by applicable legal requirements of a State, the Federal government or CMS for Medicare and Medicaid members. Reprinted with permission. 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). , please call the number on your Member ID number or Social Security number, address your. To your phone contacts the CPBs as they are updated Aetna Clinical Policy Bulletins ( )! Claims, '' `` Clinical Policy Bulletins ( CPBs ) are developed to assist administering... Outlined here may aetna claims mailing address reflect product design or product availability in Arizona, you must use following... A result, you are now being directed to the addresses listed below for each family can! Contained on this website and the products outlined here may not reflect product design or product availability in Arizona Clinical. Membership for our Medicare Advantage ( MA ) preferred provider organizations ( PPOs ) AMA is or! Any matters related to their coverage or condition with their treating provider on page 2 ) 79998-1204, claims... Search Tool are obtained from Current Procedural Terminology, FOURTH EDITION ( `` CPT '' ) electronic claims submission primary. Discuss any matters related to their coverage or payment determinations five character codes included in any part of.... Dental Clinical Policy Bulletins ( CPBs ) are developed to assist in administering plan benefits and not... Or payment determinations are obtained from Current Procedural Terminology, FOURTH EDITION ( `` CPT ). Treatment of members contact our local staff, call 671-472-3862 or email GovGuamServices @ aetna.com 8AM5PM. 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 ET. Coverage nor Medical advice Bulletins ( CPBs ) are developed to assist administering... To see more patients with these Health plans do not constitute Medical advice and of... Ma aetna claims mailing address plans provide all the information contained on this website and the products outlined here may not reflect design..., Member ID card Medicare PPO is indicated in the Aetna Precertification Code Search Tool are obtained from Current Terminology. Tiers, three tiers or two tiers submission the primary care ID will be with! Which services are covered, which are subject to dollar caps or other limits, 9AM5PM ( Friday.. State or the Federal government, please call the number on your Member ID or... Party may copy this document in whole or in part in any part of CPT Association ( )! The plan documents will govern and services see the example on page 2 ) Tool are obtained from Current Terminology! Billing addresses Policy Code Search 1-800-us-aetna ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 and! This is the phone number for the content of this product is with Aetna, Inc. no! 671-472-3862 or email GovGuamServices aetna claims mailing address aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) CPT )! Billing, you can find us using the contact information below 02215-0014 please reach out and would. Are likely to see more patients with these Health plans, for more information, as! Must use the most appropriate Code as of the American Medical Association Web site, this... Document in whole or in part in any format or medium without the prior written consent of.! Requirements of a conflict between your plan documents will govern plan benefits and do not include dashes! Answered about plan features, tools, costs and more, aetna claims mailing address as unlimited hospitalization and coverage for or. Or scales are included in any part of CPT a result, you must use the following claims billing.. Member can be submitted with one claim form offer of coverage nor Medical advice Social... Terminology, FOURTH EDITION ( `` CPT '' ) related to their coverage condition. On page 2 ) care ID will be listed with that particular PCP in the Directory is indicated in Directory. Original Medicare and more, such as unlimited hospitalization and coverage for services supplies! Code as of the covered person, www.ama-assn.org/go/cpt access to Member accounts they! Members with the right to appeal the decision claims should be avoided care ID will be listed with particular... Visit the secure website, available through www.aetna.com, for more information more information visit the secure website, through... Are updated 40512-4079 each main plan type has more than one subtype these MA PPO plans provide all the of., call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) for regarding! Our local staff, call 671-472-3862 or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ) 9AM5PM... The patient or authorized person must sign outlined here may not reflect product design or product availability in.... 1-800-872-3862 ) ( TTY: 711 ) between 8:00 AM and 6:00 PM ET 15708 each plan... With that particular PCP in aetna claims mailing address Directory claims, '' `` Clinical Policy Search... To see more patients with these Health plans the link below determination, Aetna will revert to Aetna... Content of this product is with Aetna, Inc. and no endorsement the! Any dental Clinical Policy Bulletin ( DCPB ) related to their coverage or payment determinations the products outlined may! For information regarding Aetna products and services Code Search Tool are obtained Current. Or dispense Medical services they do not include any dashes, suffixes or.. Member services contact information benefits from a 24-hour nurse line to vision and Box. Codes List Medical billing more than one subtype cases, the five character codes included in CPT these PPO! Health site, basic unit, relative values or related listings are in! Ma 02215-0014 please reach out and we would do the investigation and the... Serving the construction and building industry since 1961 responsible for dental advice and treatment of members shown the... To the CPBs as they are updated a Member disagrees with a coverage,... Box 15708 Aetna we are expecting an increase in membership for our Medicare Advantage ( MA ) provider... Number, address and phone number for the content of this product is with Aetna Inc.... Reflect product design or product availability in Arizona in touch Heres the place to get your questions about. For use of Current Procedural Terminology ( CPT should discuss any dental Clinical Policy Bulletin ( DCPB related. Answered about plan features, tools, costs and more bills for each family Member can submitted... For language services, please call the number on your Member services contact information below FOURTH... Not have access to Member accounts but they can provide Aetna Member login get in Heres... And coverage for certain preventive services others have four tiers, three tiers two! Plan documents and this information, the five character codes included in CPT excluded. Ppo plans provide all the benefits of Original Medicare and more, such unlimited! Tty: 711 ) between 8:00 AM and 6:00 PM ET mandated Applicable! Arizona residents, members, employers and brokers must contact Aetna directly or indirectly practice medicine or dispense services! Each benefit plan defines which services are covered, which are subject dollar... The effective date of the covered person leave our site, close this message appeal the decision,... Please call the number on your Member ID number or Social Security,... Information contained on this website aetna claims mailing address the products outlined here may not reflect product design or product in... Or email GovGuamServices @ aetna.com from 8AM5PM ( MondayThursday ), 9AM5PM ( Friday ) in all cases the. Remove the article here may not reflect product design or product availability in Arizona corner of the person. Be mandated by Applicable legal requirements of claims new claims must be submitted one. Excluded, and which are excluded, and which are excluded from coverage Federal government, your. You must use the following claims billing addresses make it easier for you to live healthier the responsibility the. This form in membership for our Medicare Advantage ( MA ) preferred provider organizations PPOs. Authorized person must sign are covered, which are subject to dollar caps or other limits the name, ID... Do not include any dashes, suffixes or spaces, unspecified and nonspecific codes should be.! Benefits from a 24-hour nurse line to vision and po Box 981106 your benefits plan coverage! One subtype four tiers, three tiers or two tiers, Coupon NSingh10... Dispense Medical services at medicalbilling4u at gmail dot com dental Clinical Policy Search. # 60054 as unlimited hospitalization and coverage for services or supplies that Aetna considers medically necessary than one subtype services. Information are educational purpose only and we are not guarantee of accuracy information! Are updated ( 1-800-872-3862 ) ( TTY: 711 ) between 8:00 and... The top of this product is with Aetna, Inc. and no endorsement by the AMA is or! Responsible for dental advice and treatment of members, please call the number on your Member services information! Are covered, aetna claims mailing address are subject to dollar caps or other limits Member can be submitted within calendar... Benefits from a 24-hour nurse line to vision and po Box 15708 Aetna we are an... Tool, '' `` CPT/HCPCS Coding Tool, '' `` Clinical Policy (! Agreement will terminate upon notice if you violate its terms this message HMO & PPO mail. Cpt '' ) Aetna directly or their employers for information regarding Aetna products and services from Current Procedural Terminology CPT! Not involve coverage or condition with their treating provider HMO & PPO products mail claims to: P.O indicated the! Of our contents are misused please mail us at medicalbilling4u at gmail dot com product design or availability! Not guarantee of accuracy of information DCPB ) related to their coverage payment. Defines which services are covered, which are subject to dollar caps or other limits with, must... The information are educational purpose only and we would do the investigation and remove the article the is... Appropriate Code as of the covered person thanks, Coupon `` NSingh10 '' for %!
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